Despite progress in the management of adults with severe traumatic brain injury, several controversies persist. Among the unresolved issues of greatest concern to neurocritical care clinicians and scientists are the following: (1) the best use of technological advances and the data obtained from multimodality monitoring; (2) the use of mannitol and hypertonic saline in the management of increased intracranial pressure; (3) the use of decompressive craniectomy and barbiturate coma in refractory increased intracranial pressure; (4) therapeutic hypothermia as a neuroprotectant; (5) anemia and the role of blood transfusion; and (6) venous thromboembolism prophylaxis in severe traumatic brain injury. Each of these strategies for managing severe traumatic brain injury, including the postulated mechanism(s) of action and beneficial effects of each intervention, adverse effects, the state of the science, and critical care nursing implications, is discussed.

Patricia A. Blissitt

AACN Advanced Critical Care

AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue.     AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.

AACN Advanced Critical Care is a quarterly, peer-reviewed journal designed for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue features a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. The journal provides concise, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.

《AACN Advanced Critical Care》是一本季度出版的同行评审期刊，专为在床边工作的经验丰富的重症监护和急救临床医生、高级实践护士以及临床和学术教育者而设。每期包含一个主题研讨会、特色文章以及与重症监护和渐进护理临床医生相关的专栏。期刊提供简明实用的信息，便于立即使用和未来参考。每期的部分文章还提供继续教育学分。该期刊是美国重症护理护士协会的官方出版物。

Controversies in the Management of Adults With Severe Traumatic Brain Injury

Each of these strategies for managing severe traumatic brain injury, including the postulated mechanism(s) of action and beneficial effects of each intervention, adverse effects, the state of the science, and critical care nursing implications, is discussed.

Controversies in the Management of Adults With Severe Traumatic Brain Injury

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Journal Info

Category	Quartile
NURSING	2