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Next is Dr Christel Arnold-Day - the first (to my knowledge) neurosurgeon to become an intensivist in South Africa. She is talking about 'Personalised TBI Management' #VTA23
The protocols - Brain Trauma Foundation 4th Edition goals are quite old and outdated. However, for the first time there is interest in age specific cerebral perfusion pressures. #VTA23
What monitors can you use for the TBI patient:
ICP, PtO2, IBP and CVP - this will give you information about how the brain is perfusing - usually measured by the cerebral perfusion pressure.
There is little consensus in South Africa neurosurgeons about whether to do these. #VTA23
ICP, PtO2, IBP and CVP - this will give you information about how the brain is perfusing - usually measured by the cerebral perfusion pressure.
There is little consensus in South Africa neurosurgeons about whether to do these. #VTA23
ICP Waveforms are another way to look more closely at the physiology within the skull. They allow us to assess the brain compliance, by looking at the relationships between the different P waves. It allows us to digress from the dogmatic ICP target of 22cmH20. #VTA23 
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