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J Neurosurg Anesthesiol · Oct 2017
ReviewHypertension After Severe Traumatic Brain Injury: Friend or Foe?
- Vijay Krishnamoorthy, Nophanan Chaikittisilpa, Taniga Kiatchai, and Monica Vavilala.
- *Department of Anesthesiology and Pain Medicine, University of Washington †Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA.
- J Neurosurg Anesthesiol. 2017 Oct 1; 29 (4): 382387382-387.
AbstractTraumatic brain injury (TBI) is a major public health problem, with severe TBI contributing to a large number of deaths and disability worldwide. Early hypotension has been linked with poor outcomes following severe TBI, and guidelines suggest early and aggressive management of hypotension after TBI. Despite these recommendations, no guidelines exist for the management of hypertension after severe TBI, although observational data suggests that early hypertension is also associated with an increased risk of mortality after severe TBI. The purpose of this review is to discuss the underlying pathophysiology of hypertension after TBI, provide an overview of the current clinical data on early hypertension after TBI, and discuss future research that should test the benefits and harms of treating high blood pressure in TBI patients.
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