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Continuing Education in Anaesthesia, Critical Care & Pain 2004 4(5):156-159; doi:10.1093/bjaceaccp/mkh043
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 4 Number 5 2004 © The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Anaesthesia for extra-cranial surgery in patients with traumatic brain injury

Atul J Prabhu, FRCA, Clinical Fellow
Perioperative Care Services, PO Box 93, Addenbrookes' Hospital, Hills Road, Cambridge, CB2 2QQ

Basil F Matta, MA FRCA, Clinical Director
Perioperative Care Services, PO Box 93, Addenbrookes' Hospital, Hills Road, Cambridge, CB2 2QQ
Tel: 01223 217434, Fax: 01223 217223, E-mail: basil.matta{at}addenbrookes.nhs.uk (for corespondence)

Severe head injury remains common and patients who survive the initial insult are often left with a major neurological deficit. This has serious economic implications both for health care resources and for society, as most of the patients affected are young adults early in their working lives. Intensive care of patients who suffer traumatic brain injury aims to prevent secondary neuronal damage. Up to 75% of blunt trauma victims suffer some degree of head injury, which has been linked to higher mortality. Despite widespread compliance with published guidelines regarding the management of the head injury per se, the optimal timing for dealing with extra-cranial injury in patients with associated brain trauma remains unclear and is discussed in this article.


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