Beschreibung:
This comprehensively updated second edition features major revisions, 24 new chapters and more than 40 new authors, reflecting both the advances and key challenges within the field. Offering a systematic guide to the management of children and adults with severe traumatic brain injury throughout the entire chain of care, it includes evidence-based recommendations for each diagnostic and therapeutic measure, together with tips, tricks and pitfalls. The authors are all highly experienced clinicians and researchers who work with neurotrauma patients on a daily basis, and the editors represent the Scandinavian Neurotrauma Committee.
Introduction.- Part I Traumatic brain injury as a public health problem.- Epidemiological aspects.- Challenges in low- and middle income countries.- Challenges in the elderly.- Challenges in children.- Biomechanics and prevention.- Part II Classification and assessment.- Pathophysiology of severe traumatic brain injury.- Classification of head injury.- Primary clinical assessment.- Part III Prehospital management.- Prehospital guidelines.- What the neurosurgeon and the trauma team want to know: what, who, when, and where?.- Transportation.- Part IV Admission, diagnostics and planning.- The trauma team concept.- Trauma protocol (ABCDE).- Hospital response to mass casualty incidents.- Cervical spine injury.- Blast-induced injury.- Radiological evaluation of head trauma.- Radiological evaluation of cervical spine trauma.- Blood samples.- To treat or not to treat in the acute setting (withholding) and withdrawal of treatment.- Potential organ donor: organ donor management.- Ethical aspects and communication.- Part V Acute surgical treatment.- Basic trauma craniotomy.- Surgical management of traumatic intracranial haematomas.- Surgical management of penetrating brain injuries.- Decompressive craniectomy.- Skull fractures.- Vessel injuries.- Insertion of intracranial monitoring devices.- Maxillofacial fractures.- Considerations in patients with concomitant cervical spine injuries.- Soft tissue injuries.- Surgery outside neurosurgical units.- Planning of cranial and extracranial surgery in multitraumatised patients.- Part VI Perioperative anaesthesia.- Choice of anaesthesia, drugs and medications.- Blood pressure, CO2 and oxygen saturation.- Intracranial pressure reduction.- Part VII Monitoring in neurointensive care