{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T05:45:09Z","timestamp":1785735909287,"version":"3.56.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Severe traumatic brain injury (sTBI) is a major cause of trauma\u2010related mortality and disability in children. Infants face unique challenges due to physiological immaturity and scarce evidence\u2010based protocols. We report the perioperative nursing management of a one\u2010month\u2010old infant with sTBI complicated by brain herniation, guided by a multidisciplinary team (MDT) through a structured care pathway adapted from the\n                      <jats:italic>Third Edition of the Guidelines for the Management of Pediatric Severe Traumatic Brain Injury<\/jats:italic>\n                      with infant\u2010specific modifications. The patient presented with respiratory and circulatory failure, severe infection and temperature imbalance. Nursing priorities focussed on neuroprotective interventions targeting intracranial pressure control, comprehensive physiological support and family\u2010centred early rehabilitation incorporating psychosocial support. The infant recovered without critical complications, achieving stable physiological parameters and neurological improvement before discharge on postoperative day 28. This case demonstrates that structured nursing care, integrating individualised multidimensional strategies, can facilitate recovery in infants with sTBI. As few reports address comprehensive nursing paradigms for this age group, our experience provides a practical framework for critical care nursing of infant sTBI patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This case establishes a reproducible multidisciplinary team\u2010coordinated care pathway for infant severe traumatic brain injury, integrating infant\u2010tailored neuroprotection, comprehensive physiological support and family\u2010centred early rehabilitation. It highlights the scientific adaptation of existing guidelines to individualised conditions. By providing a practical framework for implementing structured nursing strategies, this approach addresses the critical gap in age\u2010specific protocols to optimise neurodevelopmental outcomes in similar high\u2010risk infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70219","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T05:13:57Z","timestamp":1762233237000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary Perioperative Care of a One\u2010Month\u2010Old Infant With Severe Traumatic Brain Injury and Brain Herniation: A Case Report"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4150-4734","authenticated-orcid":false,"given":"Zhenjin","family":"Cai","sequence":"first","affiliation":[{"name":"School of Nursing Hunan University of Chinese Medicine  Changsha China"},{"name":"Hunan University of Medicine  Huaihua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9280-2592","authenticated-orcid":false,"given":"Hao","family":"Zheng","sequence":"additional","affiliation":[{"name":"School of Nursing Hunan Normal University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5558-0178","authenticated-orcid":false,"given":"Si","family":"Wei","sequence":"additional","affiliation":[{"name":"School of Nursing Hunan University of Chinese Medicine  Changsha China"},{"name":"Hunan University of Medicine  Huaihua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2856-3413","authenticated-orcid":false,"given":"Kai","family":"Wang","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit Hunan University of Medicine General Hospital  Huaihua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0474-0428","authenticated-orcid":false,"given":"Huiting","family":"Qu","sequence":"additional","affiliation":[{"name":"Surgical Comprehensive Ward, The Second Affiliated Hospital, School of Medicine The Chinese University of Hong Kong  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2265-3549","authenticated-orcid":false,"given":"Ling","family":"Jiang","sequence":"additional","affiliation":[{"name":"Nursing Department Hunan University of Medicine General Hospital  Huaihua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8403-1872","authenticated-orcid":false,"given":"Guangwei","family":"Wang","sequence":"additional","affiliation":[{"name":"Hunan University of Medicine  Huaihua China"},{"name":"Key Laboratory of Brain and Neuroendocrine Diseases College of Hunan Province  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