Fundamentals of Care for Severe Traumatic Brain Injury
Severe traumatic brain injury (TBI) is a source of significant financial burden on the American health care system. Managing TBI can feel like a juggling act, but observing critical care…
Neuroprognostication and Ethical Considerations in Traumatic Brain Injury
Neuroprognostication is the prediction of patient neurorehabilitation and neurorecovery and can be challenging for severe traumatic brain injury patients due to limited objective data. Prognostic models can be utilized to…
Impaired Consciousness in the Traumatic Brain Injury Patient
Acute disturbances in cognition and consciousness are widely prevalent in neurologic intensive care units and have been associated with worse outcomes. Studies of critically ill patients with traumatic brain injuries…
Fundamentals of Care for Severe Traumatic Brain Injury
Severe traumatic brain injury (TBI) is a source of significant financial burden on the American health care system. Managing TBI can feel like a juggling act, but observing critical care…
Sudden Neurologic Worsening
Generating a comprehensive, yet focused, differential diagnosis for sudden neurologic worsening in the postoperative patient can be challenging. It must take into consideration the procedure itself, the structures manipulated, preceding…
Disorders of Electrophysiology Following Severe Traumatic Brain Injury
Traumatic brain injury (TBI) produces electrophysiologic abnormalities that are critical to monitor. EEG is required to diagnose most seizures (Sz) that occur after severe TBI, provides information about background activity,…
Challenges to Neurocritical Care Management in Polytrauma
Neurocritical care management of the polytrauma patient with neurologic injury demands a methodical, systems-based, multidisciplinary approach to optimize outcomes and minimize secondary harms. Hemodynamic stability is the linchpin of a…
Fluids, Electrolytes, and Nutrition in the Critically Ill Patient with Neurotrauma
Fluid, electrolytes, and nutrition are vital components in the management of critically ill patients. Patients with neurotrauma present certain challenges and considerations, specifically with the need to mitigate secondary injury…
Endocrinopathy and Dysautonomia
Traumatic brain injury (TBI) is associated with endocrinopathies affecting all major hypothalamic-pituitary hormone axes and dysautonomia due to injury to sympathetic structures, inhibitory networks, or the spinal cord. Identification and…
Thrombosis and Coagulopathy
Effective anticoagulation management is crucial for balancing thromboembolism and hemorrhage risks in patients with traumatic brain injury (TBI) and spinal cord injury (SCI). A systematic review from January 1984 to…
