Traumatic Brain Injury

儘管預醫院、危重病護理和手術管理方面有了很大的改進，創傷性腦損傷仍然是導致死亡和殘疾的主要原因，造成了巨大的社會經濟負擔。本書從預醫院環境到出院提供了創傷性腦損傷管理的全面而實用的觀點。

此外，本書強調了途徑（創傷中心和神經危重病護理單位）的重要性，以及專業神經危重病護理團隊和神經危重病護理單位在神經危重病護理實踐中的核心作用。作者鼓勵成人和兒童患者採用實用、協議驅動的多學科方法，提供了對創傷性腦損傷患者的診斷和治療管理的方法論描述。神經監測具有主導地位，非侵入性監測（近紅外光譜、瞳孔測量、頭顱顏色多普勒超聲-TCD、頭顱顏色多普勒超聲-TCCD和視神經超聲）和神經生理學（腦電圖和誘發電位）在早期識別併發症和快速評估醫療治療效果方面的作用越來越大。然而，越來越多的數據增加了解釋收集信息的複雜性。本書介紹了多模式監測的基本原則和計算機輔助方法，以提供對未來方向的概述，即整合和解釋從各種技術獲得的不同數據。

作者特別關注預後和治療限制決策，回顧了神經康復的關鍵作用以及對腦死亡、器官捐贈和與家屬的溝通的臨床和生物倫理學觀點。

Etrusca Brogi, MD, is an intensivist specializing in Neuroanaesthesia and Neurointensive Care at Pisa University Hospital. Her principal filed of interest are the management of the polytrauma patient, especially spinal and head trauma, and intra / inter hospital transfers of critically ill patients. She served as reviewer for various journals, and she authored several articles published in long-time indexed journal on ultrasound in intensive care, and trauma brain injury. She is also the author of several chapter for Springer book series.

Federico Coccolini, MD, is Professor of Surgery at the Pisa Universuty and consultant in general, emergency and trauma surgery at the Pisa University Hospital, one of the biggest Level I trauma centres in Italy. He has a deep and documented experience in managing post-traumatic and non-post-traumatic patients. His principal interests are emergency surgery, trauma surgery, advanced oncology, oncologic gastrointestinal surgery, laparoscopic and minimally invasive surgery, tissue engineering and experimental surgery, evidence-based medicine, and surgery. He is the principal investigator of multicentre studies and registers, and authored hundreds of papers and tens of book chapters. He edited a Textbook of Emergency General Surgery, several books and a book series. He served as reviewer for several journals. He is the Vice President of the World Society of Emergency Surgery (WSES) and of the World Journal of Emergency Surgery (WJES), head of the scientific committee of the EVTM Society, member of the Executive Committee of the Italian Society of Emergency Surgery and Trauma, Italian Society of Geriatric Surgery and of the Italian Society of Surgical Physiopathology. Prof. Coccolini is a recognized world opinion leader in emergency general surgery and trauma.

Eric J. Ley, MD, FACS, is a surgeon specializing in trauma and acute care surgery in the Department of Surgery at the Cedars-Sinai Medical Center. He is a Professor of Surgery at Cedars-Sinai and Health Sciences Clinical Professor at the University of California, Los Angeles. Dr. Ley is the Medical Director of the Surgical Intensive Care Unit and Program Director of the Trauma and Surgical Critical Care Fellowship. His benchtop research focus is on the mechanisms for secondary injury after trauma with a focus on the role of the beta adrenergic response. Dr. Ley's clinical research centers on the human factors in surgery systems, serving as co editor for a textbook on this subject. Dr. Ley has a specific interest in preventing venous thromboembolism after trauma and recently led the efforts to revise the national guidelines for venous thromboembolism prophylaxis for the Western Trauma Association.

Alex Valadka, MD, serves as Professor of Neurological Surgery at the University of Texas Southwestern Medical Center in Dallas, where he is Chief of Neurological Surgery at Parkland Memorial Hospital. Hehas had a career-long clinical and research interest in neurotrauma and critical care, including numerous papers, presentations, research grants, courses, seminars, and visiting professorships. He has served in numerous leadership roles in neurosurgery and neurotrauma, including President of the American Association of Neurological Surgeons, Director of the American Board of Neurological Surgery, Chair of the Neurosurgical Specialty Group of the American College of Surgeons Committee on Trauma, and membership on numerous study sections, data and safety monitoring boards, and similar activities for the NIH and other organizations.

Etrusca Brogi, MD，是一位專注於神經麻醉和神經重症護理的重症醫師，任職於比薩大學醫院。她主要關注的領域是多重創傷患者的管理，尤其是脊柱和頭部創傷，以及危重病患的院內/院間轉移。她曾擔任多個期刊的審稿人，並在長期索引期刊上發表了多篇關於超聲波在重症護理和創傷性腦損傷中的文章。她還是Springer書系的幾個章節的作者。

Federico Coccolini, MD，是比薩大學的外科學教授，也是比薩大學醫院的一位普通外科、急診和創傷外科顧問，該醫院是意大利最大的一級創傷中心之一。他在處理創傷後和非創傷性患者方面具有豐富的經驗和記錄。他的主要興趣領域包括急診外科、創傷外科、先進腫瘤學、腫瘤胃腸外科、腹腔鏡和微創外科、組織工程和實驗外科、循證醫學和外科手術。他是多中心研究和登記的首席調查員，並撰寫了數百篇論文和數十篇書籍章節。他編輯了一本《緊急普通外科教科書》，還編輯了幾本書和一個書系。他曾擔任多個期刊的審稿人。他是世界急診外科學會（WSES）和世界急診外科雜誌（WJES）的副主席，EVTM學會科學委員會主席，意大利急診外科和創傷學會執行委員會成員，意大利老年外科學會和意大利外科病理學學會成員。Coccolini教授是緊急普通外科和創傷領域的國際公認意見領袖。

Eric J. Ley, MD, FACS，是塞達斯-西奈醫療中心外科部門的創傷和急診外科專家。他是塞達斯-西奈的外科教授，也是加州大學洛杉磯分校的健康科學臨床教授。Ley博士是外科重症監護病房的醫學主任，也是創傷和外科重症護理研究生課程的計劃主任。他的臨床研究重點是創傷後次級損傷的機制，尤其關注β腎上腺素反應的作用。Ley博士的臨床研究集中在外科系統中的人為因素，他是這一主題教科書的共同編輯。Ley博士對預防創傷後靜脈血栓栓塞具有特殊興趣，最近帶領修訂了西部創傷協會有關靜脈血栓栓塞預防的國家指南。

Alex Valadka, MD，是德克薩斯大學南西醫學中心的神經外科學教授，也是達拉斯帕克蘭紀念醫院的神經外科主任。他在神經創傷和重症護理方面有著長期的臨床和研究興趣，包括大量的論文、演講、研究資助、課程、研討會和訪問教授職位。他在神經外科和神經創傷方面擔任過多個領導職務，包括美國神經外科醫師協會主席、美國神經外科醫師委員會主任、美國外科醫師協會創傷委員會神經外科專業組主席，以及對於NIH和其他組織的多個研究部門、數據和安全監控委員會等活動的成員。