2018 AANS Annual Scientific Meeting-Individualized Treatment of TBI in the Era of Precision Medicine

Individualized Treatment of TBI in the Era of Precision Medicine

Video Transcription

Video Summary

Dr. Fagagy discusses the need for individualized care for traumatic brain injury (TBI). He explains that the current guidelines are focused on average patients and fail to take into account the diverse nature of TBI. He draws parallels with personalized medicine in the fields of antibiotics and oncology, where treatment is tailored to the specific needs of the patient. Dr. Fagagy suggests that TBI care should adopt a similar approach by using multiple monitors and considering various factors such as intracranial pressure, brain oxygenation, and perfusional metabolism. He emphasizes that the relationship between these factors is complex and cannot be simplified to standard thresholds. Dr. Fagagy also discusses the limitations and challenges of conducting clinical trials in TBI and highlights the importance of utilizing monitoring data to inform treatment decisions. He concludes by stating the need for a shift in the philosophical approach to TBI care in order to achieve precision medicine.

Asset Caption

Anthony Figaji, MD (South Africa)

Keywords

individualized care

traumatic brain injury

personalized medicine

multiple monitors

treatment decisions