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Anesthesia for Trauma pp 145–165Cite as

Brain Injuries: Perianesthetic Management

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Abstract

Traumatic brain injury and its treatment or better still prevention has concerned man for centuries. While many of the pathways that result in neuronal damage are recognized, means to prevent or decrease impairment are less well understood. Many scores and more recently biomarkers have been used successfully to prognosticate survival. Early control of raised intracranial pressure is essential as is also normalization of systemic blood pressure and prevention of hypoxia and hypocarbia. Fluid resuscitation should be carefully balanced against output and sugar-containing solutions should be avoided.

The time has been that, when the brains were out the man would die, and there be an end; but now they rise again. (Macbeth. Act 3, Scene 4;78–80 (Macbeth on seeing the ghost of Banquo))

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Authors and Affiliations

  1. Department of Anesthesiology, Icahn Medical Center at Mount Sinai, 1 Gustave L. Levy Place, New York, NY, 10029, USA

    Elizabeth A. M. Frost M.B., Ch.B., D.R.C.O.G.

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  1. Elizabeth A. M. Frost M.B., Ch.B., D.R.C.O.G.
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Correspondence to Elizabeth A. M. Frost M.B., Ch.B., D.R.C.O.G. .

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  1. Bellevue Hospital Center, New York University, New York, New York, USA

    Corey S. Scher

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Frost, E.A.M. (2014). Brain Injuries: Perianesthetic Management. In: Scher, C. (eds) Anesthesia for Trauma. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0909-4_8

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