2015
DOI: 10.5935/0103-507x.20150021
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Abstract: ObjectiveTo analyze the clinical characteristics, complications and factors associated with the prognosis of severe traumatic brain injury among patients who undergo a decompressive craniectomy.MethodsRetrospective study of patients seen in an intensive care unit with severe traumatic brain injury in whom a decompressive craniectomy was performed between the years 2003 and 2012. Patients were followed until their discharge from the intensive care unit. Their clinical-tomographic characteristics, complications,… Show more

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Cited by 19 publications
(18 citation statements)
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“…4 Furthermore, retrospective studies in adult patients have also shown that patients had lower ICP and higher CPP postcraniectomy. 20,21 The two largest randomized controlled trials (RCTs) DECRA and Rescue-ICP concluded that DC could be effective for the management of intracranial hypertension in patients with severe TBI, performed either early in the course of the treatment or as a rescue therapy in patients with refractory to medical treatment ICP. 22,23 In accordance with the previous studies, our findings have shown that rescue craniectomy has led to significant reduction of ICP and increase of CPP in pediatric patients who had a suboptimal response to medical treatment.…”
Section: Discussionmentioning
confidence: 99%
“…4 Furthermore, retrospective studies in adult patients have also shown that patients had lower ICP and higher CPP postcraniectomy. 20,21 The two largest randomized controlled trials (RCTs) DECRA and Rescue-ICP concluded that DC could be effective for the management of intracranial hypertension in patients with severe TBI, performed either early in the course of the treatment or as a rescue therapy in patients with refractory to medical treatment ICP. 22,23 In accordance with the previous studies, our findings have shown that rescue craniectomy has led to significant reduction of ICP and increase of CPP in pediatric patients who had a suboptimal response to medical treatment.…”
Section: Discussionmentioning
confidence: 99%
“…Dentre os mecanismos de trauma analisados, destacamos os acidentes de trânsito e quedas como principais responsáveis pelo TCE, também evidenciado por outros estudos retrospectivos 9,11 .…”
Section: Discussionunclassified
“…Com caráter similar, o inchaço cerebral intra-operatório pode ser um indicador para o desenvolvimento do hematoma contralateral 26,42 . Nesta pesquisa, pelo menos 22,3% dos intracraniana fortemente relacionada com lesões cerebrais severas e irreversíveis 11,34 .…”
Section: B) Anormalidade Pupilarunclassified
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“…DC can prevent the increase in cranial volume and reduce ICP, thereby preventing the occurrence of cerebral hernia and restoring the cerebral blood flow perfusion. However, more and more surgery complications such as subdural effusion, hydrocephalus, infection, incision incarcerated, epilepsy, intraoperative concurrent hemorrhage, acute encephalocele and early postoperative delayed intracranial hematoma (3)(4)(5)(6), and so on occur in the conventional methods, which usually cause deadly consequences. In order to reduce or avoid these complications, many clinicians put forward many improved methods, such as decompressive craniectomy with lattice duraplasty (7) and ladder intracranial pressure-reducing by intracranial pressure monitoring (8).…”
Section: Introductionmentioning
confidence: 99%