TRAUMATIC BRAIN INJURY: SURGICAL MANAGEMENT APPROACHES AND STRATEGIES FOR OPTIMIZING CLINICAL OUTCOMES

Abstract

Traumatic Brain Injury (TBI) is one of the main causes of mortality and morbidity, requiring careful surgical and clinical management to optimize clinical outcomes. This study performs a narrative review of the main approaches to control Intracranial Pressure (ICP) and surgical strategies applied in cases of TBI. The search for scientific articles was carried out in the PUBMED, LILACS, and SCIELO databases, covering studies published between 2014 and 2024. The results show that adequate control of ICP in Intensive Care Units (ICU), combined with less invasive approaches, contributes significantly to the reduction of complications and mortality associated with TBI. Pediatric management and cases of TBI due to firearm projectiles also require specific care due to the particularities of each context. The review highlights the importance of standardized protocols and a multidisciplinary team to improve the prognosis of patients. It is concluded that the application of evidence-based guidelines and the use of advanced technologies offer a promising approach to the treatment of TBI.

DOI:https://doi.org/10.56238/sevened2024.030-004