RESUSCITATION FOR HEAD INJURY

Öz

Head traumas are acute clinical conditions with a high mortality risk and a low probability of complete recovery. In addition to the primary injuries that start at the time of the incident, early diagnosis and therapy of the damages that increase the severity of head trauma, preventable secondary damages such as hypoxia, hypotension, normocapnia, and all kinds of treatments and manoeuvres that prevent the increase of intracranial pressure contribute to the quality of survival. The role of experienced teams and advanced trauma centres is very vital in this regard. National trauma guidelines should be established and used routinely.

Anahtar Kelimeler

• trauma
• head
• resuscitation

KAFA TRAVMALARINDA RESÜSİTASYON

Öz

Kafa travmaları mortalite riski yüksek ve tam iyileşme olasılığı az olan akut klinik durumlardır. Olay anında başlayan birincil hasarlara ek olarak kafa travmasının şiddetini artıran ve önlenebilir sekonder hasarlar olan hipoksi, hipotansiyon, normokapni ve intrakraniyal basınç artışını engelleyen her türlü tedavi ve manevraların erken tanı ve tedavisi ile kaliteli sağ kalıma katkı sağlanır. Bu konuda deneyimli ekiplerin ve gelişmiş travma merkezlerinin rolü çok önemlidir. Ulusal travma kılavuzları mutlaka oluşturulmalı ve rutin olarak kullanılmalıdır.

Anahtar Kelimeler

• travma
• kafa
• resüsitasyon

Kaynakça

1. Ulusal Sağlık ve Klinik Mükemmellik Enstitüsü (Birleşik Krallık. Kafa Travması: değerlendirme ve erken müdahale. Güncelleme kılavuzu Haziran 2017, www.braintrauma.org
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9. Cole E, Weaver A, Gall L, et al. A Decade of Damage Control Resuscitation: New Transfusion Practice, New Survivors, New Directions. Ann Surg. 2021;273(6):1215-20.
10. Rossaint, R., Afshari, A., Bouillon, B, et al. The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Crit Care 2023;27(1):80.
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12. CRASH-3 trial collaborators. Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. Lancet2019;394(10210):1713-23.
13. Tran A, Yates J, Lau A, Lampron J, Matar M. Permissive hypotension versus conventional resuscitation strategies in adult trauma patients with hemorrhagic shock: A systematic review and meta-analysis of randomized controlled trials. J Trauma Acute Care Surg 2018;84(5):802-8.
14. Hawryluk G.W.J., Rubiano A.M., Totten A.M., et all Guidelines for the management of severe traumatic brain injury:2020 update of the decompressive craniectomy recommendations. Neurosurgery 2020;87:427-34.