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Management of Patient with Traumatic Brain Injury: SDH

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Problem Based Learning Discussions in Neuroanesthesia and Neurocritical Care

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Abstract

Traumatic brain injury (TBI) is one of the major causes of mortality and long-term morbidity in today’s society. The incidence of TBI in India has not been published till date although individual state data is published from time to time [1].

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References

  1. Agrawal A, Munivenkatappa A, Shukla DP, Menon GR, Alogolu R, Galwankar S, et al. Traumatic brain injury related research in India: an overview of published literature. Int J Crit Illn Inj Sci. 2016;6:65–9.

    PubMed  PubMed Central  Google Scholar 

  2. Hanif S, Abodunde O, Ali Z, Pidgeon C. Age related outcome in acute subdural haematoma following traumatic head injury. Ir Med J. 2009;102:255–7.

    CAS  PubMed  Google Scholar 

  3. Vollmer DG, Torner JC, Jane JA, Sadovnic B, Charlebois D, Eisenberg HM, et al. Age and outcome following traumatic coma: why do older patients fare worse? J Neurosurg. 1991;75:S37–49.

    Google Scholar 

  4. Karibe H, Hayashi T, Hirano T, Kameyama M, Nakagawa A, Tominaga T. Surgical management of traumatic acute subdural hematoma in adults: a review. Neurol Med Chir (Tokyo). 2014;54:887–94.

    Google Scholar 

  5. Leitgeb J, Mauritz W, Brazinova A, Janciak I, Majdan M, Wilbacher I, et al. Outcome after severe brain trauma due to acute subdural hematoma. J Neurosurg. 2012;117:324–33.

    PubMed  Google Scholar 

  6. Fountain DM, Kolias AG, Lecky FE, Bouamra O, Lawrence T, Adams H, et al. Survival trends after surgery for acute subdural hematoma in adults over a 20-year period. Ann Surg. 2017;265:590–6.

    PubMed  Google Scholar 

  7. Walcott BP, Khanna A, Kwon C-S, Phillips HW, Nahed BV, Coumans J-V. Time interval to surgery and outcomes following the surgical treatment of acute traumatic subdural hematoma. J Clin Neurosci. 2014;21:2107–11.

    PubMed  PubMed Central  Google Scholar 

  8. Bulger EM, Guffey D, Guyette FX, MacDonald RD, Brasel K, Kerby JD, et al. Impact of prehospital mode of transport after severe injury: a multicenter evaluation from the Resuscitation Outcomes Consortium. J Trauma Acute Care Surg. 2012;72:567–73; discussion 573–5; quiz 803.

    PubMed  PubMed Central  Google Scholar 

  9. The Brain Trauma Foundation. The American Association of Neurological Surgeons. The Joint Section on Neurotrauma and Critical Care. Glasgow coma scale score. J Neurotrauma. 2000;17:563–71.

    Google Scholar 

  10. Badjatia N, Carney N, Crocco TJ, Fallat ME, Hennes HMA, Jagoda AS, et al. Guidelines for prehospital management of traumatic brain injury 2nd edition. Prehosp Emerg Care. 2008;12:S1–52.

    PubMed  Google Scholar 

  11. Manley G, Knudson MM, Morabito D, Damron S, Erickson V, Pitts L. Hypotension, hypoxia, and head injury: frequency, duration, and consequences. Arch Surg. 2001;136:1118–23.

    CAS  PubMed  Google Scholar 

  12. Chesnut RM, Marshall LF, Klauber MR, Blunt BA, Baldwin N, Eisenberg HM, et al. The role of secondary brain injury in determining outcome from severe head injury. J Trauma. 1993;34:216–22.

    CAS  PubMed  Google Scholar 

  13. McHugh GS, Engel DC, Butcher I, Steyerberg EW, Lu J, Mushkudiani N, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. 2007;24:287–93.

    PubMed  Google Scholar 

  14. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. I. Blood pressure and oxygenation. J Neurotrauma. 2007;24:S-7–S-13.

    Google Scholar 

  15. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. IX. Cerebral perfusion thresholds. J Neurotrauma. 2007;24:S-59–64.

