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Avoid hypoxia which can lead to secondary brain injury.

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May 24, 2011
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Maintain low normal
arterial pCO2 (Normocapnia) Avoid hypercapnia (cerebral vasodilation) and hypocapnia (cerebral vasoconstriction)

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Maintain adequate cerebral perfusion pressure(CPP). CPP = MAP - highest of ICP or cerebral venous pressure.

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Monitor coagulation. Traumatic brain injury. (TBI) may lead to coagulopathy from tissue thromboplastin release and fibrinogen consumption. refl.in/81 # improve

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Maintain low normal cerebral metabolic rate and oxygen demand by avoiding ketamine, nitrous oxide, and preventing seizures.

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Phenytoin load to prevent seizures & secondary hypoxic brain injury

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15mg/kg. Max rate 50mg/min young patients, 20mg/min old patients. refl.in/5x refl.in/5y
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Remote/shared airway

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