Hot off the Press: Guidelines for Treatment of Pediatric Traumatic Brain Injury

3/11/2019
The “Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines,” are now available in Pediatric Critical Care Medicine.
 
Each year in the United States, pediatric traumatic brain injury (TBI) results in more than 600,000 emergency department visits and approximately 7,000 deaths and can cause long-term health conditions such as seizures, learning difficulties, and communication disorders.
 
In order to promote the highest standards of care and improve overall rates of survival and recovery following TBI, a panel of pediatric critical care, neurosurgery, and other pediatric experts published “Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines.”
 
Published in the March 2019 issue of Pediatric Critical Care Medicine, these updated guidelines include results from nearly 50 research studies and a range of treatment recommendations for healthcare providers, including intracranial monitoring and the use of hypertonic saline to reduce acute brain swelling.
 
“These guidelines are vital to the proper care and treatment of children with serious brain injury,” said coauthor and clinical investigator Nathan Selden, MD, PhD. “Now, healthcare providers around the world will have access to the best medical evidence and recommendations to help save and improve countless lives.”
 
An executive summary is also available, along with an associated article, “Management of Pediatric Severe Traumatic Brain Injury,” which describes an algorithm designed to guide first- and second-tier therapies for infants and children with severe TBI.
 
“We believe a combination of research findings and real-life experience will further advance the bedside care of infants and children with severe TBI, especially in treatment scenarios where scientific and clinical research is lacking,” said first author Patrick M. Kochanek, MD, MCCM. “This algorithm will also help to identify key research priorities to help ensure the ongoing momentum of consistent, high-quality care for patients across the globe.”
 
Visit Pediatric Critical Care Medicine online to access the guidelines and related articles.