Traumatic Brain Injury: Intraoperative Management and Intensive Care Unit Multimodality Monitoring.

Humans Brain Injuries, Traumatic Brain Injuries Intensive Care Units Brain Critical Care
Brain tissue oxygen monitoring Cerebral autoregulation Cerebral microdialysis Intracranial pressure Multimodality neuromonitoring Near-infrared spectroscopy Transcranial doppler Traumatic brain injury

Journal

Anesthesiology clinics
ISSN: 1932-2275
Titre abrégé: Anesthesiol Clin
Pays: United States
ID NLM: 101273663

Informations de publication

Date de publication:
Mar 2023
Historique:
entrez: 5 3 2023
pubmed: 6 3 2023
medline: 8 3 2023
Statut: ppublish

Résumé

Traumatic brain injury is a devastating event associated with substantial morbidity. Pathophysiology involves the initial trauma, subsequent inflammatory response, and secondary insults, which worsen brain injury severity. Management entails cardiopulmonary stabilization and diagnostic imaging with targeted interventions, such as decompressive hemicraniectomy, intracranial monitors or drains, and pharmacological agents to reduce intracranial pressure. Anesthesia and intensive care requires control of multiple physiologic variables and evidence-based practices to reduce secondary brain injury. Advances in biomedical engineering have enhanced assessments of cerebral oxygenation, pressure, metabolism, blood flow, and autoregulation. Many centers employ multimodality neuromonitoring for targeted therapies with the hope to improve recovery.

Identifiants

DOI: 10.1016/j.anclin.2022.11.003 PMID: 36872007
pubmed: 36872007
pii: S1932-2275(22)00114-8
doi: 10.1016/j.anclin.2022.11.003
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

39-78

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure K. Rosenblatt receives research funding from the Foundation for Anesthesia Education and Research, United States. K. Rosenblatt received honoraria for educational activities from Medical Informatics Corp.

Auteurs

Krassimir Denchev (K)

Department of Anesthesiology, Wayne State University, 44555 Woodward Avenue, SJMO Medical Office Building, Suite 308, Pontiac, MI 48341, USA.

Jonathan Gomez (J)

Department of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Phipps 455, Baltimore, MD 21287, USA.

Pinxia Chen (P)

Department of Anesthesiology and Critical Care Medicine, St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA.

Kathryn Rosenblatt (K)

Department of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Phipps 455, Baltimore, MD 21287, USA; Department of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Phipps 455, Baltimore, MD 21287, USA. Electronic address: krosenb3@jhmi.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Traumatic Brain Injury: Intraoperative...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Lésions traumatiques de l'encéphale › Traumatic Brain Injury: Intraoperative...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Traumatic Brain Injury: Intraoperative...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Traumatic Brain Injury: Intraoperative...
questionsmedicales.fr › Système nerveux › Système nerveux central › Encéphale › Traumatic Brain Injury: Intraoperative...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins de réanimation › Traumatic Brain Injury: Intraoperative...