Abstract

ALTED LOPEZ, Emilio; BERMEJO AZNAREZ, Susana  and  CHICO FERNANDEZ, Mario. Updates of severe traumatic brain injury management. Med. Intensiva [online]. 2009, vol.33, n.1, pp.16-30. ISSN 0210-5691.

Traumatic brain injury (TBI) is an important reason of morbidity-mortality all over the world, affecting young males more and generating Public Health problem. Unfortunately, the advances in the pathophysiology knowledge have not followed a similar development in therapeutic options, there currently not being any contrasted neuroprotectants. In this article, we have reviewed the epidemiology, pathophysiology and therapeutic measures used in the management of patient with severe TBI. The general measures as well as those aimed at controlling intracranial hypertension, the role of the surgery and some more innovative therapeutic options currently under evaluation in these patients are analyzed.

Keywords : Traumatic brain injury; Epidemiology; Pathophysiology; Hypnotics and sedatives; Neuroprotection; Intracranial hypertension; Outcome.

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