    Google Scholar 

  16. Carney N, Totten AM, OʼReilly C, Ullman JS, Hawryluk GWJ, Bell MJ, et al. Guidelines for the management of severe traumatic brain injury, fourth edition. Neurosurgery. 2016;80:1.

    Google Scholar 

  17. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2:81–4.

    CAS  PubMed  Google Scholar 

  18. Healey C, Osler TM, Rogers FB, Healey MA, Glance LG, Kilgo PD, et al. Improving the Glasgow Coma Scale Score: motor score alone is a better predictor. J Trauma. 2003;54:671–80.

    CAS  PubMed  Google Scholar 

  19. Clark A, Mesfin FB. Trauma neurological exam. Treasure Island: StatPearls Publishing; 2018.

    Google Scholar 

  20. Hoffman JR, Wolfson AB, Todd K, Mower WR. Selective cervical spine radiography in blunt trauma: methodology of the National emergency X-Radiography Utilization Study (NEXUS). Ann Emerg Med. 1998;32:461–9.

    CAS  PubMed  Google Scholar 

  21. Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesiuk H, De Maio VJ, et al. The Canadian C-Spine Rule for radiography in alert and stable trauma patients. JAMA. 2001;286:1841.

    CAS  PubMed  Google Scholar 

  22. Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, et al. The Canadian C-Spine Rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. 2003;349:2510–8.

    CAS  PubMed  Google Scholar 

  23. Hodgkinson S, Pollit V, Sharpin C, Lecky F, National Institute for Health and Care Excellence (NICE) Guideline Development Group. Early management of head injury: summary of updated NICE guidance. BMJ. 2014;348:g104.

    PubMed  Google Scholar 

  24. Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, et al. Guidelines for the surgical management of traumatic brain injury author group. Neurosurgery. 2006;58:S2–vi.

    Google Scholar 

  25. Sahuquillo-Barris J, Lamarca-Ciuro J, Vilalta-Castan J, Rubio-Garcia E, Rodriguez-Pazos M. Acute subdural hematoma and diffuse axonal injury after severe head trauma. J Neurosurg. 1988;68:894–900.

    CAS  PubMed  Google Scholar 

  26. Gusmão SNS, Pittella JEH. Acute subdural hematoma and diffuse axonal injury in fatal road traffic accident victims: a clinico-pathological study of 15 patients. Arq Neuropsiquiatr. 2003;61:746–50.

    PubMed  Google Scholar 

  27. Bhateja A, Shukla D, Devi BI, Sastry Kolluri V. Coup and contrecoup head injuries: predictors of outcome. Indian J Neurotrauma. 2009;6:115–8.

    Google Scholar 

  28. Cooper DJ, Rosenfeld JV, Murray L, Arabi YM, Davies AR, D’Urso P, et al. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med. 2011;364:1493–502.

    CAS  PubMed  Google Scholar 

  29. Torres R. DECRA…where do we go from here? Surg Neurol Int. 2012;3:54.

    PubMed  PubMed Central  Google Scholar 

  30. Hutchinson PJ, Kolias AG, Timofeev IS, Corteen EA, Czosnyka M, Timothy J, et al. Trial of decompressive craniectomy for traumatic intracranial hypertension. N Engl J Med. 2016;375:1119–30.

    PubMed  Google Scholar 

  31. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. VIII. Intracranial pressure thresholds. J Neurotrauma. 2007;24:S-55–8.

    Google Scholar 

  32. Tommasino C, Picozzi V. Volume and electrolyte management. Best Pract Res Clin Anaesthesiol. 2007;21:497–516.

    PubMed  Google Scholar 

  33. Hahn RG. Adverse effects of crystalloid and colloid fluids. Anestezjol Intens Ter. 2014;49:303–8.

    Google Scholar 

  34. Wise J. Boldt: the great pretender. BMJ. 2013;346:f1738.

    PubMed  Google Scholar 

  35. The SAFE Study Investigators. A comparison of albumin and saline for fluid resuscitation in the Intensive Care Unit. N Engl J Med. 2004;350:2247–56.

    Google Scholar 

  36. Hylands M, Toma A, Beaudoin N, Frenette AJ, D’Aragon F, Belley-Côté É, et al. Early vasopressor use following traumatic injury: a systematic review. BMJ Open. 2017;7:e017559.

