Traumatic brain injury: Review of current management strategies

Kevin King Tin Tsang, Peter C. Whitfield*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Head injury is a common condition with a high morbidity and mortality. Serious intracranial haematomas require early recognition and evacuation to maximise chances of independent outcomes. Recent organisational changes have promoted the development of trauma units and major trauma centres where patients can go through triage and be managed in an appropriate environment, and the development of management pathways in intensive treatment units has resulted in improvements in the outcome of traumatic brain injuries. Evidence for the treatment of cerebral perfusion pressure, and management of hyperventilation, osmotherapy, tracheostomy, and leakage of cerebrospinal fluid (CSF) has accumulated during the last decade and is important in the management of patients in all clinical settings. Since head injury is commonly associated with maxillofacial injuries, this review will be relevant to all who deal with this aspect of trauma.

Original languageEnglish
Pages (from-to)298-308
Number of pages11
JournalBritish Journal of Oral and Maxillofacial Surgery
Volume50
Issue number4
DOIs
Publication statusPublished - Jun 2012
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Keywords

  • Cerebrospinal fluid leak
  • Craniofacial trauma
  • Head injury
  • Intracranial pressure
  • Thromboembolic prophylaxis
  • Tracheostomy
  • Traumatic brain injury

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