The cranianas injuries that can increase of size, as hematomas and edema can cause cerebral compression that I eat consequncia promotes the increase of the intracraniana pressure (PIC). The PIC can provoke the death of the fabric cerebral for pressure and displacement of encfalo. Therefore the necessity to after control the PIC during the acute period TCE (JUNQU; BRUNA; MATAR, 2001). 2.7TRATAMENTO TCE the basic treatment to the patient victim of TCE consists of the clinical or surgical treatment. It has indication of surgical treatment in the cases where Tomografia Computadorizada (TC) in the sample the presence of hematoma and edema. As the dimension of the problem is necessary a descompressiva craniectomia.
The clinical treatment consists of the basic support of life. In the initial neurological evaluation of a patient with TCE Escala de Coma de Glasgow (ECG) for its easy application must be emphasized. How much lesser the points in the ECG, worse prognostic and greater mortality (CINTRA, 2005). The punctuation together with the neuropsicolgicos results of motor level, memory and constructive capacity, can predict the quality of life of the affected patient. The duration of the state of also eats has preditivo value on the alterations of memory (JUNQU; BRUNA; MATAR, 2001). The respiratory insufficience occurs in about 20% of the patient victims of TCE. The orotraqueal intubao is indicated to keep the prvias aerial ways and is installed the ventilation mechanics (VM) in the cases where the patient to present intracraniana hipertenso or reduction of the conscience level. The ventilatrio support has as main purpose the prevention of the hypoxaemia, keeping the satisfactory levels of oxygen in all the fabrics (CINTRA, 2005). It is of extreme importance to keep the hemodinmica stability in the TCE, being prevented hypoxaemia, keeping levels of arterial pressure, temperature and volemia.