Factors Affecting Neurosurgeons' Decisions to Forgo Life-Sustaining Treatments After Traumatic Brain Injury

Bozkurt, İsmail; Umana, Giuseppe Emmanuele; Deora, Harsh; Wellington, Jack; Karakoç, Ebru; Chaurasia, Bipin

doi:10.1016/j.wneu.2021.12.056

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…Given the intricate interplay between neurological and circulatory factors, an integrated therapeutic approach is essential in managing cardiac arrest in individuals with TBI. Therapeutic options encompass a spectrum of interventions targeting resuscitation, hemodynamic stabilization, intracranial pressure control, and neurological outcomes improvement 13,[21][22][23] . Restoring circulation relies on the prompt initiation of cardiopulmonary resuscitation (CPR) and adherence to advanced cardiac life support (ACLS) guidelines.…”

Section: Therapeutic Interventionsmentioning

confidence: 99%

Cardiac Arrest in Traumatic Brain Injury

Atallah,

Rahman,

Chaurasia

et al. 2024

J Neurointensive Care

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Traumatic brain injury (TBI) is a significant global health concern with substantial contributions to illness and mortality rates. This study aims to scrutinize the intricate interplay between neurological and circulatory abnormalities post-TBI, particularly focusing on the challenge posed by cardiac arrest in TBI patients. The study employs a comprehensive approach, utilizing clinical assessments, electrocardiograms, intracranial pressure monitoring, brain imaging, and biomarker utilization. It explores the effectiveness of these methods in detecting cardiac arrest in TBI patients. Additionally, the research delves into resuscitation techniques, hemodynamic stabilization, intracranial pressure management, and neurological enhancement as potential therapeutic modalities. The results highlight the importance of prompt initiation of cardiopulmonary resuscitation and adherence to advanced cardiac life support protocols in TBI patients with cardiac arrest. Prognostic factors such as injury severity, response time, effectiveness of resuscitation interventions, and pre-existing medical conditions are identified as crucial elements in predicting cardiac arrest outcomes in TBI patients. The study concludes by emphasizing the critical necessity of a comprehensive approach to understand and manage the complex relationship between cardiac arrest and TBI. Incorporating scientific discoveries, clinical perspectives, and technological advancements, the review underscores the importance of addressing this multifaceted medical challenge through a thorough analysis and effective management strategies.

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Section: Therapeutic Interventionsmentioning

confidence: 99%

Cardiac Arrest in Traumatic Brain Injury

Atallah,

Rahman,

Chaurasia

et al. 2024

J Neurointensive Care

Self Cite

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Section: Acute Care Phasementioning

confidence: 99%

“…Efforts to educate family members and correct potential misconceptions about the motivations for care approaches are vital, along with expanded training for clinicians on how to optimally engage families in these decisions in contexts of inevitable psychosocial duress. [193][194][195][196][197][198] Time-limited treatment trials may also play a central role in settings of uncertainty. 199 In further efforts to inform and harmonize practice standards on decision-making, clinical guidelines also contain evidence-based recommendations for prognostication following severe brain injury and discussion with families.…”

Section: Acute Care Phasementioning

confidence: 99%

Neuroethics across the Disorders of Consciousness Care Continuum

Young

Peterson

2022

Semin Neurol

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This review provides an ethical analysis of disorders of consciousness (DoC) along the care continuum, from preinjury to injury, acute care to subacute care and early rehabilitation, and finally transitioning to chronic rehabilitation and societal reintegration. We provide an actionable, chronological assessment of ethical issues related to DoC care. This expands upon established ethics literature, which focuses almost exclusively on the clinical encounter for DoC. Our goal is to broaden the aperture of ethical analysis to address how social and environmental conditions predispose some persons to brain injury, and how such conditions might also pose barriers to meaningful societal reintegration after recovery.

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