REVIEW

Neurocritical care for traumatic brain injury in intensive care unit of Dr H. Andi Abdurahman Noor Hospital, Indonesia

Komang Werdhi Sentosa , Yehezkiel Yehezkiel

Komang Werdhi Sentosa
Anesthesia and Intesive Care Department Dr. H. Andi Abdurahman Noor Hosiptal, Tanah Bumbu, Indonesia. Email: [email protected]

Yehezkiel Yehezkiel
Anesthesia and Intesive Care Department Dr. H. Andi Abdurahman Noor Hosiptal, Tanah Bumbu, Indonesia
Online First: November 05, 2018 | Cite this Article
Sentosa, K., Yehezkiel, Y. 2018. Neurocritical care for traumatic brain injury in intensive care unit of Dr H. Andi Abdurahman Noor Hospital, Indonesia. Bali Medical Journal 8(1): 134-137. DOI:10.15562/bmj.v8i1.1031


Introduction: Traumatic brain injury (TBI) is an injury of head that disrupts the normal function of the brain. It can be caused by a bump, blow, or jolt to the head or a penetrating head injury. TBI is common and a major cause of morbidity and mortality worldwide. Neurocritical care is the intensive care provided to patients with severe neurosurgical conditions like TBI. It provides the interface between the brain and other organ systems. Objective: This study aim to report the total incidence of TBI cases; to demonstrate the implementation of conservative therapy as neurocritical care of severe TBI patient who treated in ICU. Method: This descriptive observational study was conducted in Intensive Care Unit DHAAN Hospital from 1st January until 31th December 2016. Total sampling was choosen in this study to observe the incident of TBI. Result: The total of 372 cases of TBI was admitted to DHAAN Hospital from 1st January – 31th December 2016. Mild TBI was count 263 cases (69.8%), moderate TBI was 79 cases (18.5%), and severe TBI was count 47 cases (11.7%). All patients received conservative therapy without intracranial pressure monitoring. Most of the patients received ranitidine 50 mg-150mg/24 h to prevent the stress ulcer. Inotropic administration such as norepinephrine 0.1-0.5 µg/kg drip combined with dobutamine 10-20 µg/kg drip to maintain the mean arterial pressure between 50-65 mmHg. Conclusion: Providing neurocritical care is important to reduce mortality or morbidity rate of TBI. The high mortality rate of seTBI in DHAAN Hospital is caused by lack of health facilities.

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