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Anesthetic considerations for extracranial injuries in patients with associated brain trauma
- Source :
- Journal of Anaesthesiology Clinical Pharmacology, Vol 35, Iss 3, Pp 302-311 (2019)
- Publication Year :
- 2019
- Publisher :
- Wolters Kluwer Medknow Publications, 2019.
-
Abstract
- Patients with severe traumatic brain injury often presents with extracranial injuries, which may contribute to fatal outcome. Anesthetic management of such polytrauma patients is extremely challenging that includes prioritizing the organ system to be dealt first, reducing on-going injury, and preventing secondary injuries. Neuroprotective and neurorescue measures should be instituted simultaneously during extracranial surgeries. Selection of anesthetic drugs that minimally interferes with cerebral dynamics, maintenance of hemodynamics and cerebral perfusion pressure, optimal utilization of multimodal monitoring techniques, and aggressive rehabilitation approach are the key factors for improving overall patient outcome.
Details
- Language :
- English
- ISSN :
- 09709185
- Volume :
- 35
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Anaesthesiology Clinical Pharmacology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.fe01abd60711437ea575809f98451d27
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/joacp.JOACP_278_18