Titlebook: Controversies in Severe Traumatic Brain Injury Management; Shelly D. Timmons Book 2018 Springer International Publishing AG, part of Sprin

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Fluid and Electrolyte Management: Hyperosmolar Euvolemia and the Use of Hypertonic Saline for Intra) through relief of cerebral edema. Hypertonic saline has emerged as a useful agent to control or prevent ICP elevation while also maintaining a euvolemic state. Hypertonic saline is now routinely used in neurocritical care units for a variety of indications. The evolution of this practice and the e

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Management to Optimal Parameters: Euboxia?,idence-based research has allowed us a greater understanding of the pathophysiology and parameters that impact outcomes. Despite this, much uncertainty still remains, and further studies should be performed to identify ways to optimize parameters to achieve the best outcomes for TBI patients.

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Nutrition: Time to Revisit?,ncreases systemic and cerebral energy requirements. Proper management of nutrition in severe TBI patients is important because it influences clinical outcomes. In this chapter we discuss these controversies in nutritional support of severe TBI patients, as follows: the optimal timing of enteral feed

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Deep Vein Thrombosis and Venous Thromboembolism Prophylaxis in Traumatic Brain Injury: Current Trea known independent risk factor for DVT/VTE. Chemical prophylaxis is now commonplace in trauma, decreasing rates of DVT/VTE. Due to the risk of catastrophic worsening of intracranial bleeding or the possible need for surgical intervention, neurosurgeons are frequently reluctant to initiate chemical D

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Treatment of Anemia, of transfusion, and the relationship between red blood cell transfusion (RBCT) and outcome. The role of hematopoiesis-stimulating agents and hemoglobin-based blood substitutes will be briefly considered, and the chapter will conclude with a suggested approach to anemia management in TBI. Coagulatio