Intensive care management of traumatic brain injury: How can mnemonics help?

Traumatic brain injury (TBI) is considered to be a "silent global epidemic" and is the leading cause of death in young males in developed countries, major cause of disability, morbidity, and mortality worldwide. The classification of TBI severity was performed using the Glasgow coma scale...

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Main Authors: Damnjanović Biljana, Stanisavljević Jovana, Hadžibegović Adi, Rović Ivan, Šijan Đuro, Jovanović Nemanja, Ratković Sanja, Milenković Marija
Format: Article
Language:English
Published: Serbian Society of Anesthesiologists and Intensivists 2022-01-01
Series:Serbian Journal of Anesthesia and Intensive Therapy
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2022/2217-77442205105D.pdf
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author Damnjanović Biljana
Stanisavljević Jovana
Hadžibegović Adi
Rović Ivan
Šijan Đuro
Jovanović Nemanja
Ratković Sanja
Milenković Marija
author_facet Damnjanović Biljana
Stanisavljević Jovana
Hadžibegović Adi
Rović Ivan
Šijan Đuro
Jovanović Nemanja
Ratković Sanja
Milenković Marija
author_sort Damnjanović Biljana
collection DOAJ
description Traumatic brain injury (TBI) is considered to be a "silent global epidemic" and is the leading cause of death in young males in developed countries, major cause of disability, morbidity, and mortality worldwide. The classification of TBI severity was performed using the Glasgow coma scale (GCS) into mild (GCS = 15-13), moderate (GCS = 12-9), and severe (GCS = 8-3). Despite developments in modern intensive care, improvements in resuscitation and vital organ support, the management of critically ill patients with traumatic brain injury presents a challenge to all members of the critical care team. Since severe head injury is often associated with poor functional outcomes due to secondary brain insults, the benefits of intensive treatment and care may not become apparent until months or years later during rehabilitation after injury. Due to the complexity and specificity of TBI, implementation of an easy-to-remember mnemonic can significantly help anesthesiologists and clinicians in conducting intensive therapy. Mnemonic GOST CAP was implementing to help with treatment of patients with primary craniocerebral trauma and prevention of secondary brain injury. GOST CAP acronym emphasizes the significance of glycemic control in neurotrauma, maintaining haemoglobin levels, oxygen support, sodium concentration, temperature maintenance, pain and agitation control, arterial blood pressure control in maintaining cerebral perfusion pressure, and partial pressure of CO2 control. The aim of this paper is to display acronyms that address the most important steps in treating patients with TBI.
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spelling doaj.art-96bd4909f073409f8f693a543e38da592022-12-22T03:55:40ZengSerbian Society of Anesthesiologists and IntensivistsSerbian Journal of Anesthesia and Intensive Therapy2466-488X2022-01-01445-610511410.5937/sjait2206105D2217-77442205105DIntensive care management of traumatic brain injury: How can mnemonics help?Damnjanović Biljana0Stanisavljević Jovana1Hadžibegović Adi2https://orcid.org/0000-0003-4956-3093Rović Ivan3Šijan Đuro4Jovanović Nemanja5Ratković Sanja6Milenković Marija7Klinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Klinika za neurohirurgiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaTraumatic brain injury (TBI) is considered to be a "silent global epidemic" and is the leading cause of death in young males in developed countries, major cause of disability, morbidity, and mortality worldwide. The classification of TBI severity was performed using the Glasgow coma scale (GCS) into mild (GCS = 15-13), moderate (GCS = 12-9), and severe (GCS = 8-3). Despite developments in modern intensive care, improvements in resuscitation and vital organ support, the management of critically ill patients with traumatic brain injury presents a challenge to all members of the critical care team. Since severe head injury is often associated with poor functional outcomes due to secondary brain insults, the benefits of intensive treatment and care may not become apparent until months or years later during rehabilitation after injury. Due to the complexity and specificity of TBI, implementation of an easy-to-remember mnemonic can significantly help anesthesiologists and clinicians in conducting intensive therapy. Mnemonic GOST CAP was implementing to help with treatment of patients with primary craniocerebral trauma and prevention of secondary brain injury. GOST CAP acronym emphasizes the significance of glycemic control in neurotrauma, maintaining haemoglobin levels, oxygen support, sodium concentration, temperature maintenance, pain and agitation control, arterial blood pressure control in maintaining cerebral perfusion pressure, and partial pressure of CO2 control. The aim of this paper is to display acronyms that address the most important steps in treating patients with TBI.https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2022/2217-77442205105D.pdftraumatic brain injuryintensive caremne monicsghost capfast hug
spellingShingle Damnjanović Biljana
Stanisavljević Jovana
Hadžibegović Adi
Rović Ivan
Šijan Đuro
Jovanović Nemanja
Ratković Sanja
Milenković Marija
Intensive care management of traumatic brain injury: How can mnemonics help?
Serbian Journal of Anesthesia and Intensive Therapy
traumatic brain injury
intensive care
mne monics
ghost cap
fast hug
title Intensive care management of traumatic brain injury: How can mnemonics help?
title_full Intensive care management of traumatic brain injury: How can mnemonics help?
title_fullStr Intensive care management of traumatic brain injury: How can mnemonics help?
title_full_unstemmed Intensive care management of traumatic brain injury: How can mnemonics help?
title_short Intensive care management of traumatic brain injury: How can mnemonics help?
title_sort intensive care management of traumatic brain injury how can mnemonics help
topic traumatic brain injury
intensive care
mne monics
ghost cap
fast hug
url https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2022/2217-77442205105D.pdf
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