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Traumatic Brain Injury: Traumatic Subdural Hemorrhage/Epidural Hemorrhage 

Traumatic Brain Injury: Traumatic Subdural Hemorrhage/Epidural Hemorrhage
Chapter:
Traumatic Brain Injury: Traumatic Subdural Hemorrhage/Epidural Hemorrhage
Author(s):

Sheena M. Weaver

DOI:
10.1093/med/9780190226459.003.0066
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date: 27 February 2020

Traumatic brain injury accounts for over a million emergency room visits each year and frequently results in the need for escalated levels of care, including surgical intervention, at acute care facilities. This chapter reviews the pertinent concepts integral to the perioperative assessment and management of traumatic brain injury, specifically that of acute traumatic subdural and epidural hemorrhages. It discusses that this management hinges on the ability of the clinician to quickly recognize primary injury and its associated pathophysiology, to prevent or reduce secondary injury (including intracranial hypertension), and to adhere to anesthetic principles and evidence-based guidelines linked to improved clinical outcomes. This chapter also reviews the most recent international consensus guidelines, as well as summarizing the decision-making for neurosurgical intervention.

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