CONSERVATIVE MANAGEMENT OF TRAUMATIC BRAIN INJURY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 36
Abstract
BACKGROUND Traumatic brain injuries are a major cause of morbidity and mortality in modern times and it is a huge health sector burden.[1] Understanding the mechanism of traumatic brain injury leads to the development of guidelines for the management of traumatic brain injury. This study aims at evaluating the conservative management of traumatic brain injury. MATERIALS AND METHODS It is a retrospective and descriptive study conducted from January 2015 to December 2016 in the surgical department of our tertiary care hospital. 185 non-operated cases of traumatic brain injury were enrolled in the study. RESULTS The mean age was 29.84 years. The sex ratio was 6.4. Road traffic accidents were responsible for injury in 82.16% of the cases. 48.65% of patients had a moderate brain injury (GCS 9 - 12), while 10.81% had a severe brain injury (GCS 3 - 8). Radiological evaluation demonstrated the brain contusion in 48.65% of the cases. Prevention of post-traumatic seizure was done with the use of phenytoin. Mannitol was used for its osmotic properties to reduce cerebral oedema. Favourable outcome was noted in 56.75% of the cases. Common complications were lower respiratory tract complications, chronic neurological sequelae, urinary infection and hyponatremia. Mortality was recorded at 15.13%. CONCLUSION Conservative management of traumatic brain injury involves use of the ventilatory assistance in all severe traumatic brain injuries, treatment of infectious complications and prevention of electrolyte imbalance.
Authors and Affiliations
Neha S. Jadhav, Avinash S. K
Keywords
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- EP ID EP544943
- DOI 10.14260/jemds/2018/882
- Views 77
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