Early versus late tracheostomy after decompressive craniectomy for stroke

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Early versus late tracheostomy after decompressive craniectomy for stroke

Background Stroke patients requiring decompressive craniectomy are at high risk of prolonged mechanical ventilation and ventilator-associated pneumonia (VAP). Tracheostomy placement may reduce the duration of mechanical ventilation. Predicting which patients will require tracheostomy and the optimal timing of tracheostomy remains a clinical challenge. In this study, the authors compare key outc...

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Decompressive craniectomy for stroke in Brazil.

Dear Editor, We read with interest the recent article “Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcomes”1. Decompressive craniectomy (DC) for stroke is a well-established procedure for saving lives, despite the potential risk of it leading to severe disability in some patients. Because most of the published data comes from ...

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Decompressive Craniectomy in Posterior Fossa Ischemic Stroke

Ischemic damage produced in the posterior cerebral territory causes significant morbidity and urgently must be considered if the patient need a surgical attitude. Surgical decompression by suboccipital craniectomy seams to be effective to treat secondary edema due to cerebellar damage or in posterior fossa, when medical treatment is not able to control side effects. We report a clinical case of...

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Outcomes of Early Decompressive Craniectomy Versus Conventional Medical Management After Severe Traumatic Brain Injury

This meta-analysis examined whether early decompressive craniectomy (DC) can improve control of intracranial pressure (ICP) and mortality in patients with traumatic brain injury (TBI).Medline, Cochrane, EMBASE, and Google Scholar databases were searched until May 14, 2015, using the following terms: traumatic brain injury, refractory intracranial hypertension, high intracranial pressure, cranie...

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Decompressive Craniectomy.

Decompressive Craniectomy (DC) is used to treat elevated intracranial pressure that is unresponsive to conventional treatment modalities. The underlying cause of intracranial hypertension may vary and consequently there is a broad range of literature on the uses of this procedure. Traumatic brain injury (TBI), middle cerebral artery (MCA) infarction, and aneurysmal subarachnoid hemorrhage (SAH)...

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ژورنال

عنوان ژورنال: Journal of Intensive Care

سال: 2018

ISSN: 2052-0492

DOI: 10.1186/s40560-017-0269-1