Moderate and Severe Traumatic Brain Injury: Pathophysiology and Management

被引:30
作者
Frattalone, Anthony R. [1 ,2 ]
Ling, Geoffrey S. F. [1 ,2 ]
机构
[1] Johns Hopkins Med Inst, Div Neurocrit Care, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21287 USA
[2] Uniformed Serv Univ Hlth Sci, Dept Neurol, Bethesda, MD 20814 USA
关键词
Traumatic brain injury; Clinical practice guidelines; Head injury; Concussion; Coma; ICP (intracranial pressure); OPP (cerebral perfusion pressure); RAPID-SEQUENCE INTUBATION; SEVERE HEAD-INJURY; CEREBRAL PERFUSION-PRESSURE; GLASGOW COMA SCALE; INTRACRANIAL-PRESSURE; INTENSIVE-CARE; BLOOD-PRESSURE; IMPACT; TISSUE; HYPOTENSION;
D O I
10.1016/j.nec.2013.03.006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Traumatic brain injury (TBI) is a serious disorder that is all too common. TBI ranges in severity from mild concussion to a severe life-threatening state. Across this spectrum, rational therapeutic approaches exist. Early identification that TBI has occurred in a patient is paramount to optimal outcome. Proper clinical management should be instituted as soon as possible by appropriately trained medical providers. More seriously injured patients must be triaged to advanced care centers. It is only through this rational approach to TBI that patients may expect to achieve optimal clinical and functional outcome.
引用
收藏
页码:309 / +
页数:12
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