Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-22T20:50:38.593Z Has data issue: false hasContentIssue false

11 - Critical Care Management of Neurotrauma

Published online by Cambridge University Press:  19 May 2022

Andrew M. Naidech
Affiliation:
Northwestern University, Illinois
Get access

Summary

The critical care management of neurotrauma patients is very complex, requiring a strong knowledge base in both neurology and trauma surgery. This chapter is designed as a bridge for healthcare providers from different specialties, including residents and fellows, hospitalists, ICU physicians, and advanced practice providers seeing patients with neurotrauma in an intensive care unit setting, to be more familiar managing common issues encountered in this patient population. The chapter addresses core knowledge in trauma surgery, such as the ABCDE approach in trauma assessment, cervical spine management, hemorrhagic shock, the reversal of anticoagulants, chest tube management, abdominal and extremity compartment syndrome, and burn. The chapter also offers introductory comments about head injury, management of traumatic brain injury (TBI), intracranial hemorrhage (ICH), and intracranial pressure (ICP).

Type
Chapter
Information
Neurocritical Care , pp. 196 - 226
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American College of Surgeons CoT. ATLS-Advance Trauma Life Support. 2019.Google Scholar
Patel, MB, Humble, SS, Cullinane, DC, Day, MA, Jawa, RS, Devin, CJ, et al. Cervical spine collar clearance in the obtunded adult blunt trauma patient: a systematic review and practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;78(2):430–41.CrossRefGoogle Scholar
Zuckerbraun, BS, Peitzman, AB, Billiar, TR. Shock. In: Brunicardi, FC, Andersen, DK, Billiar, TR, Dunn, DL, Kao, LS, Hunter, JG, et al., eds. Schwartz’s principles of surgery, 11th ed. New York: McGraw-Hill Education; 2019.Google Scholar
CRASH-3 Trial Collaborators. Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. Lancet. 2019;394(10210):1713–23.Google Scholar
Surgical Education ORMC. Chest Tube Management. 2009.Google Scholar
Cothren Burlew, C, Moore, EE. Trauma. In: Brunicardi, FC, Andersen, DK, Billiar, TR, Dunn, DL, Kao, LS, Hunter, JG, et al., eds. Schwartz’s principles of surgery, 11th ed. New York: McGraw-Hill Education; 2019.Google Scholar
Schein, M, Ivatury, R. Intra-abdominal hypertension and the abdominal compartment syndrome. Br J Surg. 1998;85(8):1027–28.Google ScholarPubMed
Stiell, IG, Wells, GA, Vandemheen, K, Clement, C, Lesiuk, H, Laupacis, A, et al. The Canadian CT Head Rule for patients with minor head injury. Lancet. 2001;357(9266):1391–96.CrossRefGoogle ScholarPubMed
Schuster, R, Waxman, K. Is repeated head computed tomography necessary for traumatic intracranial hemorrhage? Am Surgeon. 2005;71(9):701–04.CrossRefGoogle ScholarPubMed
Joseph, B, Aziz, H, Pandit, V, Kulvatunyou, N, Hashmi, A, Tang, A, et al. A three-year prospective study of repeat head computed tomography in patients with traumatic brain injury. J Am Coll Surg. 2014;219(1):4551.CrossRefGoogle ScholarPubMed
Sifri, ZC, Homnick, AT, Vaynman, A, Lavery, R, Liao, W, Mohr, A, et al. A prospective evaluation of the value of repeat cranial computed tomography in patients with minimal head injury and an intracranial bleed. J Trauma. 2006;61(4):862–67.CrossRefGoogle Scholar
Valadka, AB. Traumatic brain injury. In: Moore, EE, Feliciano, DV, Mattox, KL, eds. Trauma, 8th ed. New York: McGraw-Hill Education; 2017.Google Scholar
Hawryluk, GWJ, Aguilera, S, Buki, A, Bulger, E, Citerio, G, Cooper, DJ, et al. A management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC). Intensive Care Med. 2019;45(12):1783–94.CrossRefGoogle ScholarPubMed
Carney, N, Totten, AM, O’Reilly, C, Ullman, JS, Hawryluk, GW, Bell, MJ, et al. Guidelines for the management of severe traumatic brain injury, 4th ed. Neurosurgery. 2017;80(1):615.CrossRefGoogle ScholarPubMed
Nwachuku, EL, Puccio, AM, Fetzick, A, Scruggs, B, Chang, YF, Shutter, LA, et al. Intermittent versus continuous cerebrospinal fluid drainage management in adult severe traumatic brain injury: assessment of intracranial pressure burden. Neurocrit Care. 2014;20(1):4953.CrossRefGoogle ScholarPubMed
Souter, MJ, Blissitt, PA, Blosser, S, Bonomo, J, Greer, D, Jichici, D, et al. Recommendations for the critical care management of devastating brain injury: prognostication, psychosocial, and ethical management: a position statement for healthcare professionals from the neurocritical care society. Neurocrit Care. 2015;23(1):413.CrossRefGoogle ScholarPubMed
American Burn Association. Burn Center Referral Criteria. Available from: http://ameriburn.org/wp-content/uploads/2017/05/burncenterreferralcriteria.pdf.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×