    PubMed  PubMed Central  Google Scholar 

  37. Sookplung P, Siriussawakul A, Malakouti A, Sharma D, Wang J, Souter MJ, et al. Vasopressor use and effect on blood pressure after severe adult traumatic brain injury. Neurocrit Care. 2011;15:46–54.

    CAS  PubMed  PubMed Central  Google Scholar 

  38. Li J, Murphy-Lavoie H, Bugas C, Martinez J, Preston C. Complications of emergency intubation with and without paralysis. Am J Emerg Med. 1999;17:141–3.

    CAS  PubMed  Google Scholar 

  39. Rudy EB, Turner BS, Baun M, Stone KS, Brucia J. Endotracheal suctioning in adults with head injury. Heart Lung. 1991;20:667–74.

    CAS  PubMed  Google Scholar 

  40. Bar-Joseph G, Guilburd Y, Tamir A, Guilburd JN. Effectiveness of ketamine in decreasing intracranial pressure in children with intracranial hypertension. J Neurosurg Pediatr. 2009;4:40–6.

    PubMed  Google Scholar 

  41. Upchurch CP, Grijalva CG, Russ S, Collins SP, Semler MW, Rice TW, et al. Comparison of etomidate and ketamine for induction during rapid sequence intubation of adult trauma patients. Ann Emerg Med. 2017;69:24–33.e2.

    PubMed  PubMed Central  Google Scholar 

  42. Pimentel L, Diegelmann L. Evaluation and management of acute cervical spine trauma. Emerg Med Clin North Am. 2010;28:719–38.

    PubMed  Google Scholar 

  43. Hauswald M, Sklar DP, Tandberg D, Garcia JF. Cervical spine movement during airway management: cinefluoroscopic appraisal in human cadavers. Am J Emerg Med. 1991;9:535–8.

    CAS  PubMed  Google Scholar 

  44. Donaldson WF, Heil BV, Donaldson VP, Silvaggio VJ. The effect of airway maneuvers on the unstable C1-C2 segment. A cadaver study. Spine (Phila Pa 1976). 1997;22:1215–8.

    Google Scholar 

  45. Drummond JC. Baseline cerebral metabolic rate is a critical determinant of the cerebral vasodilating potency of volatile anesthetic agents. Anesthesiology. 2018;129:187–9.

    CAS  PubMed  Google Scholar 

  46. Hassan WMNW, Nasir YM, Zaini RHM, Shukeri WFWM. Target-controlled infusion propofol versus sevoflurane anaesthesia for emergency traumatic brain surgery: comparison of the outcomes. Malays J Med Sci. 2017;24:73–82.

    PubMed  PubMed Central  Google Scholar 

  47. Grathwohl KW, Black IH, Spinella PC, Sweeney J, Robalino J, Helminiak J, et al. Total intravenous anesthesia including ketamine versus volatile gas anesthesia for combat-related operative traumatic brain injury. Anesthesiology. 2008;109:44–53.

    CAS  PubMed  Google Scholar 

  48. Hancock SM, Nathanson MH. Nitrous oxide or remifentanil for the “at risk” brain. Anaesthesia. 2004;59:313–5.

    CAS  PubMed  Google Scholar 

  49. East JM, Viau-Lapointe J, McCredie VA. Transfusion practices in traumatic brain injury. Curr Opin Anaesthesiol. 2018;31:219–26.

    PubMed  PubMed Central  Google Scholar 

  50. Boutin A, Chassé M, Shemilt M, Lauzier F, Moore L, Zarychanski R, et al. Red blood cell transfusion in patients with traumatic brain injury: a systematic review and meta-analysis. Transfus Med Rev. 2016;30:15–24.

    PubMed  Google Scholar 

  51. Boutin A, Moore L, Lauzier F, Chassé M, English S, Zarychanski R, et al. Transfusion of red blood cells in patients with traumatic brain injuries admitted to Canadian trauma health centres: a multicentre cohort study. BMJ Open. 2017;7:e014472.

    PubMed  PubMed Central  Google Scholar 

  52. Curley G, Kavanagh BP, Laffey JG. Hypocapnia and the injured brain: more harm than benefit. Crit Care Med. 2010;38:1348–59.

