Abstract

VAL-JORDAN, E; FUENTES-ESTEBAN, D; CASADO-PELLEJERO, J  and  NEBRA-PUERTAS, A. Update in management of intracraneial hypertensión after traumatic brain injury. Sanid. Mil. [online]. 2023, vol.79, n.1, pp.52-60.  Epub Nov 13, 2023. ISSN 1887-8571.  https://dx.doi.org/10.4321/s1887-85712023000100012.

Trauma brain injury is a heterogeneous and dynamic entity characterized, whatever its etiology, by a decrease in cerebral perfusion the first hours after the impact. Brain injury due to hypoxia can occur after trauma, so monitoring brain hypoxia, metabolic dysfunction, intracranial hypertension and seizure activity must be detected early to prevent brain sequelae. Neuromonitoring will detect those anomalies that could compromise the adequate oxygen supply and substrates of cerebral metabolism. Despite cerebral oximetry monitoring has increased in recent years, unfortunately very limited in our country, neuromonitoring is often based on intracranial pressure and cerebral perfusion pressure, insufficient to measure cerebral oxygenation. The objective of this review is to integrate the pathophysiology of trauma brain injury with the different neuromonitoring techniques to provide an updated and more individualized management that improves the prognosis of neurocritical patients.

Keywords : Intracranial hypertension; Brain injury; Neuromonitoring; Hematoma.

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