Anest. intenziv. Med. 2006;17(2):110-115
Therapy of brain injuryIntensive Care Medicine
- Klinika anesteziologie, resuscitace a intenzivní medicíny, Univerzita Karlova v Praze
- Lékařská fakulta v Hradci Králové, Fakultní nemocnice Hradec Králové
Patients with brain injury represent one of the major problems in medicine. This review article aims to present the epidemiology, pathophysiology and current recommendations for prehospital and hospital care in brain injury patients. The key factors in clinical practice for achieving the best possible neurological outcome are stressed. Secondary insults are considered as a major cause of poor long-term outcome in these patients.
Keywords: brain injury; therapy; guidelines
Published: April 1, 2006 Show citation
References
- Bulger, E. M., Nathens, A. B., Rivala, F. P. et al. Management of severe head injury: Institutional variations in care and effect on outcome. Crit. Care Med., 2002, 30, p. 1870-1876.
Go to original source...
Go to PubMed...
- The Brain Trauma Foundation. The American Association of Neurological Surgeons. The Point Section on Neurotrauma and Critical Care: Guidelines for the management of severe traumatic brain injury. J. Neurotrauma, 2000, 17.
- Vincent, J. L., Berré, J. Primer on medical management of severe brain injury. Crit. Care Med., 2005, 33, 6, p. 1392-1399.
Go to original source...
Go to PubMed...
- Adelson, P. D., Bratton, S. L., Carney, N. A. et al. Guidelines for the acute medical management of severe traumatic brain injury in infants, children and adolescent. Pediatr. Crit. Care Med., 2003, 4, 3 (Suppl).
- Clifton, G. L., Miller, E. R., Choi, S. C. et al. Lack of effect of induction of hypothermia after acute brain injury. N. Engl. J. Med., 2001, 344, p. 556-563.
Go to original source...
Go to PubMed...
- Marion, D. W., Penrod, D. E., Kelsey, S. F. et al. Treatment of traumatic brain injury with moderate hypothermia. N. Engl. J. Med., 1997, 336, p. 540-546.
Go to original source...
Go to PubMed...
- Polderman, K. H. Application of therapeutic hypothermia in the ICU: opportunities and pitfalls of a promising treatment modality. Part 1: Indications and evidence. Intensive Care Med., 2004, 30, p. 556-575.
Go to original source...
Go to PubMed...
- Polderman, K. H. Application of therapeutic hypothermia in the ICU: opportunities and pitfalls of a promising treatment modality. Part 2: Practical aspects and side effects. Intensive Care Med., 2004, 30, p. 757-769.
Go to original source...
Go to PubMed...
- Cruz, J., Minima, G., Okuchi, F., Facco, E. Successful use of the new high-dose mannitol treeatment on patiens with Glasgow Coma Scale scores of 3 and bilateral abnormal pupillary widening: a randomized trial. J. Neurosurg., 2004, 100, p. 376-383.
Go to original source...
Go to PubMed...
- Vialet, R., Albanese, J. et al. Isovolume hypertonic solutes (sodium chloride or mannitol) in the treatment of refractory posttraumatic intracranial hypertension: 2 ml/kg 7,5% saline is more effective than 2 ml/kg 20% mannitol. Critical Care Med., 2003, 31, p. 1638-1687.
Go to original source...
Go to PubMed...
- Cremer, O. L., van Dijk, G. W. et al. Effect of intracranial pressure monitoring and targeted in care on functional outcome after severe head injury. Critical Care Med., 2005, p. 33.
Go to original source...
Go to PubMed...
- Grande, P. O., Asgeirsson, B., Nordstrom, C. H. Physiologic principles for volume regulation of tissue enclosed in a rigid shell with application to the injured brain. J. Trauma, 1997, 42 (suppl 5), p. S23-S31.
Go to original source...
Go to PubMed...
- Grande, P. O. The "Lund Concept" for treatment of severe brain trauma: a physiological approach. In Yearbook of intensive care and emergency medicine. (Ed): Vincent, J. L., Berlin, Heidelberg : Springer-Verlag 2004, p. 806-820.
- McIntyre, L. A., Fergusson, D. A., Hebert, P. C. et al. Prolonged therapeutic hypothermia after traumatic brain injury in adults: a systematic review. JAMA, 2003, 289, p. 2992-2999.
Go to original source...
Go to PubMed...
- Wahlstrom, M. R., Olivecrona, M. et al. Severe traumatic brain injury in pediatric patiens: treatment and outcome usíng an intracranial pressure targeted therapy - the Lund concept. Intensive Care Med., 2005, 31, p. 832-839.
Go to original source...
Go to PubMed...
- Johnston, A. J., Steiner, L. A. et al. Effect of cerebral perfusion pressure augmentation on regional oxygenation and metabolism after head injury. Crit. Care Med., 2005, 33, 1, p. 189-195.
Go to original source...
Go to PubMed...
- Steiner, L. A., Johnston, A. J., Czosnyka, M. et al. Direct comparison of cerebrovascular effects of norepinephrine and dopamine in head-injured patiens. Crit. Care Med., 2004, 32, p. 1049-1054.
Go to original source...
Go to PubMed...