Traumatic Brain Injury: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 7: | Line 7: | ||
| style="width: 15%; vertical-align: top;" | [[RESCUEicp]] | | style="width: 15%; vertical-align: top;" | [[RESCUEicp]] | ||
| style="width: 85%; vertical-align: top;" | ✓ effectiveness of DC in pts /w TBI & refractory ↑ ICP ⇒ <span style="background-color:#fff2cc;">DC ↓ mortality</span>; <span style="background-color:#ea9999;">↑ risk of severe disability & vegetative state</span> compared to medical Tx alone. <i>(N Engl J Med 2016)</i> | | style="width: 85%; vertical-align: top;" | ✓ effectiveness of DC in pts /w TBI & refractory ↑ ICP ⇒ <span style="background-color:#fff2cc;">DC ↓ mortality</span>; <span style="background-color:#ea9999;">↑ risk of severe disability & vegetative state</span> compared to medical Tx alone. <i>(N Engl J Med 2016)</i> | ||
|}{{NoteBoxEnd}} | |} | ||
<hr> | |||
{| style="border-collapse: collapse; width: 100%;" | |||
|- | |||
| style="width: 15%; vertical-align: top;" | [[BEST-TRIP]] | |||
| style="width: 85%; vertical-align: top;" | ✓ ICP monitoring in pts /w severe TBI improves o/c ⇒ Tx focused on maintaining monitored ICP at ≤20 mmHg was not better to care based on CT and Px → routine ICP monitoring does not provide additional benefits for pts o/c <i>(N Engl J Med 2012)</i> | |||
|} | |||
{{NoteBoxEnd}} | |||
[[Category:Neurotrauma]] | [[Category:Neurotrauma]] | ||
Revision as of 04:49, 20 July 2024
Key articles
| DECRA | Efficacy of DC in severe TBI /w refractory ↑ ICP ⇒ DC ↓ ICP & ↓ ICU stay; assoc. /w worse fnx o/c at 6 mn. (N Engl J Med 2011) |
| RESCUEicp | ✓ effectiveness of DC in pts /w TBI & refractory ↑ ICP ⇒ DC ↓ mortality; ↑ risk of severe disability & vegetative state compared to medical Tx alone. (N Engl J Med 2016) |
| BEST-TRIP | ✓ ICP monitoring in pts /w severe TBI improves o/c ⇒ Tx focused on maintaining monitored ICP at ≤20 mmHg was not better to care based on CT and Px → routine ICP monitoring does not provide additional benefits for pts o/c (N Engl J Med 2012) |