Severe TBI is a difficult, frustrating condition to treat. The secondary injury process occurs despite our best efforts: and our monitoring tools are incredibly blunt. Physiological parameters change when it’s too late: ICP is a localised and at times unreliable measure. CPP is two steps away from cerebral blood flow.
So what can we monitor, and how does it help us? Which technology is useful? Which indices and calculations are useful? There are multiple monitoring indices available: which are clinically going to change management?
And once we have the numbers, what do we do then? Lots of answers here from one of the UK’s leading brain injury researchers.
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