Open AccessHow do we identify the crashing traumatic brain injury patient – the intensivist's view
Author(s) -
Victoria McCredie,
Javier Chavarría,
Andrew J. Baker
Publication year - 2021
Publication title -
current opinion in critical care, with evaluated medline/current opinion in critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.212
H-Index - 88
eISSN - 1080-8183
pISSN - 1070-5295
DOI - 10.1097/mcc.0000000000000825
Subject(s) - medicine , traumatic brain injury , intensivist , neurointensive care , intensive care medicine , modalities , sedation , intensive care , surgery , psychiatry , social science , sociology
Over 40% of patients with severe traumatic brain injury (TBI) show clinically significant neurological worsening within the acute admission period. This review addresses the importance of identifying the crashing TBI patient, the difficulties appreciating clinical neurological deterioration in the comatose patient and how neuromonitoring may provide continuous real-time ancillary information to detect physiologic worsening.