    PubMed  Google Scholar 

  53. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. XIV. Hyperventilation. J Neurotrauma. 2007;24:S-87–90.

    Google Scholar 

  54. Kumaria A, Tolias CM. Normobaric hyperoxia therapy for traumatic brain injury and stroke: a review. Br J Neurosurg. 2009;23:576–84.

    PubMed  Google Scholar 

  55. Bullock MR. Hyperoxia. J Neurosurg. 2008;109:421–3.

    PubMed  Google Scholar 

  56. Boone MD, Jinadasa SP, Mueller A, Shaefi S, Kasper EM, Hanafy KA, et al. The effect of positive end-expiratory pressure on intracranial pressure and cerebral hemodynamics. Neurocrit Care. 2017;26:174–81.

    PubMed  PubMed Central  Google Scholar 

  57. Roquilly A, Cinotti R, Jaber S, Vourc’h M, Pengam F, Mahe PJ, et al. Implementation of an evidence-based extubation readiness bundle in 499 brain-injured patients. A before–after evaluation of a quality improvement project. Am J Respir Crit Care Med. 2013;188:958–66.

    PubMed  Google Scholar 

  58. Asehnoune K, Mrozek S, Perrigault PF, Seguin P, Dahyot-Fizelier C, Lasocki S, et al. A multi-faceted strategy to reduce ventilation-associated mortality in brain-injured patients. The BI-VILI project: a nationwide quality improvement project. Intensive Care Med. 2017;43:957–70.

    PubMed  Google Scholar 

  59. Coplin WM, Pierson DJ, Cooley KD, Newell DW, Rubenfeld GD. Implications of extubation delay in brain-injured patients meeting standard weaning criteria. Am J Respir Crit Care Med. 2000;161:1530–6.

    CAS  PubMed  Google Scholar 

  60. McCredie VA, Ferguson ND, Pinto RL, Adhikari NKJ, Fowler RA, Chapman MG, et al. Airway management strategies for brain-injured patients meeting standard criteria to consider extubation. A prospective cohort study. Ann Am Thorac Soc. 2017;14:85–93.

    PubMed  Google Scholar 

  61. Asehnoune K, Seguin P, Lasocki S, Roquilly A, Delater A, Gros A, et al. Extubation success prediction in a multicentric cohort of patients with severe brain injury. Anesthesiology. 2017;127:338–46.

    PubMed  Google Scholar 

  62. Godet T, Chabanne R, Marin J, Kauffmann S, Futier E, Pereira B, et al. Extubation failure in brain-injured patients. Anesthesiology. 2017;126:104–14.

    PubMed  Google Scholar 

  63. dos Reis HFC, Gomes-Neto M, Almeida MLO, da Silva MF, Guedes LBA, Martinez BP, et al. Development of a risk score to predict extubation failure in patients with traumatic brain injury. J Crit Care. 2017;42:218–22.

    PubMed  Google Scholar 

  64. Alali AS, Scales DC, Fowler RA, Mainprize TG, Ray JG, Kiss A, et al. Tracheostomy timing in traumatic brain injury. J Trauma Acute Care Surg. 2014;76:70–8.

    PubMed  Google Scholar 

  65. Rosner MJ, Rosner SD, Johnson AH. Cerebral perfusion pressure: management protocol and clinical results. J Neurosurg. 1995;83:949–62.

    CAS  PubMed  Google Scholar 

  66. Contant CF, Valadka AB, Gopinath SP, Hannay HJ, Robertson CS. Adult respiratory distress syndrome: a complication of induced hypertension after severe head injury. J Neurosurg. 2001;95:560–8.

    CAS  PubMed  Google Scholar 

  67. Czosnyka M, Smielewski P, Kirkpatrick P, Laing RJ, Menon D, Pickard JD. Continuous assessment of the cerebral vasomotor reactivity in head injury. Neurosurgery. 1997;41:11–7; discussion 17–9.

