Outcome of Partial Application of Non-operative Tools in Management of Severe Traumatic Brain Injury in a Developing Country

Abstract

Objective: To see the outcome of partial application of non-operative tools like endotracheal intubation and early enteral nutrition on mortality in severe traumatic brain injury. Introduction: Severe Traumatic Brain Injury (TBI) is the leading cause of death in children and young adults1. Mainstay in management of severe head injury is based on the concept that little can be done about primary brain injury but a lot can be done to minimize secondary brain injury because its severity and duration influences the outcome. Several non operative tools can prevent this secondary brain injury and can improve outcome but from these tools only some can be applied in developing countries. These are Endotracheal Intubation, Ventilatory Support, Sedation & Paralysis, Analgesia, Normothermia, Normovolemia, Electrolyte Balance, Enteral Nutrition, Head Elevation and Mannitol.