Management of head trauma

被引:85
作者
Marik, PE
Varon, J
Trask, T
机构
[1] Univ Pittsburgh, Dept Crit Care Med, Pittsburgh, PA 15261 USA
[2] Methodist Hosp, Neurosurg ICU, Houston, TX 77030 USA
[3] Methodist Hosp, Dept Emergency Serv, Houston, TX 77030 USA
关键词
critical care; CT scanning; epidural hematoma; head injury; hypertonic saline solution; ICU; intracranial pressure; mannitol; subdural hematoma; trauma;
D O I
10.1378/chest.122.2.699
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Traumatic brain injury (TBI) is a major cause of disability and death in most Western nations and consumes an estimated $100 billion annually in the United States alone. In the last 2 decades, the management of TBI has evolved dramatically, as a result of a more thorough understanding of the physiologic events leading to secondary neuronal injury as well as advances in the care of critically ill patients. However, it is likely that many patients with TBI are not treated according to current treatment principles. This article presents an overview of the current management of patients with TBI.
引用
收藏
页码:699 / 711
页数:13
相关论文
共 168 条
[41]   EFFECT OF POSTURE ON INTRACRANIAL-PRESSURE AND CEREBRAL PERFUSION-PRESSURE IN PATIENTS WITH FULMINANT HEPATIC AND RENAL-FAILURE AFTER ACETAMINOPHEN SELF-POISONING [J].
DAVENPORT, A ;
WILL, EJ ;
DAVISON, AM .
CRITICAL CARE MEDICINE, 1990, 18 (03) :286-289
[42]   L-arginine and superoxide dismutase prevent or reverse cerebral hypoperfusion after fluid-percussion traumatic brain injury [J].
DeWitt, DS ;
Smith, TG ;
Deyo, DJ ;
Miller, KR ;
Uchida, T ;
Prough, DS .
JOURNAL OF NEUROTRAUMA, 1997, 14 (04) :223-233
[43]   Size and quality of randomised controlled trials in head injury: review of published studies [J].
Dickinson, K ;
Bunn, F ;
Wentz, R ;
Edwards, P ;
Roberts, I .
BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7245) :1308-1311
[44]   END-DIASTOLIC VOLUME VERSUS PULMONARY-ARTERY WEDGE PRESSURE IN EVALUATING CARDIAC PRELOAD IN TRAUMA PATIENTS [J].
DIEBEL, L ;
WILSON, RF ;
HEINS, J ;
LARKY, H ;
WARSOW, K ;
WILSON, S .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 37 (06) :950-955
[45]   Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients:: a randomised trial [J].
Drakulovic, MB ;
Torres, A ;
Bauer, TT ;
Nicolas, JM ;
Nogué, S ;
Ferrer, N .
LANCET, 1999, 354 (9193) :1851-1858
[46]   Distribution of normal saline and 5% albumin infusions in septic patients [J].
Ernest, D ;
Belzberg, AS ;
Dodek, PM .
CRITICAL CARE MEDICINE, 1999, 27 (01) :46-50
[47]   EFFECT OF HEAD ELEVATION ON INTRACRANIAL-PRESSURE, CEREBRAL PERFUSION-PRESSURE, AND CEREBRAL BLOOD-FLOW IN HEAD-INJURED PATIENTS [J].
FELDMAN, Z ;
KANTER, MJ ;
ROBERTSON, CS ;
CONTANT, CF ;
HAYES, C ;
SHEINBERG, MA ;
VILLAREAL, CA ;
NARAYAN, RK ;
GROSSMAN, RG .
JOURNAL OF NEUROSURGERY, 1992, 76 (02) :207-211
[48]  
Feng C K, 1996, Acta Anaesthesiol Sin, V34, P61
[49]   THE TRAUMATIC COMA DATA-BANK - DESIGN, METHODS, AND BASE-LINE CHARACTERISTICS [J].
FOULKES, MA ;
EISENBERG, HM ;
JANE, JA ;
MARMAROU, A ;
MARSHALL, LF .
JOURNAL OF NEUROSURGERY, 1991, 75 :S8-S13
[50]   THE INCIDENCE OF DELAYED TRAUMATIC INTRACEREBRAL HEMATOMA WITH EXTRADURAL HEMORRHAGES [J].
FUKAMACHI, A ;
KOHNO, K ;
NAGASEKI, Y ;
MISUMI, S ;
KUNIMINE, H ;
WAKAO, T .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1985, 25 (02) :145-149