Traumatic Brain Injury Update

被引:35
|
作者
Scarboro, Maureen [1 ]
McQuillan, Karen A. [2 ]
机构
[1] Univ Maryland, R Adams Cowley Shock Trauma Ctr, Neurosurg, Med Ctr, 22 S Greene St, Baltimore, MD 21201 USA
[2] Univ Maryland, Med Ctr, R Adams Cowley Shock Trauma Ctr, Baltimore, MD 21201 USA
关键词
multimodal neuromonitoring; neuroprotection; traumatic brain injury; INTRACRANIAL-PRESSURE THRESHOLDS; TARGETED TEMPERATURE MANAGEMENT; CORTICAL SPREADING DEPRESSION; NERVE SHEATH DIAMETER; OBJECTIVE PUPILLOMETRY; TRANSCRANIAL DOPPLER; COMPUTED-TOMOGRAPHY; OXYGEN-SATURATION; PROGESTERONE; HYPOTHERMIA;
D O I
10.4037/aacnacc2021331
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Traumatic brain injury is a devastating, life-changing event in most cases. After the primary brain insult, it is helpful to use evidence-based monitoring techniques to guide implementation of essential interventions to minimize secondary injury and thereby improve patient outcomes. An update on multimodal neuromonitoring is provided in this narrative review, with discussion of tools and techniques currently used in the treatment of patients with brain injury. Neuroprotective treatments, from the well-studied targeted temperature management to new potential therapeutics under investigation, such as glyburide, also are presented.
引用
收藏
页码:29 / 50
页数:22
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