Management of Traumatic Brain Injury (TBI)

Traumatic brain injury (closed head trauma) is relatively common in dogs and especially cats, often following motor vehicle collision. A rational approach to management is essential to try and maximise the chances of a successful outcome.
In this episode of the podcast I discuss traumatic brain injury focusing on key aspects of management and touching on some potentially contentious issues. Areas covered include:

The need to prioritise potentially life-threatening problems that may be extra-cranial
Primary (already happened) versus secondary (aim to minimise) brain injury
Ensuring adequate oxygenation and ventilation
Ensuring adequate cerebral perfusion
Addressing raised intracranial pressure including hypertonic saline vs. mannitol; furosemide?
The importance of analgesia
Steroids?
Relevance of hyperglycaemia?
Prognostication

 
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