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Gepubliceerd in:
Basisconcepten en epidemiologie hoofdstuk lezen eerste hoofdstuk lezen

2022 | OriginalPaper | Hoofdstuk

2. Spoedeisende hulp en acute fase

Auteur : Dr. K. Jellema

Gepubliceerd in: Handboek traumatisch hersenletsel

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Bij patiënten met traumatisch hoofd-hersenletsel (THL) vindt beoordeling en behandeling in de acute fase plaats volgens de gestandaardiseerde Advanced Trauma Life Support (ATLS)-methode. Het is belangrijk dat (intra-)craniële traumatische afwijkingen tijdig worden geïdentificeerd en secundaire schade wordt voorkomen. Voor patiënten met THL zijn adequate respiratoire en hemodynamische parameters zeer belangrijk. Monitoring van de vitale parameters, inclusief de Glasgow Coma Schaal (GCS)-score en pupilreacties, zijn derhalve onderdeel van de eerste opvang. De kans op een traumatische (intra)craniële afwijking is afhankelijk van de ernst van het THL. Er zijn diverse beslisregels ontwikkeld voor het laten maken van een CT-scan. Indien er sprake is van een intracraniële traumatische bloeding is het tijdelijk staken van antitrombotica aangewezen. Mogelijke complicaties die in de acute fase kunnen optreden zijn onrust, liquorlekkage en epilepsie. Hyperosmolaire therapie met mannitol of hypertoon zout speelt een belangrijke rol in de acute behandeling van eventueel verhoogde intracraniële druk.
vorige hoofdstuk Basisconcepten en epidemiologie
volgende hoofdstuk Licht traumatisch hoofd-/hersenletsel
Literatuur
Advanced Trauma Life Support, student course manual, tenth edition, 2018. American college of surgeons.
Foks KA, Van den Brand CL, Lingsma HF, et al. External validation of computed tomography decision rules for minor head injury: prospective, multicentre cohort study in the Netherlands. BMJ. 2018;362:k3527.CrossRef
Af Geijerstam JL, Britton M, Marké LA. Mild head injury: observation or computed tomography? Economic aspects by literature review and decision analysis. Emerg Med J. 2004;21(1):54–8.CrossRef
Af Geijerstam JL, Oredsson S, Britton M; OCTOPUS Study Investigators. Medical outcome after immediate computed tomography or admission for observation in patients with mild head injury: randomised controlled trial. BMJ. 2006;333(7566):465. Epub 2006 Aug 8.
Alrajhi KN, Perry JJ, Forster AJ. Intracranial bleeds after minor and minimal head injury in patients on warfarin. J Emerg Med. 2015;48:137–42.CrossRef
American college of surgeons. Advanced trauma life support, student course manual. 10th ed. Chicago: American college of surgeons; 2018.
Barletta JF, Abdul-Rahman D, Hall ST, et al. The role of desmopressin on hematoma expansion in patients with mild traumatic brain injury prescribed pre-injury antiplatelet medication. Neurocrit Care. 2020;33(2):405–13.CrossRef
Batchelor JS, Grayson A. A meta-analysis to determine the effect of anticoagulation on mortality in patients with blunt head trauma. Br J Neurosurg. 2012;26:525–30.CrossRef
Brain trauma foundation, American Association of Neurological Surgeons and the Congress of Neurological Surgeons. Guideline for the Management of Severe TBI, 4th edition; 2016. www.​braintrauma.​org/​.
Burgess S, Abu-Laban RB, Slavik RS, Vu EN, Zed PJ. A systematic review of randomized controlled trials comparing hypertonic sodium solutions and mannitol for traumatic brain injury: Implications for emergency department management. Ann Pharmacother. 2016;50(4):291–300 Epub 2016 Jan 29.CrossRef
