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.
Surgery, 2013, Vol 154, Issue 2, p. 388-96
Animals; Brain; Brain Injuries; Female; Hemodynamics; Plasma; Resuscitation; Shock, Hemorrhagic; Swine; Valproic Acid; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.