Controversies in Severe Traumatic Brain Injury Management
This book addresses the current levels of evidence for management of a variety of critical parameters after severe traumatic brain injury (TBI), as well as providing the reader with practical approaches to care based upon existing evidence. As the managem
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Controversies in Severe Traumatic Brain Injury Management
Shelly D. Timmons Editor
Controversies in Severe Traumatic Brain Injury Management
Editor Shelly D. Timmons Department of Neurosurgery Penn State University Milton S. Hershey Medical Center Hershey, PA USA
ISBN 978-3-319-89476-8 ISBN 978-3-319-89477-5 (eBook) https://doi.org/10.1007/978-3-319-89477-5 Library of Congress Control Number: 2018947177 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Management of severe traumatic brain injury (TBI) remains one of the most complicated and controversial areas of neurosurgery, trauma care, and critical care medicine. The human, social, and financial toll of severe traumatic brain injury is astronomical, and management is aimed at mitigating the long-term effects on each individual suffering from this malady. While major improvements in mortality from severe TBI have been achieved in the last few decades, optimization of outcome in survivors depends on a host of prognostic variables and treatment paradigms. While the implementation of treatment guidelines and protocols has led to some standardized therapeutic approaches, much remains to be understood about the impact of almost all potential therapeutic interventions. Care is often complicated by the involvement of multiple medical disciplines, the presence of polytrauma, and our aging population with a variety of pre-injury comorbidities. Decision-making must at once be based on evidence from population medicine but tailored to the individual patient’s injury patterns, comorbid conditions, pre-injury value systems, and evolving
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