tailieunhanh - Ebook Neurotrauma and critical care of the brain (2/E): Part 2

(BQ) Part 2 book “Neurotrauma and critical care of the brain” has contents: Pediatric brain injury, neurological critical care, fluids resuscitation and traumatic brain injury, mechanical ventilation and pulmonary critical care, paroxysmal sympathetic hyperactivity, and other contents. | Guidelines for the Surgical Management of Traumatic Brain Injury 16 Guidelines for the Surgical Management of Traumatic Brain Injury Michael Karsy and Gregory . Hawryluk Abstract Compared with other fields of medicine, there are relatively few data guiding management of traumatic brain injury (TBI). Nonetheless, the TBI field has led in the development of evidence-based guidelines with the available literature. The TBI guidelines have become some of the most respected and adopted recommendations in medicine. Numerous guidelines for TBI have been developed, predominantly by the Brain Trauma Foundation. In addition to Guidelines for the Management of Severe TBI, additional guidelines are available specifically pertaining to pediatrics, prehospital management, prognosis, combat, penetrating TBI, and surgical management. This chapter aims to review aspects of published guidelines relevant to the surgical treatment of patients with TBI along with updates from recent key studies. Because of the difficulty inherent in studying the emergent surgical management of TBI, many of these recommendations are consensus-based. Management of epidural hematoma, subdural hematoma, intraparenchymal hematoma, posterior fossa lesions, skull fractures, and penetrating brain injury will be discussed here. Guidelines related to decompressive hemicraniectomy will also be presented. Keywords: traumatic brain injury, epidural hematoma, subdural hematoma, contusion, posterior fossa lesions, depressed skull fracture, penetrating brain injury, decompressive hemicraniectomy, guidelines, surgery Introduction Traumatic brain injury (TBI) encompasses a broad, heterogeneous constellation of pathoanatomic lesions including contusions, epidural hematoma (EDH), subdural hematoma (SDH), and others (▶ Table ).1 These lesions almost always coexist. A broad spectrum of injury severities can be seen ranging from concussion to mild, moderate, and severe TBI; severe TBI is synonymous with .