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Does Early Decompressive Craniectomy Improve Outcome? Experience from an Active UK Recruiter Centre
المؤلفون المشاركون
Garnelo Rey, V.
Ashworth, S.
Manikon, M.
Wilson, M. H.
García Vicente, E.
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-02-20
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Introduction.
The results of the recent DECRA study suggest that although craniectomy decreases ICP and ICU length of stay, it is also associated with worst outcomes.
Our experience, illustrated by these two striking cases, supports that early decompressive craniectomy may significantly improve the outcome in selected patients.
Case Reports.
The first patient, a 20-year-old man who suffered severe brain contusion and subarachnoid haemorrhage after a fall downstairs, with refractory ICP of 35 mmHg, despite maximal medical therapy, eventually underwent decompressive craniectomy.
After 18 days in intensive care, he was discharged for rehabilitation.
The second patient, a 23-year-old man was found at the scene of a road accident with a GCS of 3 and fixed, dilated pupils who underwent extensive unilateral decompressive craniectomy for refractory intracranial hypertension.
After three weeks of cooling, paralysis, and neuroprotection, he eventually left ICU for rehabilitation.
Outcomes.
Four months after leaving ICU, the first patient abseiled 40 m down the main building of St.
Mary’s Hospital to raise money for the Trauma Unit.
He has returned to part-time work.
The second patient, was decannulated less than a month later and made a full cognitive recovery.
A year later, with a titanium skull prosthesis, he is back to part-time work and to playing football.
Conclusions.
Despite the conclusions of the DECRA study, our experience of the use of early decompressive craniectomy has been associated with outstanding outcomes.
We are currently actively recruiting patients into the RESCUEicp trial and have high hopes that it will clarify the role of the decompressive craniectomy in traumatic brain injury and whether it effectively improves outcomes.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
García Vicente, E.& Garnelo Rey, V.& Manikon, M.& Ashworth, S.& Wilson, M. H.. 2013. Does Early Decompressive Craniectomy Improve Outcome? Experience from an Active UK Recruiter Centre. Case Reports in Critical Care،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-492750
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
García Vicente, E.…[et al.]. Does Early Decompressive Craniectomy Improve Outcome? Experience from an Active UK Recruiter Centre. Case Reports in Critical Care No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-492750
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
García Vicente, E.& Garnelo Rey, V.& Manikon, M.& Ashworth, S.& Wilson, M. H.. Does Early Decompressive Craniectomy Improve Outcome? Experience from an Active UK Recruiter Centre. Case Reports in Critical Care. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-492750
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-492750
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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