    CAS  Google Scholar 

  68. Steiner LA, Czosnyka M, Piechnik SK, Smielewski P, Chatfield D, Menon DK, et al. Continuous monitoring of cerebrovascular pressure reactivity allows determination of optimal cerebral perfusion pressure in patients with traumatic brain injury. Crit Care Med. 2002;30:733–8.

    PubMed  Google Scholar 

  69. Grände P-O. The “Lund Concept” for the treatment of severe head trauma—physiological principles and clinical application. Intensive Care Med. 2006;32:1475–84.

    PubMed  Google Scholar 

  70. Sharma D, Vavilala MS. Lund concept for the management of traumatic brain injury. J Neurosurg Anesthesiol. 2011;23:363–7.

    PubMed  Google Scholar 

  71. Raboel PH, Bartek J, Andresen M, Bellander BM, Romner B. Intracranial pressure monitoring: invasive versus non-invasive methods—a review. Crit Care Res Pract. 2012;2012:1–14.

    Google Scholar 

  72. Chesnut RM, Temkin N, Carney N, Dikmen S, Rondina C, Videtta W, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012;367:2471–81.

    CAS  PubMed  PubMed Central  Google Scholar 

  73. American College of Surgeons. ACS TQIP best practices in the management of traumatic brain injury. [Internet]. 2015 [cited 2019 Feb 26]. https://www.east.org/content/documents/45_podcast_acstqip_tbi_guidelines_2.pdf.

  74. Prabhakar HKM. Mannitol versus hypertonic saline for brain relaxation in patients undergoing craniotomy (review). Cochrane Database Syst Rev. 2017.

    Google Scholar 

  75. Mortazavi MM, Romeo AK, Deep A, Griessenauer CJ, Shoja MM, Tubbs RS, et al. Hypertonic saline for treating raised intracranial pressure: literature review with meta-analysis. J Neurosurg. 2012;116:210–21.

    PubMed  Google Scholar 

  76. Kamel H, Navi BB, Nakagawa K, Hemphill JC, Ko NU. Hypertonic saline versus mannitol for the treatment of elevated intracranial pressure: a meta-analysis of randomized clinical trials. Crit Care Med. 2011;39:554–9.

    CAS  PubMed  Google Scholar 

  77. Sanfilippo F, Santonocito C, Veenith T, Astuto M, Maybauer MO. The role of neuromuscular blockade in patients with traumatic brain injury: a systematic review. Neurocrit Care. 2015;22:325–34.

    CAS  PubMed  Google Scholar 

  78. Majdan M, Mauritz W, Wilbacher I, Brazinova A, Rusnak M, Leitgeb J. Barbiturates use and its effects in patients with severe traumatic brain injury in five European countries. J Neurotrauma. 2013;30:23–9.

    PubMed  PubMed Central  Google Scholar 

  79. Roberts I, Sydenham E. Barbiturates for acute traumatic brain injury. Cochrane Database Syst Rev. 2012;12:CD000033.

    PubMed  Google Scholar 

  80. American College of Surgeons. ACS TQIP best practices in the management of traumatic brain injury; 2015.

    Google Scholar 

  81. Arrich J, Holzer M, Havel C, Müllner M, Herkner H. Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation. In: Arrich J, editor. Cochrane database of systematic reviews. Chichester: Wiley; 2012. p. CD004128.

    Google Scholar 

  82. Rim HT, Ahn JH, Kim JH, Oh JK, Song JH, Chang IB. Therapeutic hypothermia for increased intracranial pressure after decompressive craniectomy: a single center experience. Korean J Neurotrauma. 2016;12:55–60.

    PubMed  PubMed Central  Google Scholar 

  83. Clifton GL, Miller ER, Choi SC, Levin HS, McCauley S, Smith KR, et al. Lack of effect of induction of hypothermia after acute brain injury. N Engl J Med. 2001;344:556–63.

    CAS  PubMed  Google Scholar 

  84. Clifton GL, Valadka A, Zygun D, Coffey CS, Drever P, Fourwinds S, et al. Very early hypothermia induction in patients with severe brain injury (the national acute brain injury study: hypothermia II): a randomised trial. Lancet Neurol. 2011;10:131–9.

