{"id":34847,"date":"2025-03-27T13:06:34","date_gmt":"2025-03-27T16:06:34","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=34847"},"modified":"2025-03-27T13:06:37","modified_gmt":"2025-03-27T16:06:37","slug":"curiosidades-sobre-o-trauma-cranioencefalico","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/","title":{"rendered":"Curiosidades sobre o Trauma Cranioencef\u00e1lico\u00a0"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#O_que_e\" >O que \u00e9?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Anatomia\" >Anatomia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Fisiopatologia\" >Fisiopatologia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Classificacao_Clinica\" >Classifica\u00e7\u00e3o Cl\u00ednica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Atendimento_Inicial_e_Reavaliacao\" >Atendimento Inicial e Reavalia\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#SOFT_PACK_Mantendo_a_Homeostase\" >SOFT PACK: Mantendo a Homeostase<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Condutas_Especificas\" >Condutas Espec\u00edficas<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#TCE_Leve_ECG_13-15\" >TCE Leve (ECG 13-15)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#TCE_Moderado_ECG_9-12\" >TCE Moderado (ECG 9-12)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#TCE_Grave_ECG_%E2%89%A4_8\" >TCE Grave (ECG \u2264 8)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Hipertensao_Intracraniana_Refrataria\" >Hipertens\u00e3o Intracraniana Refrat\u00e1ria<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Tratamento_Definitivo_e_Consideracoes_Adicionais\" >Tratamento Definitivo e Considera\u00e7\u00f5es Adicionais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/curiosidades-sobre-o-trauma-cranioencefalico\/#Seja_um_MedCofer\" >Seja um MedCofer!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-1024x576.jpg\" alt=\"\" class=\"wp-image-34848\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/03\/Blog-MedCof-2025-03-26T080530.451.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-e\"><span class=\"ez-toc-section\" id=\"O_que_e\"><\/span><strong>O que \u00e9?\u00a0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O <strong>Trauma Cranioencef\u00e1lico (TCE)<\/strong> \u00e9 uma condi\u00e7\u00e3o frequente e de grande import\u00e2ncia no contexto de emerg\u00eancias e cuidados intensivos. No atendimento inicial, o principal objetivo \u00e9 evitar les\u00f5es cerebrais secund\u00e1rias, como hip\u00f3xia e hipertens\u00e3o intracraniana, que podem agravar o quadro do paciente. Por isso, vamos explorar algumas curiosidades sobre o manejo do TCE, incluindo a avalia\u00e7\u00e3o inicial at\u00e9 as condutas espec\u00edficas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-anatomia\"><span class=\"ez-toc-section\" id=\"Anatomia\"><\/span><strong>Anatomia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O TCE pode ser causado por diversos mecanismos, sendo os mais comuns quedas, acidentes automobil\u00edsticos e agress\u00f5es. Em jovens, les\u00f5es esportivas e viol\u00eancia tamb\u00e9m s\u00e3o causas importantes a serem consideradas. \u00c9 crucial lembrar que o TCE est\u00e1 envolvido em cerca de <strong>90% das mortes pr\u00e9-hospitalares,<\/strong> embora a maioria dos casos seja de traumas leves.<\/p>\n\n\n\n<p>Para entender a fisiopatologia do TCE, \u00e9 essencial revisar a anatomia b\u00e1sica do cr\u00e2nio e das meninges. As meninges (dura m\u00e1ter, aracnoide e pia m\u00e1ter) protegem o c\u00e9rebro, e o cr\u00e2nio, sendo uma estrutura r\u00edgida, pode sofrer fraturas. O couro cabeludo, altamente vascularizado, pode levar a choque hemorr\u00e1gico em casos de les\u00f5es. Sangramentos intracranianos, como hematoma extradural (art\u00e9ria men\u00edngea m\u00e9dia), hematoma subdural (plexo venoso) e hemorragia intraparenquimatosa, s\u00e3o complica\u00e7\u00f5es graves.