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Trauma, Vol. 10, No. 1, 35-42 (2008)
DOI: 10.1177/1460408608089322
© 2008 SAGE Publications

Prevention of secondary brain injury following Head Trauma

Nicholas J Cowley

Specialist Registrar, Anaesthetics and Intensive Care, University Hospitals Birmingham, Birmingham, UK

Egidio J da Silva

Consultant in Anaesthesia & High dependency care, Royal Orthopaedic Hospital, Birmingham, UK, drejs71{at}hotmail.com

Over half of admissions to hospital with severe trauma have associated head injury. Suboptimal management of traumatic brain injury greatly increases mortality and morbidity. This article reviews current practice in the management of head injury resulting from trauma with particular attention to management strategies that have been proven to minimise secondary brain injury in the early resuscitation period. Ongoing management of confirmed severe brain injury is detailed, including maintenance of cerebral perfusion and the control of raised intracranial pressure.

Key Words: Brain injury • intracranial pressure • cerebral perfusion • trauma


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