Successful outcome in severe traumatic brain injury: a case study.
This case study describes the management of a 54-year-old male who presented to the Hospital of the University of Pennsylvania (HUP) with a traumatic brain injury (TBI) after being assaulted. He underwent an emergent bifrontal decompressive hemicraniectomy for multiple, severe frontal contusions. His postoperative course included monitoring of intracranial pressure, cerebral perfusion pressure, partial pressure of brain oxygen, brain temperature, and medical management based on HUP's established TBI algorithm. This case study explores the potential benefit of combining multimodality monitoring and TBI guidelines in the management of severe TBI.
Patterson
Jessica
J
Neurotrauma Intensive Care Unit, Hospital of the University of Pennsylvania in Philadelphia, PA, USA.
Bloom
Stephanie A
SA
Coyle
Bernadette
B
Mouradjian
Danielle
D
Wilensky
Eileen Maloney
EM
D000465:Algorithms; D001930:Brain Injuries / Q000451:nursing* / Q000601:surgery / Q000628:therapy; D003422:Critical Care / Q000379:methods; D006801:Humans; D002534:Hypoxia, Brain / Q000451:nursing* / Q000601:surgery / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D012720:Severity of Illness Index; D013041:Specialties, Nursing / Q000379:methods*; D016896:Treatment Outcome