scholarly journals Trends in Management of Traumatic Brain Injury by Emergency Physicians in Colombia

2013 ◽  
Vol 2 (3) ◽  
pp. 134-138 ◽  
Author(s):  
Andres M Rubiano ◽  
Hernando Raphael Alvis-Miranda ◽  
Gabriel Alcalá-Cerra ◽  
Luis Rafael Moscote-Salazar ◽  
Claudia Navas ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury ◽  
Emergency Services ◽  
Study Data ◽  
Electronic Format ◽  
Emergency Physicians ◽  
Initial Management ◽  
Common Cause

ABSTRACT Background Traumatic brain injury is a common cause of death in Colombia. The aim of this study was to evaluate the management of traumatic brain injury patients in Colombia. Materials and methods This study was conducted through a survey sent to 100 general practitioners in Colombia through an electronic format. Results Over the period of the study, data collected were about 59 physicians consecutively. The 31% of the respondents knew protocols for the management of traumatic brain injury. Conclusion Traumatic brain injury is one of the most important reasons for consultations in the emergency services in Colombia. We observed significant differences in the initial management of patients with this kind of injury. It requires the establishment of standard protocols and transmission thereof. The implementation of these strategies will contribute to a better patient outcome in Colombia. How to cite this article Alvis-Miranda HR, Navas C, Villa- Delgado R, Rubiano AM, Alcala-Cerra G, Moscote-Salazar LR. Trends in Management of Traumatic Brain Injury by Emergency Physicians in Colombia. J Trauma Critical Care Emerg Surg 2013;2(3):134-138.

Regenerative medicine and traumatic brain injury: from stem cell to cell-free therapeutic strategies

2021 ◽  
Author(s):  
Lianxu Cui ◽  
Yasmeen Saeed ◽  
Haomin Li ◽  
Jingli Yang
Keyword(s):  
Traumatic Brain Injury ◽  
Stem Cells ◽  
Stem Cell ◽  
Brain Injury ◽  
Regenerative Medicine ◽  
Cell Therapy ◽  
Therapeutic Strategies ◽  
Study Data ◽  
Health Concern ◽  
Standardized Treatment

Traumatic brain injury (TBI) is a serious health concern, yet there is a lack of standardized treatment to combat its long-lasting effects. The objective of the present study was to provide an overview of the limitation of conventional stem cell therapy in the treatment of TBI and to discuss the application of novel acellular therapies and their advanced strategies to enhance the efficacy of stem cells derived therapies in the light of published study data. Moreover, we also discussed the factor to optimize the therapeutic efficiency of stem cell-derived acellular therapy by overcoming the challenges for its clinical translation. Hence, we concluded that acellular therapy possesses the potential to bring a breakthrough in the field of regenerative medicine to treat TBI.

Critical Care Resource Utilization and Outcomes of Children With Moderate Traumatic Brain Injury

2017 ◽  
Vol 18 (12) ◽  
pp. 1166-1174 ◽  
Author(s):  
Theerada Chandee ◽  
Vivian H. Lyons ◽  
Monica S. Vavilala ◽  
Vijay Krishnamoorthy ◽  
Nophanan Chaikittisilpa ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury ◽  
Resource Utilization ◽  
Moderate Traumatic Brain Injury ◽  
Critical Care Resource

Outcomes of emergency neurosurgical intervention in neuro-critical care patients with traumatic brain injury at Cork University Hospital

2018 ◽  
Vol 32 (6) ◽  
pp. 585-589 ◽  
Author(s):  
Michael Amoo ◽  
Philip J. O’Halloran ◽  
Anne-Marie Leo ◽  
Aoife O’Loughlin ◽  
Padraig Mahon ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury ◽  
University Hospital ◽  
Critical Care Patients ◽  
Neurosurgical Intervention

scholarly journals Critical Update on the Third Edition of the Guidelines for Managing Severe Traumatic Brain Injury in Children

2020 ◽  
Vol 29 (1) ◽  
pp. e13-e18
Author(s):  
Karin Reuter-Rice ◽  
Elise Christoferson
Keyword(s):  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Current Evidence ◽  
Care Providers ◽  
The Third ◽  
Guideline Document ◽  
Severe Tbi ◽  
Pediatric Tbi

Background Severe traumatic brain injury (TBI) is associated with high rates of death and disability. As a result, the revised guidelines for the management of pediatric severe TBI address some of the previous gaps in pediatric TBI evidence and management strategies targeted to promote overall health outcomes. Objectives To provide highlights of the most important updates featured in the third edition of the guidelines for the management of pediatric severe TBI. These highlights can help critical care providers apply the most current and appropriate therapies for children with severe TBI. Methods and Results After a brief overview of the process behind identifying the evidence to support the third edition guidelines, both relevant and new recommendations from the guidelines are outlined to provide critical care providers with the most current management approaches needed for children with severe TBI. Recommendations for neuroimaging, hyperosmolar therapy, analgesics and sedatives, seizure prophylaxis, ventilation therapies, temperature control/hypothermia, nutrition, and corticosteroids are provided. In addition, the complete guideline document and its accompanying algorithm for recommended therapies are available electronically and are referenced within this article. Conclusions The evidence base for treating pediatric TBI is increasing and provides the basis for high-quality care. This article provides critical care providers with a quick reference to the current evidence when caring for a child with a severe TBI. In addition, it provides direct access links to the comprehensive guideline document and algorithms developed to support critical care providers.

