We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Mastering the brain in critical conditions: an update.
- Authors
Robba, Chiara; Zanier, Elisa R.; Lopez Soto, Carmen; Park, Soojin; Sonneville, Romain; Helbolk, Raimund; Sarwal, Aarti; Newcombe, Virginia F. J.; van der Jagt, Mathieu; Gunst, Jan; Gauss, Tobias; Figueiredo, Samy; Duranteau, Jacques; Skrifvars, Markus B.; Iaquaniello, Carolina; Muehlschlegel, Susanne; Metaxa, Victoria; Sandroni, Claudio; Citerio, Giuseppe; Meyfroidt, Geert
- Abstract
Acute brain injuries, such as traumatic brain injury and ischemic and hemorragic stroke, are a leading cause of death and disability worldwide. While characterized by clearly distict primary events—vascular damage in strokes and biomechanical damage in traumatic brain injuries—they share common secondary injury mechanisms influencing long-term outcomes. Growing evidence suggests that a more personalized approach to optimize energy substrate delivery to the injured brain and prognosticate towards families could be beneficial. In this context, continuous invasive and/or non-invasive neuromonitoring, together with clinical evaluation and neuroimaging to support strategies that optimize cerebral blood flow and metabolic delivery, as well as approaches to neuroprognostication are gaining interest. Recently, the European Society of Intensive Care Medicine organized a 2-day course focused on a practical case-based clinical approach of acute brain-injured patients in different scenarios and on future perspectives to advance the management of this population. The aim of this manuscript is to update clinicians dealing with acute brain injured patients in the intensive care unit, describing current knowledge and clinical practice based on the insights presented during this course.
- Subjects
BRAIN injuries; INTENSIVE care patients; CEREBRAL circulation; BRAIN damage; ISCHEMIC stroke
- Publication
Intensive Care Medicine Experimental, 2024, Vol 12, Issue 1, p1
- ISSN
2197-425X
- Publication type
Article
- DOI
10.1186/s40635-023-00587-3