Neurocritical Care of Acute Subdural Hemorrhage
Al-Mufti F, and Mayer SA. Neurocritical care of acute subdural hemorrhage. Neurosurg Clin N Am 2017; 28(2):267-278.
Neurosurgery clinics of North America
Although urgent surgical hematoma evacuation is necessary for most patients with subdural hematoma (SDH), well-orchestrated, evidenced-based, multidisciplinary, postoperative critical care is essential to achieve the best possible outcome. Acute SDH complicates approximately 11% of mild to moderate traumatic brain injuries (TBIs) that require hospitalization, and approximately 20% of severe TBIs. Acute SDH usually is related to a clear traumatic event, but in some cases can occur spontaneously. Management of SDH in the setting of TBI typically conforms to the Advanced Trauma Life Support protocol with airway taking priority, and management breathing and circulation occurring in parallel rather than sequence.
Medical Subject Headings
Blood Pressure; Brain Injuries; Cerebrovascular Circulation; Critical Care; Hematoma, Subdural, Acute; Humans; Intracranial Pressure; Postoperative Care; Resuscitation; Seizures; Stomach Ulcer; Tomography, X-Ray Computed; Venous Thrombosis