Decompressive Craniectomy in Diffuse Traumatic Brain Injury - ICU

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Conclusions In adults with severe diffuse traumaticbrain injury and refractory intracranialhypertension, earlybifrontotemporoparietal decompressivecraniectomy decreased intracranialpressure and the length of stay in the ICUbut was associated with moreunfavorable outcomes.16
Craniectomy--> ICP lower-->no improvement in clinical outcome and no decreasein proportion of survivors with severe disability.Why?:Craniectomy increases rate of survival of the severly injured --> same rate of deathsbetween groups despite increased number of vegetative patients AND patients becomemore dependent by craniectomie (worse outcome score)Axonale stretchSurgical procedure:unilat bilat craniectomy (more complications)Sagittal Sinus and falx cerebri division yes or noComplications due to surgery (craniectomy and bone replacement)17
Page 1 and 2: Original ArticleDecompressive Crani
Page 3: Design Inclusion Between 15-59 year
Page 6 and 7: Second line TreatmentFor refractory
Page 8 and 9: StatisticsProportion of favorable o
Page 10 and 11: Intracranial Pressure before and af
Page 12 and 13: Baseline Characteristics of the Pat
Page 14 and 15: Medical and Surgical Complications.
Page 18: LimitationsOnly assesors were blind

Decompressive Craniectomy in Diffuse Traumatic Brain Injury - ICU

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