2021 Volume 30 Issue 10 Pages 720-725
In each patient with traumatic brain injury, the pathology is different, and cerebral blood flow and metabolism changes over time. In such a situation, attention is being paid to neurocritical care, which provides appropriate treatment under monitoring. The emphasis of neurocritical care is (1) cerebral perfusion pressure/intracranial pressure management ; (2) infusion/electrolyte management ; (3) respiratory management ; (4) sedation/analgesic management ; (5) body temperature management ; and (6) diagnostic treatment for convulsions. In recent years, the development of neurocritical care has been remarkable, and many results have been reported. Neurocritical care algorithms using intracranial pressure monitoring or brain tissue oxygen partial pressure monitoring as indicators have been investigated and improved outcomes so that they can be easily practiced in daily medical care. In Japan as well, the spread of neurocritical care that makes full use of monitoring is expected to improve the outcome of severe traumatic brain injury.
