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National survey of current protocols and management of the traumatic brain injury patients in UK ICUs
Critical Care2013Vol. 17(S2)
Bradley Lewinsohn, Selvakumar Panchatsharam, S Wijayatilake, A Billini, G Delacedra, Rajesh Jain, J A Khan, Rajesh Mohan Shetty, Asher Lewinsohn
Abstract
Following primary neurological insult, initial management of traumatic brain-injured (TBI) patients has a clearly defined pathway [1]. However, after arrival at tertiary centers, further management is not standardized. Intracranial hypertension (ICH), systemic hypotension, hypoxia, hyperpyrexia and hypocapnia have all been shown to independently increase mortality [2]. Despite numerous studies, there is currently no level 1 evidence to support any specific management [3]. Our objective was to provide an overview of the current clinical management protocols in the UK.
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