Effective nursing management strategies for adults with severe traumatic brain injury (STBI) are still a remarkable issue and a difficult task for neurologists, neurosurgeons, and neuronurses. A list of justified indications and scientific rationale for nursing management of these patients are continuously evolving. The objectives of the study are to analyze the pertinently available research and clinical studies that demonstrate the nursing management strategies for adults with STBI and to synthesize the available evidence based on the review. A comprehensive literature search was made in following databases such as Google Scholar, Cochrane, J-Gate, ProQuest, and ScienceDirect for retrieving the related studies. In the included studies, data were extracted and evaluated according to the objective. Narrative analysis was adopted to write this review. Patients with STBI have poor prognosis and require quality care for maximizing patients' survival. With a thorough knowledge and discernment of care of such patients, nurses can improve these patients' neurological outcomes.
American College of Surgeons. Best Practices in the Management of Traumatic Brain Injury; 2015. p. 1-29. Available from: https://www.east.org/content/documents/45_podcast_acstqip_tbi_guidelines_2.pdf.
Lump D. Managing patients with severe traumatic brain injury. Nursing 2014;44:30-7.
Das A, Botticello AL, Wylie GR, Radhakrishnan K. Neurologic disability: A hidden epidemic for India. Neurology 2012;79:2146-7.
Murthy T, Bhatia P, Sandhu K, Prabhakar T, Gogna R. Secondary brain injury: Prevention and intensive care management. Indian J Neurotrauma 2005;2:7-12.
Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Clinical guidelines: Potential benefits, limitations, and harms of clinical guidelines. BMJ 1999;318:527-30.
Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol 2008;7:728-41.
Özztekin SD, Yüksel S. Initial nursing management of patient with severe traumatic brain injury. J Neurol Sci Turk 2013;30:461-8.
Godbolt AK, Stenberg M, Jakobsson J, Sorjonen K, Krakau K, Stalnacke BM, et al. Subacute complications during recovery from severe traumatic brain injury: Frequency and associations with outcome. BMJ Open 2015;5:e007208.
Holcomb EM, Millis SR, Hanks RA. Comorbid disease in persons with traumatic brain injury: Descriptive findings using the modified cumulative illness rating scale. Arch Phys Med Rehabil 2012;93:1338-42.
Pangilinan PH, Kishner S. Classification and Complications of Traumatic Brain Injury. J Chem Inf Model 2013;53:1-30.
Hemphill JC, Phan N. Management of acute severe traumatic brain injury. Uptodate; 2016. p. 1-27.
Rusticali B, Villani R; Working Group. Treatment of minor and severe traumatic brain injury. National reference guidelines. Minerva Anestesiol 2008;74:583-616.
Sheriff FG, Hinson HE. Pathophysiology and clinical management of moderate and severe traumatic brain injury in the ICU. Semin Neurol 2015;35:42-9.
Liao KH, Chang CK, Chang HC, Chang KC, Chen CF, Chen TY, et al. Clinical practice guidelines in severe traumatic brain injury in Taiwan. Surg Neurol 2009;72 Suppl 2:S66-73.
Puri BK. The role of proton neurospectroscopy in the assessment of brain function, estimation of coma duration, and prediction of outcome in severe traumatic brain injury. Neurol India 2011;59:657-8.
Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury. J Neurotrauma 2007;24 Suppl 1:S1-106.
American Association of Neuroscience Nurses. Nursing management of adults with severe traumatic brain injury. Glenview (IL): American Association of Neuroscience Nurses; 2008. p. 20.
Zeng T, Gao L. Management of patients with severe traumatic brain injury guided by intraventricular intracranial pressure monitoring: A report of 136 cases. Chin J Traumatol 2010;13:146-51.
Roberts I, Schierhout G. Hyper ventilation therapy for acute traumatic brain injury. Cochrane Database Syst Rev 1997;(4):CD000566. DOI: 10.1002/14651858.CD000566.
Protheroe RT, Gwinnutt CL. Early hospital care of severe traumatic brain injury. J Assoc Anaesth Gt Britain Irel 2011;66:1035-47.
Jung JY. Airway management of patients with traumatic brain injury/C-spine injury. Korean J Anesthesiol 2015;68:213-9.
Gentleman D, Dearden M, Midgley S, Maclean D. Guidelines for resuscitation and transfer of patients with serious head injury. BMJ 1993;307:547-52.
