DECOMPRESSIVE CRANIECTOMY IN DIFFUSE TRAUMATIC BRAIN INJURY PDF

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PDF | It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and. The Decompressive Craniectomy in Diffuse Traumatic Brain Injury or DECRA trial was the first neurosurgical randomized controlled trail that sought to answer. BACKGROUND It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and refractory.

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Inspite of all measures to control elevated ICP, mortality and morbidity remains high. However, to date adequately powered clinical studies testing the effect of these two DC methods on TBI patients are lacking.

Decompressive craniectomy in diffuse traumatic brain injury.

It is unclear whether decompressive craniectomy improves the functional outcome ln patients with severe traumatic brain injury and refractory raised intracranial pressure. Kjellberg RN, Prieto A.

Guidelines for the Treatment of Head Injury in Adults. Past experience and current developments Andrew I. Conflicts of interest There are no conflicts of interest. StaalTracey C. N Engl J Med ; Complications of cranioplasty following decompressive craniectomy: Author information Copyright and License information Disclaimer. Cite this article as: Would decompressive craniectomy really bring the hope to severe traumatic brain injury? Advances in imaging diagnostics and the neurointensive management of severe TBI have been able to keep up interest in the correct use of DC for elevated ICP.

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A special mention of Dr.

Decompressive craniectomy in diffuse traumatic brain injury.

Journal List Asian J Neurosurg v. MaasBob RoozenbeekGeoffrey T. It is a descriptive, retrospective study with a relatively small number of patients, conducted in a single center, which reduces statistical power.

Although barbiturates are included in level II brian of TBI guideline 5a Cochrane systematic review concluded that barbiturates may reduce ICP but do not reduce mortality or improve outcome in severe TBI survivors PatelPeter W.

For DC, we cannot give it up too early or cannot stick to it too blindly. Open in a separate window.

Disorders of the Nervous System. The Victorian Neurotrauma Initiative. References Publications referenced by this paper. Complications of decompressive craniectomy for traumatic brain injury.

Exploring the beneficiary patient population and operation timing remain the prime concerns. Table 2 Mode of injury with number of patients and percentage in each category.

Harin Reddy who helped us in collecting and analyzing the data. Speech and Language Therapy. This study aims to analyze the clinicoradiological factors associated with the prognosis of severe TBI in patients undergoing DC. In adults with severe diffuse traumatic brain injury and refractory intracranial hypertension, early bifrontotemporoparietal decompressive difuse decreased intracranial pressure and the length of stay in the ICU but was associated with more unfavorable outcomes.

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Decompressive Craniectomy in Diffuse Traumatic Brain Injury: The DECRA Trial – Oxford Medicine

Early decompressive craniectomy for patients with severe traumatic brain injury and refractory intracranial hypertension–a pilot randomized trial. Please review our privacy policy.

Skip to search form Skip to main content. Nursing Studies Obstetrics and Gynaecology Gynaecology. Primary decompressive craniectomy for acute subdural haematomas: Chibbaro S, Tacconi L.