Abstract

IBARRA, Pedro. Prevención/minimización de la injuria secundaria en el TCE. Rev. colomb. anestesiol. [online]. 2005, vol.33, n.4, pp.259-268. ISSN 0120-3347.

Secondary injury is the most important preventable determinant of poor outcome in patients with severe traumatic brain injury (TBI). It is essential to understand that the adequate management of the insults responsible for it, can produce a dramatic improvement in outcome. The mechanisms responsible for secondary injury which lead to penumbral tissue to develop further ischemia and death, are described. It is of foremost importance to educate all personnel involved in caring for these patients to understand that the execution of simple medical interventions can save thousand of lives without incurring in unbearable costs. It is the responsibility of everyone involved to ensure the maximum diffusion of these concepts.

Keywords : severe traumatic brain injury (TBI); secondary injury; trauma; intensive care; resuscitation.

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