Sympathetic hyperactivity after traumatic brain injury and the role of beta-blocker therapy.
@article{Heffernan2010SympatheticHA,
title={Sympathetic hyperactivity after traumatic brain injury and the role of beta-blocker therapy.},
author={Daithi S. Heffernan and Kenji Inaba and Saman Arbabi and Bryan Alan Cotton},
journal={The Journal of trauma},
year={2010},
volume={69 6},
pages={
1602-9
}
}Head injury remains the leading cause of death among trauma patients and accounts for one-third of all trauma mortalities.1,2 Of these, 75% will die within the first 3 days. In patients who survive beyond this period, however, the underlying causes of death are the result of non-neurologic organ dys
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Brain-Heart Interactions in Traumatic Brain Injury
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Questions remain to be answered in clinical randomized-controlled trials, including population selection, beta blocker type, dosage, timing, and duration of therapy, while maintaining the optimal mean arterial pressure and cerebral perfusion pressure in patients with TBI.
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The nature of multiple organ dysfunction syndrome (MODS) after traumatic injury is evolving as resuscitation practices advance and more patients survive their injuries to reach critical care. The aim…
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In this largest study to date, patients receiving BB were older, more severely injured, and had a higher mortality, unlike TBI patients, multivariable regression showed no benefit from BB in this population of patients.
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It is hypothesized that propranolol is the best BB to limit secondary injury and decrease mortality in patients with traumatic brain injury and adjusted analysis confirmed the protective effect of propr ethanol.
Beta blockers in critically ill patients with traumatic brain injury: Results from a multicenter, prospective, observational American Association for the Surgery of Trauma study
- MedicineThe journal of trauma and acute care surgery
- 2018
Administration of beta blockers after TBI was associated with improved survival, before and after adjusting for the more severe injuries observed in the treatment cohort.
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Traumatic brain injury induced temperature dysregulation: What is the role of β blockers?
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- 2021
Beta blockers attenuate PTH by decreasing the frequency of febrile episodes, increasing the time interval between febrian episodes, and reducing the maximum rise in temperature.
Beta-blockers for traumatic brain injury: a systematic review and meta-analysis.
- MedicineThe journal of trauma and acute care surgery
- 2021
This meta-analysis demonstrated that administration of β-blockers after TBI was safe and effective and may therefore be suggested in the TBI care, however, more high-quality trials are needed to investigate the use of β -blockers in the management of TBI.
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