Decompressive Craniectomy Following Brain Injury: Factors
نویسندگان
چکیده
منابع مشابه
Decompressive craniectomy following brain injury: factors important to patient outcome
BACKGROUND Decompressive craniectomy (DC) is often performed as an empirical lifesaving measure to protect the injured brain from the damaging effects of propagating oedema and intracranial hypertension. However, there are no clearly defined indications or specified guidelines for patient selection for the procedure. AIMS To evaluate outcome determinants and factors important in patient selec...
متن کاملDecompressive craniectomy following traumatic brain injury: developing the evidence base.
In the context of traumatic brain injury (TBI), decompressive craniectomy (DC) is used as part of tiered therapeutic protocols for patients with intracranial hypertension (secondary or protocol-driven DC). In addition, the bone flap can be left out when evacuating a mass lesion, usually an acute subdural haematoma (ASDH), in the acute phase (primary DC). Even though, the principle of "opening t...
متن کاملDecompressive 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...
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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 کاملdecompressive craniectomy and traumatic brain injury: a review
intracranial hypertension is the largest cause of death in young patients with severe traumatic brain injury. decompressive craniectomy is part of the second level measures for the management of increased intracranial pressure refractory to medical management as moderate hypothermia and barbiturate coma. the literature lack of concepts is their indications. we present a review on the state of t...
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ژورنال
عنوان ژورنال: Libyan Journal of Medicine
سال: 2010
ISSN: 1993-2820,1819-6357
DOI: 10.4176/091104