Citation

Adams CA, Stein DM, Morrison JJ, Scalea TM. Trauma Surg. Acute Care Open 2018; 3(1): e000142.

Affiliation

R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, Maryland, USA.

Copyright

(Copyright © 2018, The author(s) and the American Association for the Surgery of Trauma, Publisher BMJ Publishing Group)

DOI

10.1136/tsaco-2017-000142

PMID

29766131

PMCID

PMC5887831

Abstract

Traumatic brain injury (TBI) is the leading cause of death after traumatic injury. Raised intracranial pressure (ICP) is particularly associated with poor TBI outcomes, prompting clinicians to monitor this parameter, using it to guide therapies aimed at reducing pressures. Despite this approach being recommended by several bodies such as the Brain Trauma Foundation and the American College of Surgeons, the evidence demonstrating that ICP-guided therapy improves outcome is limited. The topic was debated at the 36th Annual Point/Counterpoint Acute Care Surgery Conference and the following article summarizes the discussants points of view along with a summary of the evidence. LEVEL OF EVIDENCE: Level III.

Language: en

Keywords

icp; intracranial pressure; tbi; traumatic brain injury