- Highlight the role of Neurocritical Care Team and Neurologic Critical Care Units
- Focuses on the importance of a multidisciplinary approach to TBI
- Offers a global and practical perspective of TBI management
In spite of great improvements in prehospital, critical care, and surgical management, traumatic brain injury is still a leading cause of death and disability resulting in great socioeconomic burden.
This book provides a comprehensive and practical perspective of the management of traumatic brain injury, from prehospital setting to discharge.
Even more, the book highlights the importance of pathways (Trauma Center and Neurocritical Care Unit) and the central role of the specialized neurocritical care team and neurological critical care units in the practice of neurocritical care. Encouraging a practical, protocol-driven, multidisciplinary approach for both adult and pediatric patients, the authors provide a methodological description of the diagnostic and therapeutic management of patients with traumatic brain injury throughout the patient journey.
Neuromonitoring assumes predominant importance, with an increasing role of noninvasive monitoring (near-infrared spectroscopy, Pupillometry, transcranial color Doppler-TCD, transcranial color duplex-TCCD, and optic nerve ultrasound) and neurophysiology (electroencephalography and evoked potentials) for early recognition of complications and rapid assessment of the effectiveness of medical treatment.
However, the increasing amount of data increases the complexity of interpreting the collected information. The basic principles of multimodal monitoring and the computer-assisted method are presented to provide an overview of the future direction regarding the integration and interpretation of different data obtained from various techniques.
Paying particular attention to prognosis and treatment-limiting decisions, the authors reviewed the critical role of neurorehabilitation and the clinical and bioethical perspective on brain death, organ donation, and communication with the family.
Table of ContentsGeneral Considerations- History of Traumatic Brain Injury and the Evolution of Neuromonitoring: An Overview
- The Importance of Pathways: Trauma Center and Neurocritical Care Unit
- The Central Role of Specialized Neurocritical Care Teams: Standards of Neurologic Critical Care Units
- The Central Role of a Specialized Neurocritical Care Team: Nursing Perspective in Neurocritical Care Practice
Diagnosis and Neuromonitoring- Clinical Evaluation: Neurological Examination and Standardized Scales
- Neuroradiological Imaging for Traumatic Brain Injury
- Interactions Between Volumes, Flows and Pressures in the Brain: Intracranial Pressure, Cerebral Perfusion Pressure, Cerebral Autoregulation and the Concept of Compensatory Reserve
- Non-invasive Neuromonitoring: Near Infrared Spectroscopy and Pupillometry
- Brain Ultrasonography
- Neurophysiology in Traumatic Brain Injury
- Integration of Brain Oxygen Measurement and Cerebral Metabolism: Brain Tissue Oxygenation, Jugular Bulb Oximetry, Intracerebral Microdialysis and Brain Neuromarkers
- Future Directions: Multimodality Monitoring and Machine Learning
- Out-of-Hospital Management of Traumatic Brain Injury
- Sedation, Pain, and Delirium in Patients with Traumatic Brain Injury
- Intracranial Pressure Management: The Stepwise Approach
- Ventilation Strategy and the Time of Tracheotomy: A Different Approach in Trauma?
- Systemic Hemodynamic Monitoring and Blood Pressure Target During Acute Brain Injury
- Temperature Control and the Role of Therapeutic Hypothermia in Traumatic Brain Injury
- Coagulopathy and Prophylaxis of Venous Thromboembolism in Traumatic Brain Injury
- Fluid Management and Hyperosmolar Therapy in Neurotrauma
- Neurosurgical Treatment of Traumatic Brain Injury and the Role of Decompressive Hemicraniectomy
- Multiple Trauma Management: Treatment of Abdominal Injury in Combination with Trauma Brain Injury
- The Brain-Abdominal Interaction
- Seizure: Prophylaxis and Treatment in Acute Brain Injury
- Neuroendocrine Dysfunction After TBI
- Infection Management in the Neurocritical Care Setting
- Traumatic Brain Injury in Pregnancy
- Traumatic Brain Injury in Pediatric Patients
- Traumatic Brain Injury in Older Adults
Final Considerations- Prognostication and Treatment-Limiting Decisions After Severe Traumatic Brain Injury
- Clinical and Bioethical Perspective on Brain Death, Organ Donation, and Family Communication
- Long-Term Outcome and the Role of Neurorehabilitation After Severe Traumatic Brain Injury