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXctKzQaWVJLLOTvywhWjsKGuZsq29VEtKvIfZa1auSp9nt66M36Fixn8EDUBwSjomaSpdeSESK3xKXnYJDwyU2XG6EpL4-GqRuCKH-3apTpG9W4wwEzRr_9pdPKpeHEfaYBS_W6?key=jQ3A9Cc8lLKHMmkt8Tan58ZH\" alt=\"Anatomia Cranioencef\u00e1lica. Fonte: Acervo de Aulas do Grupo MedCof.\"\/><figcaption class=\"wp-element-caption\">Anatomia Cranioencef\u00e1lica. Fonte: Acervo de Aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fisiopatologia\"><span class=\"ez-toc-section\" id=\"Fisiopatologia\"><\/span><strong>Fisiopatologia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>As les\u00f5es no TCE podem ser divididas em <strong>prim\u00e1rias<\/strong> e <strong>secund\u00e1rias<\/strong>.<\/p>\n\n\n\n<p>As les\u00f5es prim\u00e1rias resultam do trauma direto, causando les\u00e3o axonal difusa, contus\u00e3o, hematoma e trauma penetrante.<\/p>\n\n\n\n<p>J\u00e1 as les\u00f5es secund\u00e1rias s\u00e3o decorrentes de isquemia, m\u00e1 perfus\u00e3o, edema e resposta inflamat\u00f3ria exacerbada.&nbsp;<\/p>\n\n\n\n<p>A press\u00e3o intracraniana <strong>(PIC)<\/strong> \u00e9 um par\u00e2metro vital a ser monitorado, com valores normais em torno de 10mmHg. A press\u00e3o de perfus\u00e3o cerebral <strong>(PPC)<\/strong> \u00e9 calculada pela f\u00f3rmula PAM \u2013 PIC, sendo essencial para garantir o fluxo sangu\u00edneo cerebral adequado. A Doutrina de Monro-Kellie \u00e9 um conceito fundamental para entender a din\u00e2mica da PIC.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcxZN-5dRO_wZUPF4ZATglZ-_0mTujE8nclIVnTk91qK2zN07YQHKT-5rPuc8cNP6MdIlaUTMmxOUChbVQK6lg85DumjE4QtAgGZLNxoiTSImy63KOusnO5JaPt8wDAteIiRZB8Vw?key=jQ3A9Cc8lLKHMmkt8Tan58ZH\" alt=\"Doutrina de Monro-Kellie. Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof.\"\/><figcaption class=\"wp-element-caption\">Doutrina de Monro-Kellie. Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-classificacao-clinica\"><span class=\"ez-toc-section\" id=\"Classificacao_Clinica\"><\/span><strong>Classifica\u00e7\u00e3o Cl\u00ednica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A Escala de Coma de Glasgow (ECG) \u00e9 uma ferramenta essencial para classificar a gravidade do TCE e guiar o manejo inicial. A ECG ajuda a diferenciar TCEs leves (13-15), moderados (9-12) e graves (\u2264 8). Al\u00e9m da ECG, a avalia\u00e7\u00e3o de fraturas de cr\u00e2nio (com ou sem afundamento) e fraturas da base do cr\u00e2nio (rinorreia, otorreia, sinal de Battle, Guaxinim) s\u00e3o importantes.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXfJruf8srK14cBLu2WhJ5C1HnWzycLqv4UqYVkhOP0oq2x1RdnThM0BYMwewq5MIQvICkVAU70ylCjz2A7Bxvv4A9cipOuZRtzkByeNhBsiVJQl5ZTGmF80vWDaYX-GRcXuSt-DOg?key=jQ3A9Cc8lLKHMmkt8Tan58ZH\" alt=\"Escala de Coma de Glasgow. Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof\u00a0\"\/><figcaption class=\"wp-element-caption\">Escala de Coma de Glasgow. Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof\u00a0<\/figcaption><\/figure>\n\n\n\n<p>As les\u00f5es intracranianas podem ser difusas (concuss\u00e3o, les\u00e3o axonal difusa, edema cerebral difuso) ou focais (hematoma epidural, hematoma subdural, hematoma intraparenquimatoso, hemorragia subaracnoidea). O hematoma epidural apresenta formato biconvexo e n\u00e3o ultrapassa as suturas, enquanto o hematoma subdural tem formato de foice e ultrapassa as suturas.