90. TBI – ICU Management (1/2)

Matthew MacPartlin continues his series by talking about ICU monitoring of TBI and methods of reducing intracranial pressure.

References for this talk

Cerebral perfusion pressure. Trauma.org

Cerebrospinal Fluid in Critical Illness. B. Venkatesh, P. Scott, M. Ziegenfuss. Critical Care and Resuscitation 2000; 2: 42-54.

Nosocomial ventriculitis and meningitis in neurocritical care patients. R. Beer, P. Lackner, B. Pfausler, E. Schmutzhard. J Neurol (2008) 255:1617–1624.

ICP waveforms. Eneurosurgery.

BTF guidelines 2007, 3rd Edition

ENLS TBI protocols

Raised intracranial pressure. Laurence T Dunn. J Neurol Neurosurg Psychiatry, 2002; 73(Suppl 1):123-i27

Neuromonitoring for Traumatic Brain Injury. Trauma.org.

Relationship between brain tissue oxygen (PbrO2) and cerebral perfusion pressure (CPP). Critical Care 1997, 1(Suppl 1):P008-5.

Continuous monitoring of the microcirculation in neurocritical care: an update on brain tissue oxygenation. Curr Opin Crit Care. 2006 Apr;12(2):97-102.

ICN Podcast 77: Cooper on Game changing ICU research

ICN Podcast 84: Delaney on Cerebral protection

Prophylactic Hypothermia to Lessen Traumatic Brain Injury (POLAR).

European society of intensive care medicine study of therapeutic hypothermia (32-35°C) for intracranial pressure reduction after traumatic brain injury (the Eurotherm3235Trial). Published online 2011 January 12. doi: 10.1186/1745-6215-12-8.

Barbiturate coma. Trauma.org.

Pentobarbital versus thiopental in the treatment of refractory intracranial hypertension in patients with traumatic brain injury: a randomized controlled trial. Critical Care 2008, 12:R112 doi:10.1186/cc6999.

ICN Podacst 85: Oli Flower on Continuous EEG

EM Crit Podcast 95 -Thomas Scalea on cutting edge ICP management.

EM Crit 78 – Increased intracranial pressure (ICP) and Herniation, aka Brain code.

THE AUDIO

THE VIDEO

ICU management of TBI – Part 1 from Oliver Flower on Vimeo.