Traumatic Brain Injury

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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)