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Traumatic brain injury 

Traumatic brain injury
Chapter:
Traumatic brain injury
Author(s):

Hayden White

and Bala Venkatesh

DOI:
10.1093/med/9780198739555.003.0017
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date: 25 May 2019

Traumatic brain injury remains the most common cause of trauma-related death and disability, disproportionately affecting young individuals, most often males. In addition, the cost to individuals and society in emotional, social, and financial terms is substantial as the disabling effects of the original injury may persist for many years. This chapter discusses the management of the critically ill patient with traumatic brain injury. It provides an overview of the changing epidemiology, systems of classification, resuscitation in the field, transfer, and the management in the intensive care unit. In particular, the chapter reviews intracranial pressure- versus cerebral perfusion pressure-guided management strategies, multimodal monitoring, limitations of current research methodologies, and strategies for the future.

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