Treatment of Oropharyngeal Dysphagia in Persons with Traumatic Brain Injury: a Narrative Review of Current Challenges from Practicing Clinicians

Author(s):  
Robert J. Masterson ◽  
Amy Bauer ◽  
R. Brynn Jones-Rastelli
2021 ◽  
Vol 11 (1) ◽  
pp. 18
Author(s):  
Edoardo Picetti ◽  
Israel Rosenstein ◽  
Zsolt J. Balogh ◽  
Fausto Catena ◽  
Fabio S. Taccone ◽  
...  

Managing the acute phase after a severe traumatic brain injury (TBI) with polytrauma represents a challenging situation for every trauma team member. A worldwide variability in the management of these complex patients has been reported in recent studies. Moreover, limited evidence regarding this topic is available, mainly due to the lack of well-designed studies. Anesthesiologists, as trauma team members, should be familiar with all the issues related to the management of these patients. In this narrative review, we summarize the available evidence in this setting, focusing on perioperative brain protection, cardiorespiratory optimization, and preservation of the coagulative function. An overview on simultaneous multisystem surgery (SMS) is also presented.


2021 ◽  
Vol 11 (3) ◽  
pp. 114
Author(s):  
Jian-Gang Liu ◽  
Hong-Wei Hu ◽  
Zhi-Guo Chen ◽  
Gang Chen

Life Sciences ◽  
2019 ◽  
Vol 233 ◽  
pp. 116684
Author(s):  
Gustavo Cassol ◽  
Douglas Buchmann Godinho ◽  
Viviane Nogueira de Zorzi ◽  
Juliano Boufleur Farinha ◽  
Iuri Domingues Della-Pace ◽  
...  

2018 ◽  
pp. 157-169

Vision problems are common in individuals with mild traumatic brain injury (mTBI)/concussion. However, a global conceptualization of the diagnostic process remains incomplete and practitioner dependent. Thus, a comprehensive diagnostic test battery is proposed to assist in the management of these patients. This battery includes a range of basic clinical tests of a sensory and motor nature, with all having a clinical and scientific rationale. These tests have been used by the authors for many years, with good success, and furthermore they have been found to be clinically useful and insightful.


2019 ◽  
Vol 7 (1) ◽  
pp. 15-22
Author(s):  
Jason A. Hugentobler ◽  
Catherine Quatman-Yates ◽  
Nathan K. Evanson ◽  
Andrea Paulson ◽  
Caitlin Chicoine ◽  
...  

2020 ◽  
Vol 48 (3) ◽  
pp. 155-161
Author(s):  
Daniel A. Mendoza ◽  
Karen D. López ◽  
Raúl A. Echeverri ◽  
Laura Pastor ◽  
Steven Rueda ◽  
...  

Introduction: With the evolution of diagnostic techniques in traumatic brain injury (TBI), the study of neurological injury has made progress based on the concepts of primary and secondary injury, leading to the era of proteomics to understand the complex molecular events involved in the process. Objectives: This narrative review is intended to discuss the state of the art of the most frequently used biomarkers in TBI, their clinical utility, and the implications for therapeutic decisionmaking protocols. Materials and methods: In order to fulfill the objective of this paper, a literature review was conducted of the most important databases. Results: Several biomarkers have been studied as prognostic factors in patients with TBI. Learning about their sensitivity and specificity in neurological injury, and its post-trauma evolution over time, has been the goal of various papers in the past few years. Conclusion: Breakthroughs in the study of protein degradation make it necessary to broaden the spectrumand knowledge of new diagnostic methods in TBI. Further studies are needed to define the role of biomarkers and to promote protocols integrating specific values.


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