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcXegg2c3oLcFvNxq8U_PkZpkbSBXYXVZnN5NfRABIW74A7OTdnxof1O7HSI8Ajp-qtUC6va51sTDnMNay6oGgK7-zBl1ijUMM48pavaWGLbaj6GHmf2A_iA270fE2GpSC3Xc1ZVg?key=jQ3A9Cc8lLKHMmkt8Tan58ZH\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Localiza\u00e7\u00e3o das hemorragias. Fonte: <a href=\"https:\/\/anatpat.unicamp.br\/radaneurisma3.html\">https:\/\/anatpat.unicamp.br\/radaneurisma3.html<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-atendimento-inicial-e-reavaliacao\"><span class=\"ez-toc-section\" id=\"Atendimento_Inicial_e_Reavaliacao\"><\/span><strong>Atendimento Inicial e Reavalia\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O atendimento inicial ao trauma segue o protocolo <strong>ABCDE<\/strong>, com foco na preven\u00e7\u00e3o de les\u00f5es secund\u00e1rias. \u00c9 crucial tratar hip\u00f3xia e hipotens\u00e3o agressivamente, com intuba\u00e7\u00e3o precoce e controle da ventila\u00e7\u00e3o. Vale ressaltar que a hipotens\u00e3o permissiva \u00e9 contraindicada no TCE. O uso de \u00e1cido tranex\u00e2mico (transamin) \u00e9 autorizado, conforme os dados do estudo CRASH III.&nbsp;<\/p>\n\n\n\n<p>A reavalia\u00e7\u00e3o e avalia\u00e7\u00e3o secund\u00e1ria seguem o mnem\u00f4nico AMPLA (Alergias, Medica\u00e7\u00f5es, Passado m\u00e9dico, Liba\u00e7\u00f5es, Ambiente\/Eventos). \u00c9 importante investigar o mecanismo do trauma, abuso de \u00e1lcool e drogas, e uso de medicamentos (reverter anticoagulantes\/antiplaquet\u00e1rios).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-soft-pack-mantendo-a-homeostase\"><span class=\"ez-toc-section\" id=\"SOFT_PACK_Mantendo_a_Homeostase\"><\/span><strong>SOFT PACK: Mantendo a Homeostase<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O SOFT PACK \u00e9 um conjunto de par\u00e2metros que visam manter a homeostase do paciente com TCE:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PAS > 100\/110 mmHg<\/li>\n\n\n\n<li>Temperatura > 36\u00b0C<\/li>\n\n\n\n<li>Glicose 80-180 mg\/dL<\/li>\n\n\n\n<li>SpO2 > 95%<\/li>\n\n\n\n<li>PaO2 > 100 mmHg<\/li>\n\n\n\n<li>Plaquetas > 75.000\/\u00b5L<\/li>\n\n\n\n<li>S\u00f3dio 135-145 mEq\/L<\/li>\n\n\n\n<li>pH 7,35-7,45<\/li>\n\n\n\n<li>PaCO2 35-45 mmHg<\/li>\n\n\n\n<li>Cabeceira elevada e centrada (45\u00b0)<\/li>\n\n\n\n<li>PICC &lt; 15 mmHg, PPC > 60 mmHg<\/li>\n\n\n\n<li>Analgesia e seda\u00e7\u00e3o (RASS 0)<\/li>\n\n\n\n<li>INR &lt; 1,4<\/li>\n\n\n\n<li>Hb > 7 g\/dL<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1024x320.png\" alt=\"\" class=\"wp-image-33723\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1024x320.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1536x480.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-2048x640.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1343x420.png 1343w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-696x218.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1068x334.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1920x600.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-condutas-especificas\"><span class=\"ez-toc-section\" id=\"Condutas_Especificas\"><\/span><strong>Condutas Espec\u00edficas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tce-leve-ecg-13-15\"><span class=\"ez-toc-section\" id=\"TCE_Leve_ECG_13-15\"><\/span><strong>TCE Leve (ECG 13-15)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Observa\u00e7\u00e3o neurol\u00f3gica por 24 horas. Tomografia de cr\u00e2nio se Glasgow &lt; 15 ap\u00f3s 2 horas, fratura de cr\u00e2nio, dois epis\u00f3dios em\u00e9ticos, uso de anticoagulante, idade > 65 anos, perda de consci\u00eancia > 5 minutos, amn\u00e9sia retr\u00f3grada > 30 minutos, trauma de alta energia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tce-moderado-ecg-9-12\"><span class=\"ez-toc-section\" id=\"TCE_Moderado_ECG_9-12\"><\/span><strong>TCE Moderado (ECG 9-12)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>SOFT PACK, TC de cr\u00e2nio, consulta urgente com neurocirurgi\u00e3o, considerar passagem de PIC, tratar