GUIDELINES FOR THE MANAGEMENT OF SEVERE TRAUMATIC BRAIN INJURY: RECOMMENDATIONS FROM THE 2017 FOURTH EDITION

Kevin Kwan, Jamie S. Ullman, Julia Schneider, Gregory W.J. Hawryluk, Annette Totten, Jamshid Ghajar

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Cerebral edema and intracranial hypertension can occur through impaired autoregulation following traumatic brain injury (TBI). The role of decompressive craniectomy (DC) in severe TBI remains controversial owing to conflicting data, particularly from randomized controlled trials. Some argue that DC may simply increase the number of patients who survive but remain in a vegetative state. There are also differences in opinion regarding optimal surgical technique. This chapter summarizes the published evidenced-based guidelines on the utilization of DC for the treatment of severe TBI.

Original languageEnglish (US)
Title of host publicationEncyclopedia of Surgery
Subtitle of host publicationVolume 1: (22 Volume Set)
PublisherNova Science Publishers, Inc.
Pages4045-4054
Number of pages10
Volume1
ISBN (Electronic)9781536183887
ISBN (Print)9781536183290
StatePublished - Jan 1 2020

Keywords

  • decompressive craniectomy
  • guidelines
  • outcome
  • traumatic brain injury

ASJC Scopus subject areas

  • General Medicine

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