Talsky A, Pacione LR, Shaw T, Wasserman L, Lenny AM, Verma A, et al. Pharmacological interventions for traumatic brain injury. BC Med J 2011;53:26-31.
Haddad SH, Arabi YM. Critical care management of severe traumatic brain injury in adults. Scand J Trauma Resusc Emerg Med 2012;20:12.
Bachman T. Patient positioning: More than just “turn every 2h.” Barrow Q 2006;22:16-24.
Spiotta AM, Stiefel MF, Gracias VH, Garuffe AM, Kofke WA, Maloney-Wilensky E, et al. Brain tissue oxygen-directed management and outcome in patients with severe traumatic brain injury. J Neurosurg 2010;113:571-80.
Care SC. Reduced mortality rate in patients with severe traumatic brain injury treated with brain tissue oxygen monitoring. J Neurosurg 2005;103:805-11.
Carlier P, Penrod LE. The use of moderate therapeutic hypothermia for patients with severe head injuries: A preliminary report. J Neurosurg 1993;79:354-62.
Wang X, Dong Y, Han X, Qi XQ, Huang CG, Hou LJ, et al. Nutritional support for patients sustaining traumatic brain injury: A systematic review and meta-analysis of prospective studies. PLoS One 2013;8:e58838.
Carney N, Totten AM, Reilly CO, Ullman JS, Bell MJ, Bratton SL. Guidelines for the Management of Severe Traumatic Brain Injury. 4th ed. Brain Trauma Foundation TBI Guidelines; 2016. p. 1-10.
Khajavikhan J, Vasigh A, Kokhazade T, Khani A. Association between hyperglycaemia with neurological outcomes following severe head trauma. J Clin Diagn Res 2016;10:11-3.
Marek D, Helene B, Philipp H, Walter GH. Tracheostomy is associated with decreased hospital mortality after moderate or severe isolated traumatic brain injury. Wien Klin Wochenschr 2016;128:397-403.
Roberts I, Sydenham E. Barbiturates for acute traumatic brain injury. Cochrane Database Syst Rev 2012;12:CD000033.
Majdan M, Mauritz W, Wilbacher I, Brazinova A, Rusnak M, Leitgeb J, et al. Barbiturates use and its effects in patients with severe traumatic brain injury in five European Countries. J Neurotrauma 2013;30:23-9.
Kirmani BF, Mungall D, Ling G. Role of intravenous levetiracetam in seizure prophylaxis of severe traumatic brain injury patients. Front Neurol 2013;4:170.
Lemke DM. Sympathetic storming after severe traumatic brain injury. Crit Care Nurse 2007;27:30-7.
Baltopoulos GJ. Neuroprotective effects of erythropoietin in patients with severe closed brain injury. Turk Neurosurg 2015;25:552-8.
Zhang H, Wang X, Li Y, Du R, Xu E, Dong L, et al. Naloxone for severe traumatic brain injury: A meta-analysis. PLoS One 2014;9:e113093.
Gouello G, Hamel O, Asehnoune K, Bord E, Robert R, Buffenoir K, et al. Study of the long-term results of decompressive craniectomy after severe traumatic brain injury based on a series of 60 consecutive cases. ScientificWorldJournal 2014;2014:207585.
Sahuquillo J. Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. Cochrane Database Syst Rev 2006:CD003983. DOI: 10.1002/14651858.CD003983.pub2.
Lee SK, Goh JP. Neuromonitoring for traumatic brain injury in neurosurgical intensive care. Proc Singapore Healthc 2010;19:319-33.
Aries MJ, van der Naalt J, van den Bergh WB, van Dijk M, Elting JW, Czosnyka M, et al. Neuromonitoring of patients with severe traumatic brain injury at the bedside. Netherlands J Crit Care 2015;20:6-12.
Ristic A, Sutter R, Steiner LA. Current neuromonitoring techniques in critical care. J Neuroanaesth Crit Care 2015;2:97-103.
Schlosser HG, Lindemann JN, Vajkoczy P, Clarke AH. Vestibulo-ocular monitoring as a predictor of outcome after severe traumatic brain injury. Crit Care 2009;13:R192.
Sonneville R. Prevention of pneumonia after severe traumatic brain injury. Lancet Respir Med 2014;2:10-2.