    PubMed  Google Scholar 

  85. Clifton GL, Coffey CS, Fourwinds S, Zygun D, Valadka A, Smith KR, et al. Early induction of hypothermia for evacuated intracranial hematomas: a post hoc analysis of two clinical trials. J Neurosurg. 2012;117:714–20.

    PubMed  Google Scholar 

  86. Andrews PJD, Sinclair HL, Rodriguez A, Harris BA, Battison CG, Rhodes JKJ, et al. Hypothermia for intracranial hypertension after traumatic brain injury. N Engl J Med. 2015;373:2403–12.

    CAS  PubMed  Google Scholar 

  87. Cooper DJ, Nichol AD, Bailey M, Bernard S, Cameron PA, Pili-Floury S, et al. Effect of early sustained prophylactic hypothermia on neurologic outcomes among patients with severe traumatic brain injury. JAMA. 2018;320:2211.

    PubMed  PubMed Central  Google Scholar 

  88. Gaab MR, Trost HA, Alcantara A, Karimi-Nejad A, Moskopp D, Schultheiss R, et al. Ultrahigh dexamethasone in acute brain injury. Results from a prospective randomized double-blind multicenter trial (GUDHIS). German Ultrahigh Dexamethasone Head Injury Study Group. Zentralbl Neurochir. 1994;55:135–43.

    CAS  PubMed  Google Scholar 

  89. Roberts I, Yates D, Sandercock P, Farrell B, Wasserberg J, Lomas G, et al. Effect of intravenous corticosteroids on death within 14 days in 10 008 adults with clinically significant head injury (MRC CRASH trial): randomised placebo-controlled trial. Lancet. 2004;364:1321–8.

    PubMed  Google Scholar 

  90. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. XV. Steroids. J Neurotrauma. 2007;24:S-91–5.

    Google Scholar 

  91. Powner DJ, Boccalandro C. Adrenal insufficiency following traumatic brain injury in adults. Curr Opin Crit Care. 2008;14:163–6.

    PubMed  Google Scholar 

  92. Fan E, Skippen PW, Sargent MA, Cochrane DD, Chanoine J-P. Central adrenal insufficiency following traumatic brain injury: a missed diagnosis in the critically injured. Childs Nerv Syst. 2017;33:2205–7.

    PubMed  Google Scholar 

  93. Szurhaj W, Lamblin M-D, Kaminska A, Sediri H, Société de Neurophysiologie Clinique de Langue Française. EEG guidelines in the diagnosis of brain death. Neurophysiol Clin. 2015;45:97–104.

    CAS  PubMed  Google Scholar 

  94. Smith M. Multimodality neuromonitoring in adult traumatic brain injury. Anesthesiology. 2018;128:401–15.

    PubMed  Google Scholar 

  95. Hutchinson PJ, Jalloh I, Helmy A, Carpenter KLH, Rostami E, Bellander B-M, et al. Consensus statement from the 2014 International Microdialysis Forum. Intensive Care Med. 2015;41:1517–28.

    PubMed  PubMed Central  Google Scholar 

  96. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. X. Brain oxygen monitoring and thresholds. J Neurotrauma. 2007;24:S-65–70.

    Google Scholar 

  97. Bhardwaj A, Bhagat H, Grover V. Jugular venous oximetry. J Neuroanaesth Crit Care. 2015;2:225–31.

    Google Scholar 

  98. Davies DJ, Su Z, Clancy MT, Lucas SJE, Dehghani H, Logan A, et al. Near-infrared spectroscopy in the monitoring of adult traumatic brain injury: a review. J Neurotrauma. 2015;32:933–41.

    PubMed  PubMed Central  Google Scholar 

  99. Martin NA, Patwardhan RV, Alexander MJ, Africk CZ, Lee JH, Shalmon E, et al. Characterization of cerebral hemodynamic phases following severe head trauma: hypoperfusion, hyperemia, and vasospasm. J Neurosurg. 1997;87:9–19.

    CAS  PubMed  Google Scholar 

  100. Bouzat P, Oddo M, Payen J-F. Transcranial Doppler after traumatic brain injury. Curr Opin Crit Care. 2014;20:153–60.

    PubMed  Google Scholar 

  101. Najafi MR, Tabesh H, Hosseini H, Akbari M, Najafi MA. Early and late posttraumatic seizures following traumatic brain injury: a five-year follow-up survival study. Adv Biomed Res. 2015;4:82.