Chauny JM, Marquis M, Bernard F, et al. Risk of delayed intracranial hemorrhage in anticoagulated patients with mild traumatic brain injury: Systematic review and meta-analysis. J Emergency Med. 2016;51(5):519–28 Epub 2016 Jul 26.CrossRef
Connolly SJ, Crowther M, Eikelboom JW, et al. ANNEXA-4 Investigators. Full study report of andexanet alfa for bleeding associated with factor Xa inhibitors. N Engl J Med. 2019;380(14):1326–35. Epub 2019 Feb 7.
Czeiter E, Amrein K, Gravesteijn BY, et al. Blood biomarkers on admission in acute traumatic brain injury: relations to severity, CT findings and care path in the CENTER-TBI study. BioMedicine. 2020;56:102785.
De Louw A, Twijnstra A, Leffers P. Weinig uniformiteit en slechte therapietrouw bij het wekadvies na trauma capitis. Ned Tijschr Geneesk. 1994;138(44):2197–9.
Fuller GW, Evans R, Preston L, Woods HB, Mason S. Should adults with mild head injury who are receiving direct oral anticoagulants undergo computed tomography scanning? A systematic review. Ann Emerg Med. 2019;73(1):66–75 Epub 2018 Sep 17.CrossRef
Gill J, Latour L, Diaz-Arrastia R, et al. Glial fibrillary acidic protein elevations relate to neuroimaging abnormalities after mild TBI. Neurology. 2018;91(15):e1385–9 Epub 2018 Sep 12.CrossRef
Haydel MJ, Preston CA, Mills TJ, Luber S, Blaudeau E, DeBlieux PM. Indications for computed tomography in patients with minor head injury. N Engl J Med. 2000;343(2):100–5.CrossRef
Jacobs B, Van Ekert J, Vernooy LP, et al. Development and external validation of a new PTA assessment scale. BMC Neurol. 2012;12:69.CrossRef
Jehan F, Zeeshan M, Kulvatunyou N, et al. Is there a need for platelet transfusion after traumatic brain injury in patients on P2Y12 inhibitors? J Surg Res. 2019;236:224–9 Epub 2018 Dec 20.CrossRef
Kokke MC, Ham W, Leenen LPH. Een nieuw protocol, is de wervelkolom nog veilig? Ned Tijdschr Geneeskd. 2015;159:A8902.PubMed
Mercier E, Tardif PA, Emond M, et al. Characteristics of patients included and enrolled in studies on the prognostic value of serum biomarkers for prediction of postconcussion symptoms following a mild traumatic brain injury: a systematic review. BMJ Open. 2017;27;7(9):e017848.
Mondello S, Sorinola A, Czeiter E, et al. Blood-based protein biomarkers for the management of traumatic brain injuries in adults presenting to emergency departments with mild brain injury: A living systematic review and meta-analysis. J Neurotrauma. 2018.
Nishijima DK, Offerman SR, Ballard DW, et al. Risk of traumatic intracranial hemorrhage in patients with head injury and preinjury warfarin or clopidogrel use. Acad Emerg Med. 2013;20:140–5.CrossRef
Norlund A, Marké LA, Af Geijerstam JL, et al., for the OCTOPUS study investigators. Immediate computed tomography or admission for observation after mild head injury: cost comparison in randomised controlled trial. BMJ. 2006; 333(7566):469. Epub 2006 Aug 8.
Okonkwo DO, Puffer RC, Puccio AM, et al. Point-of-care platform blood biomarker testing of glial fibrillary acidic protein versus S100 calcium-binding protein B for prediction of traumatic brain injuries: a transforming research and clinical knowledge in traumatic brain injury study. J Neurotrauma. 2020;37:2460–7.CrossRef
Papa L, Lewis LM, Silvestri S, et al. Serum levels of ubiquitin C-terminal hydrolase distinguish mild traumatic brain injury from trauma controls and are elevated in mild and moderate traumatic brain injury patients with intracranial lesions and neurosurgical intervention. J Trauma Acute Care Surg. 2012;72(5):1335–44.CrossRef
