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Gepubliceerd in:
2022 | OriginalPaper | Hoofdstuk
2. Spoedeisende hulp en acute fase
Auteur : Dr. K. Jellema
Gepubliceerd in: Handboek traumatisch hersenletsel
Uitgeverij: Bohn Stafleu van Loghum
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Samenvatting
Bij patiënten met traumatisch hoofd-hersenletsel (THL) vindt beoordeling en behandeling in de acute fase plaats volgens de gestandaardiseerde Advanced Trauma Life Support (ATLS)-methode. Het is belangrijk dat (intra-)craniële traumatische afwijkingen tijdig worden geïdentificeerd en secundaire schade wordt voorkomen. Voor patiënten met THL zijn adequate respiratoire en hemodynamische parameters zeer belangrijk. Monitoring van de vitale parameters, inclusief de Glasgow Coma Schaal (GCS)-score en pupilreacties, zijn derhalve onderdeel van de eerste opvang. De kans op een traumatische (intra)craniële afwijking is afhankelijk van de ernst van het THL. Er zijn diverse beslisregels ontwikkeld voor het laten maken van een CT-scan. Indien er sprake is van een intracraniële traumatische bloeding is het tijdelijk staken van antitrombotica aangewezen. Mogelijke complicaties die in de acute fase kunnen optreden zijn onrust, liquorlekkage en epilepsie. Hyperosmolaire therapie met mannitol of hypertoon zout speelt een belangrijke rol in de acute behandeling van eventueel verhoogde intracraniële druk.
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Metagegevens
- Titel
- Spoedeisende hulp en acute fase
- Auteur
-
Dr. K. Jellema
- Copyright
- 2022
- Uitgeverij
- Bohn Stafleu van Loghum
- Boek
-
Handboek traumatisch hersenletsel
Print ISBN: 978-90-368-2658-7
Elektronisch ISBN: 978-90-368-2659-4
Copyright: 2022
- DOI
- https://doi.org/10.1007/978-90-368-2659-4_2