Decompressive craniectomy in traumatic brain injury: Quo Vadis?
نویسندگان
چکیده
منابع مشابه
Decompressive craniectomy in diffuse traumatic brain injury.
BACKGROUND It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and refractory raised intracranial pressure. METHODS From December 2002 through April 2010, we randomly assigned 155 adults with severe diffuse traumatic brain injury and intracranial hypertension that was refractory to first-tier therapies to undergo eithe...
متن کاملDecompressive Craniectomy in Traumatic Brain Injury:Factors Influencing Prognosis and Outcome
Background and Aim: Decompressive craniectomy can be life-saving for patients with severe traumatic brain injury, but many questions about its ideal application, indications, timing, technique, and even the definition of success of decompressive craniectomy remains unclear. The aim of this study was to assess the factors associated with prognosis and outcome of patients with traumatic brain inj...
متن کاملintravenous fluid therapy in traumatic brain injury and decompressive craniectomy
the patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. currently traumatic brain injury constitutes a public health problem. knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. the immediate rapid infusion of large volumes of crystalloids to restore blood volume and bloo...
متن کاملIntravenous Fluid Therapy in Traumatic Brain Injury and Decompressive Craniectomy.
The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. The immediate rapid infusion of large volumes of crystalloids to restore blood volume and bloo...
متن کاملIs decompressive craniectomy useless in severe traumatic brain injury?
Recently, a multicenter randomized controlled trial (RCT) by Cooper and colleagues indicated that decompressive craniectomy (DC) may be associated with a worse functional outcome in patients with diffuse traumatic brain injury (TBI), although DC can immediately and constantly reduce intracranial pressure (ICP). As this trial is well planned and of high quality, the unexpected result is meaningf...
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ژورنال
عنوان ژورنال: Ukrainian Neurosurgical Journal
سال: 2014
ISSN: 2412-8791,1810-3154
DOI: 10.25305/unj.46593