Recommendations for Intracranial Pressure Monitoring Technology

doi:10.1089/neu.1996.13.685

Cited by 14 publications

(2 citation statements)

References 36 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some surgical procedures designed to achieve this objective are consensual, such as evacuation of a compressive extra-axial haematoma. The modalities of surveillance of severe TBI have evolved, but the gold standard currently remains combined monitoring of intracranial pressure (ICP) and mean arterial pressure (MAP) [3–5]. Medical treatments initiated during management of severe TBI are defined according to detailed guidelines published by the Brain Trauma Foundation (BTF) [6].…”

Section: Introductionmentioning

confidence: 99%

Study of the Long-Term Results of Decompressive Craniectomy after Severe Traumatic Brain Injury Based on a Series of 60 Consecutive Cases

Gouello

Hamel

Asehnoune

et al. 2014

The Scientific World Journal

View full text Add to dashboard Cite

Background. Decompressive craniectomy can be proposed in the management of severe traumatic brain injury. Current studies report mixed results, preventing any clear conclusions on the place of decompressive craniectomy in traumatology. Methods. The objective of this retrospective study was to evaluate the results of all decompressive craniectomies performed between 2005 and 2011 for refractory intracranial hypertension after severe traumatic brain injury. Sixty patients were included. Clinical parameters (Glasgow scale, pupillary examination) and radiological findings (Marshall CT scale) were analysed. Complications, clinical outcome, and early and long-term Glasgow Outcome Scale (GOS) were evaluated after surgery. Finally, the predictive value of preoperative parameters to guide the clinician's decision to perform craniectomy was studied. Results. Craniectomy was unilateral in 58 cases and the mean bone flap area was 100 cm2. Surgical complications were observed in 6.7% of cases. Mean followup was 30 months and a favourable outcome was obtained in 50% of cases. The initial Glasgow Scale was the only statistically significant predictive factor for long-term outcome. Conclusion. Despite the discordant results in the literature, this study demonstrates that decompressive craniectomy is useful for the management of refractory intracranial hypertension after severe traumatic brain injury.

show abstract

Section: Introductionmentioning

confidence: 99%

Study of the Long-Term Results of Decompressive Craniectomy after Severe Traumatic Brain Injury Based on a Series of 60 Consecutive Cases

Gouello

Hamel

Asehnoune

et al. 2014

The Scientific World Journal

View full text Add to dashboard Cite

show abstract

“…This led to the wide adoption of EVDs in TBI management protocols, as an ICP monitor and CSF drainage apparatus [22]. Nevertheless, concerns that EVD-related complications cause significant patient morbidity and mortality persisted throughout the years, along with controversies regarding the drainage method (continuous or intermittent) [27,28].…”

Section: Literature Reviewmentioning

confidence: 99%

The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury

Chau

Craven

Rubiano

et al. 2019

JCM

View full text Add to dashboard Cite

External ventricular drains (EVDs) are commonly used in neurosurgery in different conditions but frequently in the management of traumatic brain injury (TBI) to monitor and/or control intracranial pressure (ICP) by diverting cerebrospinal fluid (CSF). Their clinical effectiveness, when used as a therapeutic ICP-lowering procedure in contemporary practice, remains unclear. No consensus has been reached regarding the drainage strategy and optimal timing of insertion. We review the literature on EVDs in the setting of TBI, discussing its clinical indications, surgical technique, complications, clinical outcomes, and economic considerations.

show abstract