In traumatic brain injury, cerebral perfusion pressure should be maintained at ?
Treatment General Protection of airway using mouth gag, endotracheal intubation or tracheostomy, whenever required. Throat suction, bladder and bowel care and good nursing are very essential. Nasal oxygen, or often ventilator suppo. IV fluids initially, later Ryle's tube feeding has to be done. Electrolyte maintenance. Drugs Sedation is avoided. Analgesics and anticonvulsants like phenytoin or phenobarbitone is staed. Diuretics are given to reduce cerebral oedema--either mannitol 20%, 200 ml IV 8th hourly or frusemide 40 mg IV 8th hourly. It should not be given in case of intracranial haematoma. Cerebral perfusion must be maintained at 70-100mmHg Antibiotics like penicillins, ampicillins are given to prevent the onset of meningitis. through and through cut across skull and brain. Patient survived and went home. Coicosteroids, either dexamethasone or betamethasone is used commonly, but its beneficial effect is not confirmed. Indications for surgery Acute extradural haematoma. Acute subdural haematoma. Depressed skull fracture. Ref: SRB's Manual of Surgery 5th edition Pgno : 1094
35 - 50 mm Hg
50 - 70 mm Hg
70 - 90 mm Hg
> 90 mm Hg
Trauma