Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery

This article describes the anesthetic management of patients with traumatic brain injury (TBI) undergoing non-neurosurgery, primarily targeting intraoperative management for multiple-trauma surgery. The aim of this review is to promote the best clinical practice for patients with TBI in order to pre...

Full description

Bibliographic Details
Main Author: Hyunjee Kim
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2023-04-01
Series:Anesthesia and Pain Medicine
Subjects:
Online Access:http://www.anesth-pain-med.org/upload/pdf/apm-23017.pdf
_version_ 1797825361266868224
author Hyunjee Kim
author_facet Hyunjee Kim
author_sort Hyunjee Kim
collection DOAJ
description This article describes the anesthetic management of patients with traumatic brain injury (TBI) undergoing non-neurosurgery, primarily targeting intraoperative management for multiple-trauma surgery. The aim of this review is to promote the best clinical practice for patients with TBI in order to prevent secondary brain injury. Based on the current clinical guidelines and evidence, anesthetic selection and administration; maintenance of optimal cerebral perfusion pressure, oxygenation and ventilation; coagulation monitoring; glucose control; and temperature management are addressed. Neurological recovery, which is critical for improving the patient’s quality of life, is most important; therefore, future research needs to be focused on this aspect.
first_indexed 2024-03-13T10:52:59Z
format Article
id doaj.art-1636cc52471d4820bbc0c2cf61832e3d
institution Directory Open Access Journal
issn 1975-5171
2383-7977
language English
last_indexed 2024-03-13T10:52:59Z
publishDate 2023-04-01
publisher Korean Society of Anesthesiologists
record_format Article
series Anesthesia and Pain Medicine
spelling doaj.art-1636cc52471d4820bbc0c2cf61832e3d2023-05-17T06:05:57ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772023-04-0118210411310.17085/apm.230171191Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgeryHyunjee Kim0 Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, KoreaThis article describes the anesthetic management of patients with traumatic brain injury (TBI) undergoing non-neurosurgery, primarily targeting intraoperative management for multiple-trauma surgery. The aim of this review is to promote the best clinical practice for patients with TBI in order to prevent secondary brain injury. Based on the current clinical guidelines and evidence, anesthetic selection and administration; maintenance of optimal cerebral perfusion pressure, oxygenation and ventilation; coagulation monitoring; glucose control; and temperature management are addressed. Neurological recovery, which is critical for improving the patient’s quality of life, is most important; therefore, future research needs to be focused on this aspect.http://www.anesth-pain-med.org/upload/pdf/apm-23017.pdfanesthesiablood coagulationcerebral perfusion pressuregeneral surgeryintracranial pressuretemperaturetraumatic brain injury
spellingShingle Hyunjee Kim
Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery
Anesthesia and Pain Medicine
anesthesia
blood coagulation
cerebral perfusion pressure
general surgery
intracranial pressure
temperature
traumatic brain injury
title Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery
title_full Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery
title_fullStr Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery
title_full_unstemmed Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery
title_short Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery
title_sort anesthetic management of the traumatic brain injury patients undergoing non neurosurgery
topic anesthesia
blood coagulation
cerebral perfusion pressure
general surgery
intracranial pressure
temperature
traumatic brain injury
url http://www.anesth-pain-med.org/upload/pdf/apm-23017.pdf
work_keys_str_mv AT hyunjeekim anestheticmanagementofthetraumaticbraininjurypatientsundergoingnonneurosurgery