Evidence map›Paper›PMID 40522481›Full record

ReviewIntensive care medicine2025

Traumatic brain injury management in the intensive care unit: standard of care and knowledge gaps.

Chiara Robba, Victoria McCredie, Randall M Chesnut, Giuseppe Citerio, Tobias Gauss, Gregory W J Hawryluk, Raimund Helbok, Geert Meyfroidt, Virginia Newcombe, Aarti Sarwal and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Advances in Multimodality Monitoring in Traumatic Brain Injury.Current neurology and neuroscience reports · 2026
    Review
  3. Review
  4. Article
  5. Engineering Silk Fibroin-Based Biomaterials for Neural Repair.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Temperature control in acute brain injury.Intensive care medicine · 2026
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Chiara RobbaDepartment of Surgical Science and Integrated Diagnostic, University of Genova, Genoa, Italy. kiarobba@gmail.com.ORCID 0000-0003-1628-3845
Victoria McCredieInterdepartmental Division of Critical Care Medicine, University of Toronto, Critical Care and Neurocritical Care Medicine, Toronto Western Hospital, Division of University Health Network, Krembil Research Institute, Toronto, Canada.
Randall M ChesnutDepartment of Neurological Surgery, University of Washington, Seattle, USA.
Giuseppe CiterioSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Tobias GaussUniv. Grenoble Alpes, Grenoble Institute of Neurosciences, INSERM U1216, Department of Anesthesiology and Intensive Care Medicine, Grenoble Alps University Hospital, Grenoble, France.
Gregory W J HawrylukCleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, USA.
Raimund HelbokDepartment of Neurology, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria.
Geert MeyfroidtDepartment and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven, Leuven, Belgium.
Virginia NewcombeDepartment of Medicine, University of Cambridge, Cambridge, UK.
Aarti SarwalDepartment of Neurology, Wake Forest University School of Medicine, Winston-Salem, USA.
Fabio S TacconeDepartment of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.
Mathieu van der JagtDepartment of Intensive Care Adults, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Sarah WahlsterDepartments of Neurology, Neurosurgery, and Anesthesiology, University of Washington, Seattle, USA.
Elisa R ZanierDepartment of Acute Brain and Cardiovascular Injury, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Pierre BouzatUniv. Grenoble Alpes, Grenoble Institute of Neurosciences, INSERM U1216, Department of Anesthesiology and Intensive Care Medicine, Grenoble Alps University Hospital, Grenoble, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in the management of traumatic brain injury (TBI) in the intensive care unit (ICU), and the implementation of new diagnostic techniques and monitoring modalities, the rate of poor neurological outcomes remains high. Specialized neurocritical care units have been shown to improve outcomes. Guidelines have been developed, but most recommendations are based on low levels of evidence. This has led to substantial heterogeneity in clinical practice for many aspects of TBI management, including multimodal neuromonitoring indications, treatment of intra- and extra-cranial complications, and use of prognostic tools. New tools have recently emerged, such as biomarkers and the use of artificial intelligence, but further research is needed to establish their application in clinical practice. This narrative review aims to describe standards of practice for the management of TBI in the ICU, highlighting current evidence and knowledge gaps, to provide a pragmatic approach for clinicians caring for this population.

Indexed as

Brain Injuries, TraumaticCritical CareStandard of CareHumansIntensive Care UnitsBiomarkersIntensive care medicineOutcomesSecondary brain injuryTraumatic brain injury

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.