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;
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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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