UpToDate: Management of acute severe traumatic brain injury
Hemphill et al. Updated feb. 2015/ Literature review current through dec. 2015. Read this UpToDate here.
Category: Traumatic Brain Injury
UpToDate: Initial approach to severe traumatic brain injury in children
Vanilla et al. Updated sept. 2014/ Literature review current through dec. 2015. Read this UpToDate article here.
Update on anesthetic neuroprotection
“The evidence of benefit of current strategies remains sparse.” Zwerus et al, The Netherlands. Current Opinions in Anesthesiology, 2015 Aug. Read abstract from the article here.
Lungs, peep and TBI
“…PEEP has no significant effect on cerebral and systemic hemodynamics…” Interesting reading about the effects of peep ! Effects of PEEP on the intracranial system of patients with head injury and subarachnoid hemorrhage: the role of respiratory system compliance. Caricato et al, Italy. The Journal of Trauma, 2005 Mar. Abstract available here.
Ketamine and ICP.
We can use ketamine in patients with traumatic brain injury… The ketamine effect on ICP in traumatic brain injury. Zeiler et al, Canada. Neurocritical Care, 2014 Aug. Access the abstract here.
Update on the 2012 TBI pediatric guidelines…
Update on the 2012 guidelines for the management of pediatric traumatic brain injury – information for the anesthesiologist. Hardcastle et al, USA. Pediatric Anastasia, 2014 Jul. Read more here.
Cochrane Review – The Lund concept for severe traumatic brain injury
Published in 2013 this Cochrane Review of the Lund Concept for Severe Traumatic Brain Injury by Muzevic and Splavski could not find any high-grade evidence to support the practice associated with this concept. “There was no evidence from randomised controlled trials on the effe cts of the Lund concept in the management of severe traumatic brain injury. This treatment should not… Continue reading Cochrane Review – The Lund concept for severe traumatic brain injury
Guidelines TBI, children 2012
Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Society of Critical Care Medicine. Pediatr Crit Care Med, 2012. Read more here.
Review – Severe traumatic brain injury management and clinical outcome using the Lund concept
In the reviewers own words: “This review covers the main principles of the Lund concept for treatment of severe traumatic brain injury. This is followed by a description of results of clinical studies in which this therapy or a modified version of the therapy has been used.” Published 2014 in Neuroscience by Koskinen et al. Access the abstract here. This… Continue reading Review – Severe traumatic brain injury management and clinical outcome using the Lund concept
Steroids and Spinal Cord Injury – Excerpts From the Joint CNS/AANS Guideline
Published in 2013, the joint CNS/AANS Guidelines for the first time discourage the use of steroids for traumatic spinal cord injury. This comes after a thorough review of existing evidence and a critical re-examination of the NASCIS-studies previously interpreted as favouring steroid use. “In summary, there is no consistent or compelling medical evidence of any… Continue reading Steroids and Spinal Cord Injury – Excerpts From the Joint CNS/AANS Guideline
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