Search Tag: TBI

ICU Management

The INCEPT Study: Impact of Post-Traumatic Cerebral Infarction

2020 12 Feb

Post-traumatic cerebral infarction (PTCI) is common after traumatic brain injury (TBI). TBI is a leading cause of mortality and morbidity mostly among young people, but its incidence is also increasing in older people, particularly in high-income countries. The outcome of a TBI depends on several factors, including patient characteristics, disease... Read more

ICU Management

Treatment of High Intracranial Pressure After Traumatic Brain Injury

2020 11 Jan

One of the most frequent causes of death and disability after severe traumatic brain injury (TBI) is high intracranial pressure (ICP). ICP is generally treated with usual techniques such as normothermia, sedation, etc. and first-line therapeutic strategies such as moderate hypocapnia, mannitol etc. However, in patients where these measures do not work,... Read more

ICU Management

Tranexamic Acid Reduces Head Injury Deaths

2019 19 Oct

According to new research findings, early treatment with tranexamic acid could reduce deaths in traumatic brain injury patients by as much as 20%. The findings are published in The Lancet.  Every year, there are approximately 60 million new cases of TBI worldwide. Bleeding in or around the brain due to tearing of blood vessels is a common complication... Read more

IMAGING Management

Blood Test Unmasks Concussions Absent on CT Scans

2019 28 Aug

It has been highlighted that patients suffering from a concussion can have CT scans which show no irregularities and patients can go on to be discharged with no further treatment. A new, cost-effective blood test may be able to identify these patients for subsequent evaluation.   The study, from UC San Francisco, analysed 450 patients who had obtained... Read more

ICU Management

End-Tidal CO2 Levels vs. Arterial CO2 Levels in Children with TBI

2019 23 Aug

For patients with Traumatic Brain Injury (TBI), the partial pressure of CO 2 , arterial (PaCO 2 ) can be adjusted to help with the regulation of cerebral perfusion. However, this can prove difficult to carry out in children. The non-invasive method of capnography measures end-tidal CO 2 (EtCO 2 ) and is often used for paediatric patients as an alternative... Read more

ICU Management

Hypothermia in neurocritical care patients other than cardiac arrest

2018 16 Mar

Hypothermia (HT) is a cornerstone of neuroprotective strategies and has been used in critical care for acutely brain injured adult patients for many years. This review aims to discuss the clinical evidence supporting the use of HT in neurocritical care patients beyond care after cardiac arrest (CA), such as traumatic brain injury (TBI), acute ischaemic... Read more

IMAGING Management

DTI Helps Identify Recovery In Concussion Patients

2016 15 Jun

Researchers using an advanced form of MRI called diffusion tensor imaging (DTI) have found a way to differentiate in advance those concussion patients who may be burdened long-term and those who would recover fully. The team of researchers at Albert Einstein College of Medicine and Montefiore Health System led by Professor Michael L. Lipton... Read more

IMAGING Management

Ruling out CT for Minor Head Trauma

2015 29 Dec

Combinations of history and physical examination features in clinical decision rules can identify patients with minor head trauma at low risk of severe intracranial injuries, and for whom head CT may not be necessary. The findings are based on a systematic review conducted by Joshua S. Easter, MD, MSc, of the Department of Emergency Medicine, University... Read more

ICU Management

Intracranial Pressure Monitoring in TBI: Consensus Statements

2015 22 Oct

Seven consensus statements from a panel of leading international experts in the treatment of severe traumatic brain injury (sTBI) provide a clear interpretation of the results from the BEST TRIP trial, which have led to ongoing debate over the value of intracranial pressure monitoring in sTBI. These new consensus statements, published in Journal of... Read more

IMAGING Management

MRI Improves Diagnosis of Microbleeding after Brain Injury

2015 15 Sep

A new study in the journal Radiology suggests that imaging patients soon after traumatic brain injury (TBI) occurs could help to detect cerebral microhaemorrhages more accurately. Researchers used susceptibility-weighted imaging — an MRI technique that provides improved visibility of blood and is highly sensitive to haemorrhage — to evaluate U.S.... Read more