Abstract

MEJIA MANTILLA, Jorge Humberto  and  GONZALEZ ARBOLEDA, Luis Fernando. Anesthesia for patients with traumatic brain injury. Rev. colomb. anestesiol. [online]. 2015, vol.43, suppl.1, pp.3-8. ISSN 0120-3347.

Traumatic Brain Injury (TBI) is a complex disease with a high social burden because of its high mortality and high rate of sequelae. Outcome after TBI is related to early management, including anesthetic management. In this article we review up to date concepts for anesthetic management of TBI patients; from pre-anesthetic evaluation to different aspects of surgical management: induction of anesthesia, airway control, mechanical ventilation, intravenous fluid management, maintenance of anesthesia during neurological and nonneurological surgery, and the treatment of brain edema, coagulopathy, electrolyte balance and temperature. We think the treatment must be directed to goals in order to offer the patient the best conditions for recovery and to avoid secondary brain injury.

Keywords : Traumatic brain injury; Anesthesia management; Damage control; Trauma coagulopathy; Brain edema; Goal directed therapy.

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