Current international trends in severe acute brain trauma

[摘要] A comprehensive review is presented on current international trends regarding research and management of severe acute brain trauma. Controversial issues are thoroughly discussed and an attempt is made to clarify questionable aspects from pertinent publications in the international literature. A proposition is made to manage not only intracranial pressure and perfusion pressure, but also cerebral hemometabolic parameters in these critically ill patients. Currently available management guidelines are not evidence-based.

[关键词] head injury;intracranial pressure;cerebral perfusion pressure;cerebral extraction of oxygen;traumatismo cerebral;pressão intracraniana;pressão de perfusão cerebral;extração cerebral de oxigênio