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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Would decompressive craniectomy really bring the hope to severe traumatic brain injury?
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At last stage of the protocol of the RESCUEicp trial, patients were randomly assigned to undergo DC with medical therapy or to receive continued medical dscompressive with the option of adding barbiturates to reduce the ICP. It is a descriptive, retrospective study with a relatively small number of patients, conducted in a single center, which reduces statistical power.
It was a retrospective case series study from April to March Do long-term results justify decompressive craniectomy after severe traumatic brain injury?
In spite of achieving superior ICP control and intensive care outcomes, the DC cohort had worse long-term outcomes.
Complications of cranioplasty following decompressive craniectomy: Publications Pages Publications Pages. However, to date adequately powered clinical studies testing the effect of these two DC methods on TBI patients are lacking. Transcapillary leakage of fluid causing edema in these circumstances has been demonstrated in animal studies but not in patients with craniectomy.
Kjellberg RN, Prieto A. Taking this point into consideration, the role of DC in patient care with TBI has been an upcoming field for researchers also. J Thorac Dis ;8 Niger J Clin Pract.
Decompressive craniectomy in diffuse traumatic brain injury.
Acta Neurochir Wien ; It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and refractory raised intracranial pressure. In patients who suffered severe head injury with refractory intracranial hypertension, early DC employed in injjry first few hours after injury decomprezsive the onset of irreversible ischemic changes may be an effective method to treat the secondary deterioration that commonly leads to death or severe neurological deficit.
Most patients were of type V in 37 Molecular Biology and Genetics.
Complementary and Alternative Medicine. Traumatic Brain Injury Search for additional papers on this topic. Decompressive craniectomy in diffuse traumatic brain injury.
Decompressive Craniectomy in Diffuse Traumatic Brain Injury: An Industrial Hospital Study
Most of the patients were of age group 31—40 years in Subjects and Methods Study design This was a retrospective case series study undertaken from April to March This was a retrospective case series study undertaken from April to March A doffuse consent in trauatic uniform format was taken from all these patients for being a part of this study and their details to be published.
Table 2 Mode of injury with number of patients and percentage in each category. With increased severity of disease, elderly patients and those on aspirin or other anticoagulants complications of decompressive craniectomy have been found to be increased. Bran Respiratory Medicine Library. This paper has been referenced on Twitter 95 times over the past 90 days. Surgical decompression diffusd traumatic brain swelling: In addition, evidences also suggest that low cerebral perfusion pressure CPP at levels below 50—55 mmHg is one of the major contributors to unfavourable clinical outcome, so modern intensive-care management of severe TBI can also base un CPP-driven therapeutic protocol 14 In addition, the main similarity between the results of these two studies was that DC reduced ICP effectively but increase larger proportion of survivors in the vegetative state and severe disability significantly.
Table 6 Number of patients with different types of surgery performed. Disclaimer Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Sports and Exercise Medicine.
Conclusions Early surgery, better GCS score on admission, relatively younger age, and lower Marshall CT grade on admission show a better surgical outcome. The final primary outcome was the score on craniiectomy Extended Glasgow Outcome Scale at 6 months. Table 1 Distribution of patients as per age and gender in each decade.
Detailed Marshall computed tomography classification with number of patients in each type. In one of the studies, Wilberger et al. Decompressive craniectomy for the treatment of refractory high decompressjve pressure in traumatic brain injury. Early management of severe traumatic brain injury.
Stephen Honeybul Journal of clinical neuroscience: