%A Zoerle,Tommaso %A Carbonara,Marco %A Zanier,Elisa R. %A Ortolano,Fabrizio %A Bertani,Giulio %A Magnoni,Sandra %A Stocchetti,Nino %D 2017 %J Frontiers in Neurology %C %F %G English %K Traumatic Brain Injury,Neuroprotection,multimodal monitoring,animal model,Intensive Care Unit %Q %R 10.3389/fneur.2017.00354 %W %L %M %P %7 %8 2017-July-24 %9 Mini Review %+ Nino Stocchetti,Fondazione IRCCS Ca’ Granda—Ospedale Maggiore Policlinico, Department of Anesthesia and Critical Care, Neuroscience Intensive Care Unit,Italy,nino.stocchetti@policlinico.mi.it %+ Nino Stocchetti,Department of Pathophysiology and Transplants, University of Milan,Italy,nino.stocchetti@policlinico.mi.it %# %! Neuroprotection in TBI %* %< %T Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection %U https://www.frontiersin.org/articles/10.3389/fneur.2017.00354 %V 8 %0 JOURNAL ARTICLE %@ 1664-2295 %X Neuroprotection after traumatic brain injury (TBI) is an important goal pursued strenuously in the last 30 years. The acute cerebral injury triggers a cascade of biochemical events that may worsen the integrity, function, and connectivity of the brain cells and decrease the chance of functional recovery. A number of molecules acting against this deleterious cascade have been tested in the experimental setting, often with preliminary encouraging results. Unfortunately, clinical trials using those candidate neuroprotectants molecules have consistently produced disappointing results, highlighting the necessity of improving the research standards. Despite repeated failures in pharmacological neuroprotection, TBI treatment in neurointensive care units has achieved outcome improvement. It is likely that intensive treatment has contributed to this progress offering a different kind of neuroprotection, based on a careful prevention and limitations of intracranial and systemic threats. The natural course of acute brain damage, in fact, is often complicated by additional adverse events, like the development of intracranial hypertension, brain hypoxia, or hypoperfusion. All these events may lead to additional brain damage and worsen outcome. An approach designed for early identification and prompt correction of insults may, therefore, limit brain damage and improve results.