Critical care management in traumatic brain injury

2021 ◽  
pp. 89-99.e2
Author(s):  
Jovany Cruz Navarro ◽  
Yi Deng ◽  
Claudia Robertson
Keyword(s):  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury ◽  
Care Management ◽  
Critical Care Management

Multimodality Monitoring

2018 ◽  
pp. 155-164
Author(s):  
Maranatha Ayodele ◽  
Kristine O’Phelan
Keyword(s):  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury ◽  
Early Recognition ◽  
Secondary Injury ◽  
Multimodality Monitoring ◽  
Injured Brain ◽  
Brain Injured ◽  
Physiologic Parameters ◽  
Injured Patients

Advancements in the critical care of patients with various forms of acute brain injury (traumatic brain injury, subarachnoid hemorrhage, stroke, etc.) in its current evolution recognizes that in addition to the initial insult, there is a secondary cascade of physiological events in the injured brain that contribute significantly to morbidity and mortality. Multimodality monitoring (MMM) in neurocritical care aims to recognize this secondary cascade in a timely manner. With early recognition, critical care of brain-injured patients may then be tailored to preventing and alleviating this secondary injury. MMM includes a variety of invasive and noninvasive techniques aimed at monitoring brain physiologic parameters such as intracranial pressure, perfusion, oxygenation, blood flow, metabolism, and electrical activity. This chapter provides an overview of these techniques and offers a practical guide to their integration and use in the intensive care setting.

Traumatic Brain Injury and Critical Care Seizures

2017 ◽  
pp. 195-209
Author(s):  
Georgia Korbakis ◽  
Paul M. Vespa ◽  
Andrew Beaumont
Keyword(s):  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury

Critical Care Management of the Patient with Traumatic Brain Injury

2016 ◽  
Vol 36 (06) ◽  
pp. 570-576 ◽  
Author(s):  
G. Reddy ◽  
Shankar Gopinath ◽  
Claudia Robertson
Keyword(s):  
Traumatic Brain Injury ◽  
Critical Care ◽  
Brain Injury ◽  
Care Management ◽  
Critical Care Management

scholarly journals P008: Implementation of a voluntary provincial knowledge translation intervention project to improve the appropriateness of CT imaging for patients with mild traumatic brain injury and suspected pulmonary embolism

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S80
Author(s):  
J. Andruchow ◽  
D. Grigat ◽  
A. McRae ◽  
G. Innes ◽  
E. Lang
Keyword(s):  
Traumatic Brain Injury ◽  
Pulmonary Embolism ◽  
Decision Support ◽  
Brain Injury ◽  
Diagnostic Imaging ◽  
Patient Outcomes ◽  
Mild Traumatic Brain Injury ◽  
Emergency Physicians ◽  
Suspected Pulmonary Embolism ◽  
Ct Utilization

Introduction: Utilization of CT imaging has risen dramatically with increases in availability, but without corresponding improvements in patient outcomes. Previous attempts to improve imaging appropriateness via guideline implementation have met with limited success, with commonly cited barriers including a lack of confidence in patient outcomes, medicolegal risk, and patient expectations. The objective of this project is to improve CT utilization and appropriateness by addressing common barriers through clinical decision support (CDS) embedded in clinical practice. Methods: This matched-pair cluster-randomized trial saw 12 Alberta EDs with CT scanners randomized to receive CDS for diagnostic imaging. After extensive site engagement to recruit emergency medicine and diagnostic imaging leadership and stakeholders and understand local contexts, half of the sites received CDS for mild traumatic brain injury (MTBI) based on the Canadian CT Head Rule, while the remainder received CDS for suspected pulmonary embolism (PE), including the Pulmonary Embolism Rule-out Criteria (PERC), Wells Score, age-adjusted D-dimer and CT pulmonary angiography (CTPA) use. Hardcopy CT order forms including quantitative decision support, source literature and patient handouts were developed and adapted and integrated into workflow as per local site preference. Regular physician and site report cards on CT utilization and CDS use were also provided. The primary outcome was diagnostic imaging utilization for patients with MTBI and suspected PE. Results: During the study period, 144 emergency physicians at 6 EDs saw 3,278 patients with MTBI and 146 emergency physicians at six matched comparison EDs saw 18,606 patients with suspected PE. Use of CDS was highly variable by site, ranging from 0% to 29% of CT orders for MTBI and from 13% to 75% of CTPA orders for suspected PE. Impact on CT utilization, appropriateness, diagnostic yield is currently under investigation, but is expected to be limited at many sites given the variable adoption of decision support. Conclusion: A comprehensive CDS intervention to improve evidence-based imaging has met with variable uptake. Meaningful and widespread sustained improvements in practice will likely require incentives, accountability measures and leadership authority to enforce change.

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