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Orthopädie und Unfallchirurgie up2date 2021; 16(01): 11-18
DOI: 10.1055/a-1129-7855
DOI: 10.1055/a-1129-7855
SOP / Arbeitsablauf
SOP Schädel-Hirn-Trauma (SHT)
![](https://www.thieme-connect.de/media/ou-u2d/202101/lookinside/thumbnails/10-1055-a-1129-7855_ou_sop-1.jpg)
Einleitung
Die Inzidenz der Schädel-Hirn-Verletzungen in Deutschland beträgt ca. 300 000/Jahr, wovon etwa 10 000 als schwere SHT zu klassifizieren sind. Von diesen versterben trotz guten Traumamanagements und hochentwickelter apparativ-technischer Infrastruktur ca. 2750 Patienten.
Die Behandlung des SHT zielt auf die Minimierung der Sekundärschäden des verletzten Hirns ab, wofür die Weichen schon am Unfallort und im Schockraum gestellt werden. Daher kommt einem standardisierten Management im präklinischen und klinischen Bereich entscheidende Bedeutung zu.
Publication History
Article published online:
03 February 2021
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Literatur
- 1 Albanese J, Viviand X, Potie F. et al. Sufentanil, fentanyl and alfentanil in head trauma patients: a study on cerebral hemodynamics. Crit Care Med 1999; 27: 407-411
- 2 Alderson P, Gadkary C, Signorini DF. Therapeutic hypothermia for head injury. Cochrane Database Syst Rev 2004; (04) CD001048
- 3 AWMF, Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften. ATLS, Advanced Trauma Life Support.
- 4 Baethmann A, Kempski O, Unterberg A. Entstehung und Therapie zerebraler Sekundärschäden. Münch Med Wschr 1982; 43: 941-944
- 5 Bullock R, Chesnut RM, Clifton G. et al. Guidelines for the management of severe head injury. Brain Trauma Foundation. Eur J Emerg Med 1996; 3: 109-127
- 6 Clifton GL, Miller ER, Choi SC. et al. Lack of effect of induction of hypothermia after acute brain injury. N Engl J Med 2001; 344: 556-563
- 7 Connolly ES, McKhann GM, Huang J. et al. Fundamentals of operative Techniques in Neurosurgery. New York: Thieme Medical Publishers; 2002: 563-583
- 8 Fakhry SM, Trask AL, Waller MA. et al. IRTC Neurotrauma Task Force: Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges. J Trauma 2004; 56: 492-493
- 9 Fernandez R, Firsching R, Lobato R. et al. Guidelines for treatment of head injury in adults. Opinions of a group of neurosurgeons. Zentralbl Neurochir 1997; 58: 72-74
- 10 Brain Trauma Foundation. Guidelines for the management of severe traumatic brain injury“. Update-Erklärung, März 2003.
- 11 Haselsberger K, Pucher R, Auer LM. Prognosis after acute subdural or epidural hemorrhage. Acta Neurochir (Wien) 1988; 90: 111-116
- 12 Holtkamp M, Buchheim K, Unterberg A. et al. Hemicraniectomy in elderly patients with space occupying media infarction: improved survival but poor functional outcome. J Neurol Neurosurg Psychiatry 2001; 70: 226-228
- 13 Jallo J, Loftus CM. Neurotrauma and critical Care of the Brain. New York: Thieme Medical Publishers; 2009: 175-237
- 14 Maas AI, Dearden M, Teasdale GM. et al. EBIC-guidelines for management of severe head injury in adults. European Brain Injury Consortium. Acta Neurochir 1997; 139: 286-294
- 15 Marmarou A, Anderson RI, Ward JD. Impact of ICP instability and hypotension on outcome in patients with severe head trauma. J Neurosurg 1991; 75: 59-66
- 16 Muizellar JP, Marmarou A, Ward JD. et al. Adverse effects of prolonged hyperventilation in patients with severe head injury: a randomized clinical trial. J Neurosurg 1991; 75: 731-739
- 17 Palmer S, Bader MK, Qureshi A. et al. The impact on outcomes in a community hospital setting of using the AANS traumatic brain injury guidelines. Americans Associations for Neurologic Surgeons. J Trauma 2001; 50: 657-664
- 18 Piek J. Ernährungstherapie. In: Piek J, Unterberg A. Grundlagen neurochirurgischer Intensivmedizin. München: Zuckschwerdt; 1999: 259-268
- 19 Roberts I. Aminosteroids for acute traumatic brain injury (Cochrane Review). In: The Cochrane Library, Issue 1. Chichester, UK: John Wiley & Sons; 2004
- 20 Sahuquillo J, Arikan F. Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. Cochrane Database Syst Rev 2006; (01) CD003983
- 21 Sanchez-Izquierdo-Riera JA, Caballero-Cubedo RE, Perez-Vela JL. et al. Propofol versus midazolam: safety and efficacy for sedating the severe trauma patient. Anesth Analg 1998; 86: 1219-1224
- 22 Schwartz ML, Tator CH, Rowed DW. et al. The University of Toronto head injury treatment study: a prospective, randomized comparison of pentobarbital and mannitol. Can J Neurol Sci 1984; 11: 434-440
- 23 Smith HP, Kelly DL, McWhorter JM. et al. Comparison of mannitol regimens in patients with severe head injury undergoing intracranial monitoring. J Neurosurg 1986; 65: 820-824
- 24 Schwartz ML, Tator CH, Rowed DW. et al. The University of Toronto head injury treatment study: a prospective, randomized comparison of pentobarbital and mannitol. Can J Neurol Sci 1984; 11: 434-440
- 25 Steiger HJ, Reulen HJ. Manual Neurochirurgie. Landsberg: Ecomed; 1999: 299-302
- 26 Teasdale G, Jennett B. Assessment of coma and impaired consciousness. Lancet 1974; 2: 81-83
- 27 Van den Berghe G, Wouters P, Weekers F. et al. Intensive insulin therapy in the critical ill patient. N Engl J Med 2001; 345: 1359-1367