    PubMed  PubMed Central  Google Scholar 

  102. Frey LC. Epidemiology of posttraumatic epilepsy: a critical review. Epilepsia. 2003;44:11–7.

    PubMed  Google Scholar 

  103. Temkin NR, Dikmen SS, Anderson GD, Wilensky AJ, Holmes MD, Cohen W, et al. Valproate therapy for prevention of posttraumatic seizures: a randomized trial. J Neurosurg. 1999;91:593–600.

    CAS  PubMed  Google Scholar 

  104. Temkin NR, Dikmen SS, Wilensky AJ, Keihm J, Chabal S, Winn HR. A randomized, double-blind study of phenytoin for the prevention of post-traumatic seizures. N Engl J Med. 1990;323:497–502.

    CAS  PubMed  Google Scholar 

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Acknowledgement

This manuscript would not have been possible without the support of Arpitha A. J. who also helped in reviewing the manuscript.

Multiple Choice Questions

  1. 1.

    Which of the following brain oxygenation monitoring modalities is recommended in the fourth edition of BTF guidelines?

    1. (a)

      Brain tissue oxygen monitoring.

    2. (b)

      NIRS-based cerebral oximetry.

    3. (c)

      Jugular venous oximetry.

    4. (d)

      Microdialysis.

    Answer: c

  2. 2.

    Is prophylactic hypothermia useful for improving outcomes in severe head injury?

    1. (a)

      If initiated early (<2.5 h), it improves outcomes.

    2. (b)

      If target temperature (<32 °C) is achieved, it improves outcomes.

    3. (c)

      If target temperature is maintained for 48 h, it improves outcomes.

    4. (d)

      It is not useful.

    Answer: d

  3. 3.

    Which of the following statements is correct?

    1. (a)

      Methylprednisolone administration does not improve outcomes in patients with SDH.

    2. (b)

      Steroids may be used in management of TBI patients if central adrenal insufficiency is suspected.

    3. (c)

      None of the above.

    4. (d)

      Both 1 and 2.

    Answer: d

  4. 4.

    Which of the following statements is correct?

    1. (a)

      Phenytoin reduces incidence of early post-traumatic seizures.

    2. (b)

      Phenytoin reduces incidence of late post-traumatic seizures.

    3. (c)

      Phenytoin is better than valproate in reducing incidence of early post-traumatic seizures.

    4. (d)

      Phenytoin is not recommended for reducing incidence of any post-traumatic seizures.

    Answer: a

  5. 5.

    Pressure reactivity index (PRx) is useful quantifying:

    1. (a)

      Cerebral compliance.

    2. (b)

      Intracranial pressure.

    3. (c)

      Autoregulation.

    4. (d)

      Cerebral blood flow.

    Answer: c

Author information

Authors and Affiliations

  1. Department of Neuroanesthesiology and Neurocritical Care, NIMHANS, Bangalore, India

    Dhritiman Chakrabarti

  2. Division of Neuroanaesthesia and Neurocritical Care, Apollo Hospitals, Bangalore, India

    Deepti B. Srinivas

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  1. Dhritiman Chakrabarti
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  1. Department of Neuroanesthesiology & Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Hemanshu Prabhakar

  2. Vice chair for education & Associate Director of Neuroanesthesiology, Allegheny Health Network, Pittsburgh, PA, USA

    Shobana Rajan

  3. Department of Neuroanesthesiology & Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Indu Kapoor

  4. Department of Neuroanesthesiology & Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Charu Mahajan

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© 2020 Springer Nature Singapore Pte Ltd.

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Chakrabarti, D., Srinivas, D.B. (2020). Management of Patient with Traumatic Brain Injury: SDH. In: Prabhakar, H., Rajan, S., Kapoor, I., Mahajan, C. (eds) Problem Based Learning Discussions in Neuroanesthesia and Neurocritical Care. Springer, Singapore. https://doi.org/10.1007/978-981-15-0458-7_19

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  • DOI: https://doi.org/10.1007/978-981-15-0458-7_19

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0457-0

  • Online ISBN: 978-981-15-0458-7

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