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11 - Head Trauma – Anesthesia Considerations and Management

Published online by Cambridge University Press:  18 January 2010

By
Paul Tenenbein ,
M. Sean Kincaid  and
Arthur M. Lam
Edited by
Charles E. Smith
Paul Tenenbein
Affiliation:
Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington
M. Sean Kincaid
Affiliation:
Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington
Arthur M. Lam
Affiliation:
Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington
Charles E. Smith
Affiliation:
Case Western Reserve University, Ohio
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Summary

Objectives

  1. Review the pathophysiology of traumatic brain injury.

  2. Summarize the systemic manifestations of acute traumatic brain injury.

  3. Review the current guidelines regarding management of traumatic brain injury.

  4. Discuss the anesthetic management of traumatic brain injury and the potential complications.

INTRODUCTION

Traumatic brain injury (TBI) imposes a significant burden on society, the presence of which is the primary determinant in quality of outcome following trauma [1]. With respect to age, it occurs in a bimodal fashion. Young persons between 15 and 24 years suffer head injuries in motor vehicles and violence, especially in association with alcohol use. Older persons, particularly those older than 75 years, suffer from an increased frequency of falls leading to head injury. It is estimated that 1.6 million head injuries occur annually in the United States with 250,000 patients requiring hospitalization [2, 3]. The results of these injuries include 60,000 deaths and 70,000–90,000 permanent neurologic disabilities [2, 4]. It is estimated that $100 billion is spent annually in the United States alone providing care for these individuals. Primary prevention is essential to decrease the burden of this problem. But for those who do sustain TBI, there is much we can do to provide the best possible care for these patients. Although the Brain Trauma Foundation has provided guidelines for the management of severe traumatic brain injury (www.braintrauma.org), there are still many institutional differences in the care these patients receive, potentially affecting outcome [5].

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Type
Chapter
Information
Trauma Anesthesia , pp. 172 - 186
Publisher: Cambridge University Press
Print publication year: 2008

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  • Head Trauma – Anesthesia Considerations and Management
    • By Paul Tenenbein, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington, M. Sean Kincaid, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington, Arthur M. Lam, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington
  • Edited by Charles E. Smith, Case Western Reserve University, Ohio
  • Book: Trauma Anesthesia
  • Online publication: 18 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547447.014
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Save book to Dropbox

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  • Head Trauma – Anesthesia Considerations and Management
    • By Paul Tenenbein, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington, M. Sean Kincaid, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington, Arthur M. Lam, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington
  • Edited by Charles E. Smith, Case Western Reserve University, Ohio
  • Book: Trauma Anesthesia
  • Online publication: 18 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547447.014
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Head Trauma – Anesthesia Considerations and Management
    • By Paul Tenenbein, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington, M. Sean Kincaid, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington, Arthur M. Lam, Department of Anesthesiology, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington
  • Edited by Charles E. Smith, Case Western Reserve University, Ohio
  • Book: Trauma Anesthesia
  • Online publication: 18 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547447.014
Available formats
×