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Anesthetic considerations for extracranial injuries in patients with associated brain trauma
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 preven...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748016/ https://www.ncbi.nlm.nih.gov/pubmed/31543576 http://dx.doi.org/10.4103/joacp.JOACP_278_18 |
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author | Khandelwal, Ankur Bithal, Parmod Kumar Rath, Girija Prasad |
author_facet | Khandelwal, Ankur Bithal, Parmod Kumar Rath, Girija Prasad |
author_sort | Khandelwal, Ankur |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6748016 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-67480162019-09-20 Anesthetic considerations for extracranial injuries in patients with associated brain trauma Khandelwal, Ankur Bithal, Parmod Kumar Rath, Girija Prasad J Anaesthesiol Clin Pharmacol Review Article 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. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6748016/ /pubmed/31543576 http://dx.doi.org/10.4103/joacp.JOACP_278_18 Text en Copyright: © 2019 Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Khandelwal, Ankur Bithal, Parmod Kumar Rath, Girija Prasad Anesthetic considerations for extracranial injuries in patients with associated brain trauma |
title | Anesthetic considerations for extracranial injuries in patients with associated brain trauma |
title_full | Anesthetic considerations for extracranial injuries in patients with associated brain trauma |
title_fullStr | Anesthetic considerations for extracranial injuries in patients with associated brain trauma |
title_full_unstemmed | Anesthetic considerations for extracranial injuries in patients with associated brain trauma |
title_short | Anesthetic considerations for extracranial injuries in patients with associated brain trauma |
title_sort | anesthetic considerations for extracranial injuries in patients with associated brain trauma |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748016/ https://www.ncbi.nlm.nih.gov/pubmed/31543576 http://dx.doi.org/10.4103/joacp.JOACP_278_18 |
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