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عمومی::
پروفیلاکسی، پروفیلاکسی، طب پیشگیری
Up to 25% of patients with isolated TBI develop deep vein thrombosis (DVT) with the risk of pulmonary embolism.131 Low-molecular-weight heparin or low-dose unfractionated heparin should be used in combination with mechanical prophylaxis, despite the increased risk of intracranial hemorrhage expansion.24 The Parkland Protocol, which stratifies patients into dif- ferent risk groups for spontaneous progression of hemor- rhage, can help assess the optimal timing for the start of DVT prophylaxis.132 The incidence of early posttraumatic seizures (during the first week after TBI) can be reduced by phenytoin.24 As these early posttraumatic seizures do not influence outcome, this prevention is not obligatory.
This is associated with a higher inci- dence of thromboembolic disease, and early administration of venous thromboembolism prophylaxis within 72 hours after injury is recommended.
Inferior vena cava filters are not suitable for prophylaxis.138
In addition, seizure prophylaxis can be considered until the aneurysm is treated along with blood pressure control to normotensive goals.158,162,163
Supportive care in the ICU is important for patient out- comes, including DVT prophylaxis, early mobilization and،Up to 25% of patients with isolated TBI develop deep vein thrombosis (DVT) with the risk of pulmonary embolism.131 Low-molecular-weight heparin or low-dose unfractionated heparin should be used in combination with mechanical prophylaxis, despite the increased risk of intracranial hemorrhage expansion.24 The Parkland Protocol, which stratifies patients into dif- ferent risk groups for spontaneous progression of hemor- rhage, can help assess the optimal timing for the start of DVT prophylaxis.132 The incidence of early posttraumatic seizures (during the first week after TBI) can be reduced by phenytoin.24 As these early posttraumatic seizures do not influence outcome, this prevention is not obligatory.
This is associated with a higher inci- dence of thromboembolic disease, and early administration of venous thromboembolism prophylaxis within 72 hours after injury is recommended.
Inferior vena cava filters are not suitable for prophylaxis.138
In addition, seizure prophylaxis can be considered until the aneurysm is treated along with blood pressure control to normotensive goals.158,162,163
Supportive care in the ICU is important for patient out- comes, including DVT prophylaxis, early mobilization and،
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