Traumatic brain injury: intensive care management

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Traumatic brain injury: intensive care management A. Helmy, M. Vizcaychipi, A.K. Gupta British Journal of Anaesthesia Volume 99, Issue 1, Pages 32-42 (July 2007) DOI: 10.1093/bja/aem139 Copyright © 2007 British Journal of Anaesthesia Terms and Conditions

Fig 1 CT scans after TBI. (a) Diffuse brain injury: 32-yr-old male involved in a high-speed road traffic accident. In diffuse brain injury, the CT scan may look grossly normal. Note the small contusion at the tip of the left frontal ventricular horn and diffuse swelling. (b) Subdural haematoma: 39-yr-old male after fall down stairs. Note the large biconcave opacity on the left spreading over the surface of the cortex, compressing the ipsilateral ventricle and causing midline shift. (c) Extradural haematoma: 60-yr-old male after a fall. Note the biconvex opacity on the right compressing the underlying brain parenchyma. Scalp contusions are also demonstrated over the extradural and opposite to the lesion. British Journal of Anaesthesia 2007 99, 32-42DOI: (10.1093/bja/aem139) Copyright © 2007 British Journal of Anaesthesia Terms and Conditions

Fig 2 Addenbrooke’s NCCU (neurocritical care unit) TBI Protocol. ICP, intracranial pressure; CPP, cerebral perfusion pressure; SvO2 jugular venous oxygen saturation; SOL, space-occupying lesion; PtO2 partial pressure of tissue oxygen; LPR, lactate pyruvate ratio; EVD, external ventricular drain; PAC, pulmonary artery catheter. British Journal of Anaesthesia 2007 99, 32-42DOI: (10.1093/bja/aem139) Copyright © 2007 British Journal of Anaesthesia Terms and Conditions