Case-Based Management of Traumatic Brain Injury and Post Trauma Reconstruction-Complication Avoidance in Traumatic Brain Injury

Video Transcription

Video Summary

In this video, Dr. Ryan Kitagawa, the Director of Neurotrauma and Associate Professor at the University of Texas Health Sciences Center, discusses complication avoidance in traumatic brain injury (TBI). He begins by dividing the complications into three forms: immediate complications and those that happen intraoperatively, complications that occur after surgery, and the unique complications of penetrating TBI. He then discusses various techniques and tools used to modify incisions for different scenarios, focusing on preserving the scalp's vascular supply and incorporating lacerations if possible. Dr. Kitagawa also addresses complications such as cerebral edema, hemorrhage, coagulopathies, and intrinsic patient factors that can make emergency surgery more complex. He explains the management and treatment strategies for these complications, including cranioplasty, ventricular-peritoneal shunts, and post-trefunation syndrome. The video also covers CSF leakage, infections, and bullet migration. Dr. Kitagawa concludes with his recommendations for antibiotic usage in TBI cases.

Keywords

traumatic brain injury

complications

incision modification

emergency surgery

management strategies

antibiotic usage