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MANAGEMENT OF BRAIN EDEMA IN ACUTE HEAD INJURY [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2002; 8(2): 65-73

MANAGEMENT OF BRAIN EDEMA IN ACUTE HEAD INJURY

Dursun Aygün, Hakan Güven, Zahide Doğanay, Levent Altıntop, Fikret Bildik, Murat Yerliyurt, Havva Şahin
Ondokuz Mayıs Üniversitesi Tıp Fakültesi İlk Ve Acil Yardım Anabilim Dalı, Samsun, Turkey

BACKGROUND: We aim was to review the basic concepts and to analyze the current management of cerebral edema following acute head trauma (AHT).
METHOD: Cerebral edema should be recognized and treated early and aggressively to avoid disastrous results such as cerebral herniation. After clinical evaluation and early cardiorespiratory stabilization, the patients should be treated with the elevation of head, oxygen, mannitol, hyperventilation, and sedation-myorelaxation and may avoid from hypotension-hypoxia. If these treatments be unsuccessful, barbiturates may be used. There are also other possibilities such as hypothermia, ventriculostomy, hypertonic saline and neuroprotector agents.
CONCLUSIONS: All patients with AHT should be evaluated early and cerebral edema should be treated with correct therapy. Therefore, the mortality and morbidity rates may reduce.


AKUT KAFA TRAVMASINDA ANTİÖDEM TEDAVİ

Dursun Aygün, Hakan Güven, Zahide Doğanay, Levent Altıntop, Fikret Bildik, Murat Yerliyurt, Havva Şahin
Ondokuz Mayıs Üniversitesi Tıp Fakültesi İlk Ve Acil Yardım Anabilim Dalı, Samsun, Turkey


Dursun Aygün, Hakan Güven, Zahide Doğanay, Levent Altıntop, Fikret Bildik, Murat Yerliyurt, Havva Şahin. MANAGEMENT OF BRAIN EDEMA IN ACUTE HEAD INJURY. Ulus Travma Acil Cerrahi Derg. 2002; 8(2): 65-73

Corresponding Author: Dursun Aygün, Türkiye
Manuscript Language: Turkish