Traumatic Brain Injury

Last Updated: January 5th, 2021
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Overview

This guideline is specific to children with traumatic brain injury (TBI) requiring intubation.  It is based in large part on the recently published 2019 international pediatric traumatic brain injury (TBI) guidelines and so focuses predominantly on patients admitted to the PICU with an intracranial pressure monitor.   Links have been provided to these resources.  An attempt has been made to suggest a sequential approach to second-line therapies reserved for refractory intracranial hypertension but where evidence is less robust.  Finally, recognizing that some patients are managed without intracranial pressure monitors or only require intubation for more transient conditions such as post-traumatic seizures, a clinical pathway that includes these different scenarios has been included.