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What's New in Monitoring in Severe Head Injury

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Author(s): Dr. Naresh Kaul | Dr. H.H. Dash

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 4;
Issue: 3;
Start page: 1234;
Date: 2003;
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Keywords: head injury | Cerebral perfusion | ICP | monitoring

ABSTRACT
Central nervous system (CNS) trauma is a significant cause of morbidity and mortality all over the world. In USA, each year, 500,000 patients with head injury are seen in the emergency department and of these more than 50,000 die from their injuries (1). Major cause of this menace is cerebral ischemia that ensues minutes to hours after the primary head injury. This is commonly known as secondary injury. Secondary brain lesions resulting from cerebral metabolic and hemodynamic reactions can be prevented by neurocritical care management. It must be initiated as early as possible, ideally in a prehospital setting.
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