Management of Moderate and Severe TBI

Geoffrey Ling*, Scott A. Marshall, Randy S. Bell, Rocco A. Armonda

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The management of moderate and severe traumatic brain injury (TBI) is a complex and evolving practice in the acute neurosciences. The management, beginning in the prehospital environment to tertiary definitive medical and surgical management of TBI, is discussed. Clinical syndromes and radiographic examples of brain injury are presented, along with a current review of the literature in the early critical care phase of moderate and severe TBI management. We discuss an algorithm for managing the challenging patient and discuss areas of needed future research.

Original languageEnglish
Title of host publicationTraumatic Brain Injury
Subtitle of host publicationA Clinician’s Guide to Diagnosis, Management, and Rehabilitation: Second Edition
PublisherSpringer International Publishing
Number of pages18
ISBN (Electronic)9783030224363
ISBN (Print)9783030224356
StatePublished - 1 Jan 2019
Externally publishedYes


  • Brain code
  • Decompressive craniectomy
  • Herniation syndromes
  • Intracerebral hypertension
  • Osmotic therapy
  • Pharmacologic coma
  • Therapeutic hypothermia
  • Traumatic brain injury


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