Imam, Ayesha M2; Jin, Guang3; Duggan, Michael3; Sillesen, Martin4; Hwabejire, John O3; Jepsen, Cecilie H3; DePeralta, Danielle3; Liu, Baoling3; Lu, Jennifer3; deMoya, Marc A3; Socrate, Simona3; Alam, Hasan B3
1 Anæstesi- og operationsklinikken HOC, HovedOrtoCentret Rigshospitalet, Rigshospitalet, The Capital Region of Denmark2 Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.3 unknown4 Department of Anaesthesiology, Amager and Hvidovre Hospital, The Capital Region of Denmark
Traumatic brain injury (TBI) and hemorrhagic shock (HS) are major causes of trauma-related deaths and are especially lethal as a combined insult. Previously, we showed that early administration of fresh frozen plasma (FFP) decreased the size of the brain lesion and associated swelling in a swine model of combined TBI+HS. We have also shown separately that addition of valproic acid (VPA) to the resuscitation protocol attenuates inflammatory markers in the brain as well as the degree of TBI. The current study was performed to determine whether a combined FFP+VPA treatment strategy would exert a synergistic effect.