Intravenous Fluid Therapy in Traumatic Brain Injury and Decompressive Craniectomy

Bulletin of Emergency And Trauma

Sandra Milena Castellar-Leones¹  Luis Rafael Moscote-Salazar¹  Hernando Raphael Alvis-Miranda¹ 

[1]Universidad de Cartagena

关键词: Brain trauma;    Colloid solutions;    Fluid resuscitation;   

DOI  :  

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. The immediate rapid infusion of large volumes of crystalloids to restore blood volume and blood pressure is now the standard treatment of patients with combined traumatic brain injury (TBI) and hemorrhagic shock (HS). The fluid in patients with brain trauma and especially in patients with brain injur y is a critical issue. In this context we present a review of the literature about the history, physiology of current fluid preparations, and a discussion regarding the use of fluid therapy in traumatic brain injury and decompressive craniectomy.

【 授权许可】

Unknown