Conservative Management of Severe Cerebral Trauma

  • Christoph CastellaniEmail author
  • Hans-Georg Eder
Living reference work entry


Traumatic brain injury (TBI) is a common cause for death in children and adolescents. The underlying brain injury can be categorized into primary lesions caused by the immediate effects of the trauma and secondary lesions due to inflammation, hypoxia, hypotension, hyperthermia, and other metabolic processes. Modern intensive care lies in the prevention of these secondary lesions by correct patient positioning, monitoring of intracranial pressure with rapid therapy of intracranial hypertension (deep sedation, osmotic therapy, barbiturates, liquor drainage), early neurosurgical intervention, and glucose and temperature control. This chapter summarizes current literature and guidelines for conservative management of TBI patients from shock room to advanced intensive care.


Traumatic brain injury Intracranial pressure Intracranial hypertension Intensive care Neuromonitoring 


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Authors and Affiliations

  1. 1.Pediatric Intensive Care Unit, Department of Pediatric and Adolescent SurgeryMedical University of GrazGrazAustria
  2. 2.Department of NeurosurgeryMedical University of GrazGrazAustria

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