Is decompressive craniectomy useless in severe traumatic brain injury?

被引：0
作者：
Junpeng Ma
Chao You
Lu Ma
Siqing Huang
机构：
[1] Sichuan University,Department of Neurosurgery, West China Hospital
来源：
Critical Care | / 15卷
关键词：
Traumatic Brain Injury; Intracranial Pressure; Severe Traumatic Brain Injury; Decompressive Craniectomy; Prospective Randomized Clinical Trial;
D O I：
暂无
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学科分类号：
摘要：
Recently, a multicenter randomized controlled trial (RCT) by Cooper and colleagues indicated that decompressive craniectomy (DC) may be associated with a worse functional outcome in patients with diffuse traumatic brain injury (TBI), although DC can immediately and constantly reduce intracranial pressure (ICP). As this trial is well planned and of high quality, the unexpected result is meaningful. However, the evidence of the study is insufficient and the effect of DC in severe TBI is still uncertain. Additional multicenter RCTs are necessary to provide class I evidence on the role of DC in the treatment of refractory raised ICP after severe TBI.
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[1]  
Whitfield PC(2001)Bifrontal decompressive craniectomy in the management of posttraumatic intracranial hypertension Br J Neurosurg 15 500-507
[2]  
Patel H(2006)Outcome following decompressive craniectomy for malignant swelling due to severe head injury J Neurosurg 104 469-479
[3]  
Hutchinson PJ(2006)Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury Cochrane Database Syst Rev 2 CD003983-1502
[4]  
Czosnyka M(2009)Effects of unilateral decompressive craniectomy on patients with unilateral acute post-traumatic brain swelling after severe traumatic brain injury Crit Care 13 R185-393
[5]  
Parry D(2011)Decompressive craniectomy in diffuse traumatic brain injury N Engl J Med 364 1493-498
[6]  
Menon D(2008)Early decompressive craniectomy for patients with severe traumatic brain injury and refractory intracranial hypertension--a pilot randomized trial J Crit Care 23 387-20
[7]  
Pickard JD(2011)Decompressive craniectomy in diffuse traumatic brain injury Lancet Neurol 10 497-undefined
[8]  
Kirkpatrick PJ(2006)Decompressive craniectomy in traumatic brain injury: the randomized multicenter RESCUEicp study Acta Neurochir Suppl 96 17-undefined
[9]  
Aarabi B(2011)Update on the RESCUEicp decompressive craniectomy trial Crit Care 15 P312-undefined
[10]  
Hesdorffer DC(undefined)undefined undefined undefined undefined-undefined
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