Manju D, Dhandapani S, Agarwal M. Pressure ulcer in patients with severe traumatic brain injury: Significant factors and association with neurological outcome. J Clin Nurs 2013;23:3-17.
Cooper KL. Evidence-based prevention of pressure ulcers in the intensive care unit. Crit Care Nurse 2013;33:57-66.
Lo E, Nicolle L, Classen D, Arias KM, Podgorny K, Anderson DJ, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals. Infect Control Hosp Epidemiol 2008;29 Suppl 1:S41-50.
Salierno F, Rivas ME, Etchandy P, Jarmoluk V, Cozzo D, Mattei M, et al. Physiotherapeutic procedures for the treatment of contractures in subjects with traumatic brain injury (TBI). In: Traumatic Brain Injury. InTechOpen; 2014. p. 307-28.
Abdel-Aziz H, Dunham CM, Malik RJ, Hileman BM. Timing for deep vein thrombosis chemoprophylaxis in traumatic brain injury: An evidence-based review. Crit Care 2015;19:96.
Demuro JP, Hanna AF. Prophylaxis of deep venous thrombosis in trauma patients: A review. J Blood Disord Transfus 2013;4:151.
Chelladurai Y, Stevens KA, Haut ER, Brotman DJ, Sharma R, Shermock KM, et al. Venous thromboembolism prophylaxis in patients with traumatic brain injury: A systematic review. F1000Res 2013;2:132.
Paydar S, Sabetian G, Khalili HA, Fallahi J, Tahami M, Ziaian B, et al. Management of deep vein thrombosis (DVT) prophylaxis in trauma patients. Bull Emerg Trauma 2016;4:1-7.
Wertheimer JC, Hanks RA, Hasenau DL. Comparing functional status and community integration in severe penetrating and motor vehicle-related brain injuries. Arch Phys Med Rehabil 2008;89:1983-90.
Sinha S, Gunawat P, Nehra A, Sharma BS. Cognitive, functional, and psychosocial outcome after severe traumatic brain injury: A cross-sectional study at a tertiary care trauma center. Neurol India 2013;61:501-6.
Steiner E, Murg-Argeny M, Steltzer H. The severe traumatic brain injury in Austria: Early rehabilitative treatment and outcome. J Trauma Manag Outcomes 2016;10:5.
Parker A, Sricharoenchai T, Needham DM. Early rehabilitation in the intensive care unit: Preventing physical and mental health impairments. Curr Phys Med Rehabil Rep 2013;1:307-14.
Mercier E, Boutin A, Lauzier F, Fergusson DA, Simard JF, Zarychanski R, et al. Predictive value of S-100β protein for prognosis in patients with moderate and severe traumatic brain injury: Systematic review and meta-analysis. BMJ 2013;346:f1757.
Goyal A, Failla MD, Niyonkuru C, Amin K, Fabio A, Berger RP, et al. S100b as a prognostic biomarker in outcome prediction for patients with severe traumatic brain injury. J Neurotrauma 2013;30:946-57.
Egea-Guerrero JJ, Murillo-Cabezas F, Gordillo-Escobar E, Rodríguez-Rodríguez A, Enamorado-Enamorado J, Revuelto-Rey J, et al. S100B protein may detect brain death development after severe traumatic brain injury. J Neurotrauma 2013;30:1762-9.
Stenberg M, Godbolt AK, Nygren De Boussard C, Levi R, Stalnacke BM. Cognitive impairment after severe traumatic brain injury, clinical course and impact on outcome: A Swedish-Icelandic study. Behav Neurol 2015;2015:680308.
Jourdan C, Bayen E, Pradat-Diehl P, Ghout I, Darnoux E, Azerad S, et al. Acomprehensive picture of 4-year outcome of severe brain injuries. Results from the pariS-TBI study. Ann Phys Rehabil Med 2016;59:100-6.
Kalmar K, Childs N, Khademi A, Eifert B, Long D, Katz DI, et al. Placebo-controlled trial of amantadine for severe traumatic brain injury. N Engl J Med 2012;366:819-26.
Gardani M, Morfiri E, Thomson A, O'Neill B, McMillan TM. Evaluation of sleep disorders in patients with severe traumatic brain injury during rehabilitation. Arch Phys Med Rehabil 2015;96:1691-7e3.