[Management of anesthesia for the multiply-injured patient with associated craniocerebral injuries].

Adequate anaesthesiological care of polytraumatized patients with associated craniocerebral trauma has the primary objective of preventing secondary cerebral damage. To this end, it is absolutely necessary to be aware of the physiology and pathophysiology of intracranial pressure, cerebral perfusion pressure and cerebral blood flow. The effects on these parameters of physiological feedback parameters, as well as anaesthesiological measures and the drugs used, are discussed.