Papa L, Brophy GM, Welch RD, et al. Time course and diagnostic accuracy of glial and neuronal blood biomarkers GFAP and UCH-L1 in a large cohort of trauma patients with and without mild traumatic brain injury. JAMA Neurol. 2016;73(5):551–60.CrossRef
Phang SY, Whitehouse K, Lee L, Khalil H, McArdle P, Whitfield PC. Management of CSF leak in base of skull fractures in adults. Br J Neurosurg. 2016;30(6):596–604 Epub 2016 Sep 26.CrossRef
Pollack CV Jr, Reilly PA, Van Ryn J, et al. Idarucizumab for Dabigatran reversal – Full cohort analysis. N Engl J Med. 2017;377(5):431–41 Epub 2017 Jul 11.CrossRef
Smits M, Dippel DW, Steyerberg EW, et al. Predicting intracranial traumatic findings on computed tomography in patients with minor head injury: the CHIP prediction rule. Ann Intern Med. 2007;146(6):397–405.CrossRef
Stiell IG, Wells GA, Vandemheen K, et al. The Canadian CT Head Rule for patients with minor head injury. Lancet. 2001;357(9266):1391–6.CrossRef
Thelin EP, Jeppsson E, Frostell A, et al. Utility of neuron-specific enolase in traumatic brain injury; relations to S100B levels, outcome, and extracranial injury severity. Crit Care. 2016;20:285.CrossRef
Uccella L, Zoia C, Bongetta D, et al. Are antiplatelet and anticoagulants drugs a risk factor for bleeding in mild traumatic brain injury? World Neurosurg. 2018;110:e339–45 Epub 2017 Nov 10.CrossRef
Undén J, Ingebrigtsen T, Romner B; Scandinavian Neurotrauma Committee (SNC). Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: An evidence and consensus-based update. BMC Med. 2013;11:50.
Undén J, Romner B. Can low serum levels of S100B predict normal CT findings after minor head injury in adults? An evidence-based review and meta-analysis. J Head Trauma Rehabil. 2010;25(4):228–40.CrossRef
Van den Brand CL, Rambach AH, Postma R, et al. Practice guideline ‘Management of patients with mild traumatic head/brain injury’ in the Netherlands. Ned Tijdschr Geneeskd. 2014;158:A6973.PubMed
Van den Brand CL, Tolido T, Rambach AH, Hunink MG, Patka P, Jellema K. Systematic review and meta-analysis: Is pre-injury antiplatelet therapy associated with traumatic intracranial hemorrhage? J Neurotrauma. 2017;34(1):1–7 Epub 2016 May 9.CrossRef
Verschoof MA, Zuurbier CCM, De Beer F, Coutinho JM, Eggink EA, Van Geel BM. Evaluation of the yield of 24-h close observation in patients with mild traumatic brain injury on anticoagulation therapy: a retrospective multicenter study and meta-analysis. J Neurol. 2018;265(2):315–21 Epub 2017 Dec 13.CrossRef
Wakai A, McCabe A, Roberts I, Schierhout G. Mannitol for acute traumatic brain injury. Cochrane Database Syst Rev. 2013;(8):CD001049.
Welch RD, Ayaz SI, Lewis LM, et al. Ability of serum Glial Fibrillary Acidic Protein, Ubiquitin C-Terminal Hydrolase-L1, and S100B to differentiate normal and abnormal head computed tomography findings in patients with suspected mild or moderate traumatic brain Injury. J Neurotrauma. 2016;33(2):203–14 Epub 2015 Dec 18.CrossRef
Zongo D, Ribéreau-Gayon R, Masson F, et al. S100-B protein as a screening tool for the early assessment of minor head injury. Ann Emerg Med. 2012;59(3):209–18 Epub 2011 Sep 23.CrossRef
Metagegevens
Titel
Spoedeisende hulp en acute fase
Auteur
Dr. K. Jellema
Copyright
2022
Uitgeverij
Bohn Stafleu van Loghum
Boek
Handboek traumatisch hersenletsel

Print ISBN: 978-90-368-2658-7

Elektronisch ISBN: 978-90-368-2659-4

Copyright: 2022

DOI
https://doi.org/10.1007/978-90-368-2659-4_2