Second- and Third-Tier Therapies for Severe Traumatic Brain Injury

Autor:	Charikleia S. Vrettou, Spyros D. Mentzelopoulos
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	brain trauma intracranial hypertension neuromonitoring Medicine
Zdroj:	Journal of Clinical Medicine, Vol 11, Iss 16, p 4790 (2022)
Druh dokumentu:	article
ISSN:	2077-0383
DOI:	10.3390/jcm11164790
Popis:	Intracranial hypertension is a common finding in patients with severe traumatic brain injury. These patients need treatment in the intensive care unit, where intracranial pressure monitoring and, whenever possible, multimodal neuromonitoring can be applied. A three-tier approach is suggested in current recommendations, in which higher-tier therapies have more significant side effects. In this review, we explain the rationale for this approach, and analyze the benefits and risks of each therapeutic modality. Finally, we discuss, based on the most recent recommendations, how this approach can be adapted in low- and middle-income countries, where available resources are limited.
Databáze:	Directory of Open Access Journals
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