Veterinary ECC Small Talk

Management of Traumatic Brain Injury (TBI)

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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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    Veterinary ECC Small TalkBy Shailen Jasani MA VetMB MRCVS DipACVECC
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