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Guidelines for the management of severe traumatic brain injury. Part 3. Surgical



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Guidelines for the management of severe traumatic brain injury. Part 3. Surgical 
management of severe traumatic brain injury (Options)
A.A. POTAPOV
1
, V.V. KRYLOV
2
, A.G. GAVRILOV
1
, A.D. KRAVCHUK
1
, L.B. LIKHTERMAN
1
, S.S. PETRIKOV
2
,
A.E. TALYPOV
2
, N.E. ZAKHAROVA
1
, A.A. SOLODOV
2
1
Burdenko Neurosurgical Institute, Moscow, Russia; 
2
Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russia
Traumatic brain injury (TBI) is one of the main causes of mortality and severe disability in young and middle age patients. Patients 
with severe TBI, who are in coma, are of particular concern. Adequate diagnosis of primary brain injuries and timely prevention 
and treatment of secondary injury mechanisms markedly affect the possibility of reducing mortality and severe disability. The 
present guidelines are based on the authors’ experience in developing international and national recommendations for the 
diagnosis and treatment of mild TBI, penetrating gunshot wounds of the skull and brain, severe TBI, and severe consequences of 
brain injury, including a vegetative state. In addition, we used the materials of international and national guidelines for the 
diagnosis, intensive care, and surgical treatment of severe TBI, which were published in recent years. The proposed recommendations 
for surgical treatment of severe TBI in adults are addressed primarily to neurosurgeons, neurologists, neuroradiologists, 
anesthesiologists, and intensivists who are routinely involved in treating these patients.
Keywords: severe traumatic brain injury, surgical treatment of severe traumatic brain injury, intensive care of traumatic brain 
injury.
цедуры приводят к аналогичному ухудшению исхо-
дов травмы [3—28].
Хирургическое лечение острых 


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