diagn\u00f3sticos diferenciais para rebaixamento do n\u00edvel de consci\u00eancia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tce-grave-ecg-8\"><span class=\"ez-toc-section\" id=\"TCE_Grave_ECG_%E2%89%A4_8\"><\/span><strong>TCE Grave (ECG \u2264 8)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>SOFT PACK, TC de cr\u00e2nio, consulta urgente com neurocirurgi\u00e3o, considerar passagem de PIC, tratar diagn\u00f3sticos diferenciais para rebaixamento do n\u00edvel de consci\u00eancia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-hipertensao-intracraniana-refrataria\"><span class=\"ez-toc-section\" id=\"Hipertensao_Intracraniana_Refrataria\"><\/span><strong>Hipertens\u00e3o Intracraniana Refrat\u00e1ria<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A suspeita cl\u00ednica de PIC > 22 mmHg inclui assimetria de pupilas, miose, decortica\u00e7\u00e3o ou descerebra\u00e7\u00e3o, depress\u00e3o respirat\u00f3ria e tr\u00edade de Cushing. As medidas de 1\u00aa linha incluem SOFT PACK, seda\u00e7\u00e3o terap\u00eautica e aumento da PAM para aumentar a PPC. A monitoriza\u00e7\u00e3o da PIC \u00e9 considerada em TCE grave ou moderado. Medidas de 2\u00aa linha (discut\u00edveis) incluem barbit\u00faricos (cuidado com hipotens\u00e3o), hipotermia controlada e hiperventila\u00e7\u00e3o (hipocapnia permissiva). Medidas tempor\u00e1rias (terapia ponte) incluem salina hipert\u00f4nica (NaCl 20% 0,5mg\/kg em 5 min) ou Manitol 20% (0,25mg\/kg).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento-definitivo-e-consideracoes-adicionais\"><span class=\"ez-toc-section\" id=\"Tratamento_Definitivo_e_Consideracoes_Adicionais\"><\/span><strong>Tratamento Definitivo e Considera\u00e7\u00f5es Adicionais<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O tratamento definitivo para hipertens\u00e3o intracraniana refrat\u00e1ria \u00e9 a craniectomia descompressiva. A profilaxia de crise epil\u00e9ptica com fenito\u00edna \u00e9 indicada em casos de fratura com afundamento, hematomas intracerebrais, antecedente de epilepsia e ferimentos penetrantes em cr\u00e2nio. Considerar em Glasgow &lt; 10, crise epil\u00e9ptica, hematomas e contus\u00f5es. A profilaxia de TEV e \u00falcera de estresse, al\u00e9m da nutri\u00e7\u00e3o adequada, s\u00e3o importantes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Seja_um_MedCofer\"><\/span><strong>Seja um MedCofer!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>MedCoffer<\/strong><\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma metodologia que j\u00e1 aprovou mais de 10 mil residentes no pa\u00eds! Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"HUhNIHfVWkM\"><iframe loading=\"lazy\" title=\"SingularCast T2 Ep.19 - Escolha um caminho e siga at\u00e9 o final com Dr. Guilherme Primo\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/HUhNIHfVWkM?start=4&#038;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>O Trauma Cranioencef\u00e1lico (TCE) \u00e9 uma condi\u00e7\u00e3o frequente e de grande import\u00e2ncia no contexto de emerg\u00eancias e cuidados intensivos. Entenda!<\/p>\n","protected":false},"author":21,"featured_media":34848,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[68,1740,2772],"ppma_author":[3617],"class_list":{"0":"post-34847","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-residencia-medica","9":"tag-trauma","10":"tag-trauma-cranioencefalico"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Curiosidades sobre o Trauma Cranioencef\u00e1lico\u00a0 - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"O Trauma Cranioencef\u00e1lico (TCE) \u00e9 uma condi\u00e7\u00e3o frequente e de grande import\u00e2ncia no contexto de emerg\u00eancias e cuidados intensivos. 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