Interpretation of three important problems in clinical treatment from guidelines for the management of severe traumatic brain injury (fourth edition) issued by the United States in 2016

VernacularTitle:从2016年美国《重型颅脑创伤治疗指南(第四版)》解读临床救治中的三个重要问题
Author: Baiyun LIU
Keywords: craniocerebral trauma; guidebooks; decompressive craniectomy; mild hypothermia therapy; intracranial pressure monitoring
From: Tianjin Medical Journal 2017;45(8):791-795
CountryChina
Language:Chinese
Abstract: Guidelines for the Management of Severe Traumatic Brain Injury (Fourth Edition) have received extensive attention both at home and abroad after releasing by the Brain Trauma Foundation of the United States in 2016. The interval between the published newest version of the Guidelines and the Third Edition has already approached 7 years. In accordance with more rigorous evidence-based medicine standards, the Fourth Edition includes 94 updated research findings as evidence, in combination with the proposition of more accurate treatment recommendations and problem solutions. Combining the domestic situation and problems in the treatment of severe traumatic brain injury at present, three most important clinical issues related to the Fourth Edition of the guidelines are interpreted and analyzed in the present study, including decompressive craniectomy, mild hypothermia therapy and intracranial pressure monitoring, so as to improve the level of treatment of traumatic brain injury in China.