Neurocritical Care of Acute Subdural Hemorrhage.
Although urgent surgical hematoma evacuation is necessary for most patients with subdural hematoma (SDH), well-orchestrated, evidenced-based, multidisciplinary, postoperative critical care is essential to achieve the best possible outcome. Acute SDH complicates approximately 11% of mild to moderate traumatic brain injuries (TBIs) that require hospitalization, and approximately 20% of severe TBIs. Acute SDH usually is related to a clear traumatic event, but in some cases can occur spontaneously. Management of SDH in the setting of TBI typically conforms to the Advanced Trauma Life Support protocol with airway taking priority, and management breathing and circulation occurring in parallel rather than sequence.
Endovascular Surgical Neuroradiology Program, Rutgers University-New Jersey Medical School, Newark, NJ, USA.
Fawaz
F
Al-Mufti
Department of Neurology, Henry Ford Health System, 2799 W Grand Boulevard, Detroit, MI 48202, USA. Electronic address: stephanamayer@gmail.com.
Stephan A
SA
Mayer
D001794:Blood Pressure; D001930:Brain Injuries / Q000150:complications*; D002560:Cerebrovascular Circulation; D003422:Critical Care; D020199:Hematoma, Subdural, Acute / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007427:Intracranial Pressure; D011182:Postoperative Care; D012151:Resuscitation; D012640:Seizures / Q000150:complications / Q000517:prevention & control; D013276:Stomach Ulcer / Q000150:complications / Q000517:prevention & control; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000150:complications / Q000517:prevention & control
Acute subdural hematoma; Acute subdural hemorrhage; Advanced Trauma Life Support protocol; Traumatic brain injury