UMEM Educational Pearls

Title: Updated Guidelines for Traumatic Brain Injury

Category: Neurology

Keywords: Brain Trauma Foundation, BTF, guideline, traumatic brain injury, TBI (PubMed Search)

Posted: 10/12/2016 by WanTsu Wendy Chang, MD
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Updated Guidelines for Traumatic Brain Injury

The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Traumatic Brian Injury (TBI) was recently updated and published in September 2016.

Updated recommendations include:

Prophylactic hypothermia is not recommended (Level IIB).
Phenytoin is recommended for seizure prophylaxis (Level IIA).
- There is insufficient evidence to recommend levetiracetam over phenytoin.
Maintain SBP 100 mmHg for patients 50-69 years old or 110 mmHg for patients 15-49 or >70 years old (Level III).
Treat intracranial pressure (ICP) > 22 mmHg (Level III)
Target cerebral perfusion pressure (CPP) between 60-70 mmHg (Level IIB).

For the executive summary and complete guidelines, go to https://braintrauma.org/guidelines/guidelines-for-the-management-of-severe-tbi-4th-ed#/