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BJA Advance Access originally published online on June 6, 2007
British Journal of Anaesthesia 2007 99(1):32-42; doi:10.1093/bja/aem139
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Traumatic brain injury: intensive care management

A. Helmy1,2, M. Vizcaychipi1,3 and A. K. Gupta1,3,*

1 Neurosciences Critical Care Unit
2 Academic Department of Neurosurgery
3 Department of Anaesthesia, Addenbrooke's Hospital, Cambridge, UK

* Corresponding author: Department of Anaesthesia, Addenbrooke's Hospital, Cambridge, UK. E-mail: akg01{at}globalnet.co.uk

Traumatic brain injury (TBI) is a major cause of morbidity and mortality worldwide. The modern management of severe TBI has fallen into the domain of a multidisciplinary team led by neurointensivists, neuroanaesthetists, and neurosurgeons and is based on the avoidance of secondary injury, maintenance of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation. In this review, we will discuss the intensive care management of severe TBI with emphasis on the specific measures directed at the control of intracranial pressure and CPP.

Keywords: brain, injury; complications, head injury; head, injury; intensive care, neurosurgical; monitoring, intracranial pressure


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