Management of Severe Traumatic Brain Injury


SUNDSTROM et al.
Management of Severe Traumatic Brain Injury Evidence, Tricks, and Pitfalls
689 Seiten, 2. Auflage, 2020
83 Abbildungen
A practical, comprehensive guide to the treatment of patients with severe head injuries, from the time of initial contact through to the rehabilitation center Presents evidence-based recommendations for each diagnostic and therapeutic measure Highlights tips, tricks, and pitfalls A second edition comprehensively updated with major revisions and 17 new chapters This comprehensively updated second edition features major revisions, 24 new chapters and more than 40 new authors, reflecting both the advances and key challenges within the field. Offering a systematic guide to the management of children and adults with severe traumatic brain injury throughout the entire chain of care, it includes evidence-based recommendations for each diagnostic and therapeutic measure, together with tips, tricks and pitfalls. The authors are all highly experienced clinicians and researchers who work with neurotrauma patients on a daily basis, and the editors represent the Scandinavian Neurotrauma Committee. The book helps professionals provide more systematic and higher-quality care in prehospital settings, primary hospitals, neurosurgical departments, neurointensive care units, and rehabilitation facilities. It is intended for all healthcare personnel involved in the multidisciplinary management of patients with head injuries, especially those in emergency care, neurosurgery, anesthesiology, radiology, and rehabilitation. Table of Contents Introduction Part I Epidemiology Epidemiology Part II Classification and Assessment Classification of Head Injury Primary Clinical Assessment Part III Prehospital Management Prehospital Management of Severe Traumatic Brain Injury (TBI) What the Neurosurgeon Wants to Know: What, Who, When, and Where? Transportation: Choice of Anaesthetic Drugs Part IV Admission, Diagnostics and Planning Trauma Team Alert The Trauma Team Trauma Protocol (ABCDE) Multi-trauma Triage Cervical Spine Injury Radiological Evaluation of Head Traumas Radiological Evaluation of Cervical Spine Traumas Blood Samples Prognosis of Severe Traumatic Brain Injury: To Treat or Not to Treat, That Is the Question Potential Organ Donor: Organ Preservation Part V Acute Surgical Treatment Basic Trauma Craniotomy Surgical Management of Traumatic Intracranial Haematomas Surgical Management of Penetrating Brain Injuries Decompressive Craniectomy Skull Fractures Vessel Injuries Insertion of Intracranial Monitoring Devices Maxillofacial Fractures Part VI Peroperative Anaesthesia Choice of Anaesthesia Drugs and Medications Blood Pressure, CO2 and Oxygen Saturation Intracranial Pressure Reduction Part VII Monitoring in Neurointensive Care Secondary Clinical Assessment A Neurological Wake-Up Test in the Neurointensive Care Unit: Pros and Cons Intracranial Pressure (ICP) Brain Tissue Oxygen Monitoring Measurement of Brain Temperature Monitoring Microdialysis Jugular Bulb Measurements (SJVO2) Cerebral Blood Flow (CBF) and Cerebral Metabolic Rate (CMR) Transcranial Doppler (TCD) Near Infrared Spectroscopy (NIRS) or Cerebral Oximetry Clinical Neurophysiology: Evoked Potentials Clinical Neurophysiology: Continous EEG Monitoring Radiological Follow-Up Neuromarkers Cardiovascular Monitoring Pulmonary Monitoring Renal Monitoring Neuroendocrine Monitoring Microbiological Surveillance Part VIII Treatment in Neurointensive Care Guidelines for Treatment of Patients with Severe Traumatic Brain Injury: Treatment Algorithms The Lund Therapy for Severe Head Trauma Comparative Analysis of Various Guidelines for Treatment of Severe TBI Pharmacological Neuroprotection in Severe Traumatic Brain Injury Subacute Surgery in Neurointensive Care CSF Drainage Hyperventilation Osmotherapy Barbiturates for ICP Management Fluid Haemodynamics in Patients with Severe TBI Sedation: Including Pain Treatment and Withdrawal Symptoms Nutrition Management of External Drain-Related CNS Infection Management of Other Infections Body Temperature in TBI Patients Neuroendocrine Treatment Mechanical Ventilation in NICU Seizures Autonomic Dysfunction Prophylaxis Against Venous Thromboembolism in Patients with Traumatic Brain Injury Brain Injury and the Haemostatic System Steroids Part IX Early Rehabilitation Neurorehabilitation in Neurointensive Care Part X Outcome After Severe TBI Outcome After Severe Traumatic Brain Injury (TBI) Subacute MR Imaging: Diffuse Axonal Injury, Brain Stem Lesions and Prognostic Factors Part XI Research in the Neurointensive Care Unit The Neurointensive Care Unit as a Platform for Advanced Clinical Research Index
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