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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229 EISSN: 0972-5229
Vol. 8, No. 2, 2004, pp. 120-126
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Bioline Code: cm04013
Full paper language: English
Document type: Research Article
Document available free of charge
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Indian Journal of Critical Care Medicine, Vol. 8, No. 2, 2004, pp. 120-126
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Review Article - Intracranial hypertension after traumatic brain injury
Seppelt Ian
Abstract
Traumatic brain injury is a devastating problem with both high mortality and high subsequent morbidity. Injury to the brain occurs both at the time of the initial trauma (the primary injury) and subsequently due to ongoing cerebral ischaemia (the secondary injury). Hypotension and hypoxaemia are well recognized causes of this secondary injury. In the intensive care unit raised intracranial pressure (intracranial hypertension) is seen frequently after a severe diffuse brain injury and leads to cerebral ischaemia by compromising cerebral perfusion. This paper reviews the pathophysiology of intracranial hypertension and summarises current and experimental approaches to its management in the intensive care unit.
Keywords
Brain injury, cerebral perfusion, decompressive craniectomy, head injury, intracranial pressure
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© Copyright 2004 Indian Journal of Critical Care Medicine. Alternative site location: http://www.ijccm.org/
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