• Ann Fr Anesth Reanim · Aug 2006

    Review

    [Decompressive craniectomy and intracranial hypertension].

    • O Fourcade, R Fuzier, A Daboussi, M Gigaud, M Trémoulet, and K Samii.
    • Département d'Anesthésie-Réanimation, Hôpital Purpan, CHU de Toulouse, Université Paul-Sabatier, place du Docteur-Baylac, 31059 Toulouse cedex 09, France. fourcade.o@chu-toulouse.fr
    • Ann Fr Anesth Reanim. 2006 Aug 1;25(8):858-62.

    AbstractDecompressive craniectomy was purposed for the treatment of refractory intracranial hypertension after head injury. This review discusses results obtained by this surgery in severe head trauma. Several studies have confirmed a reduction in intracranial pressure secondary to decompressive craniectomy. Mortality decreased and the proportion of good outcome of the survivors increased. These results have not been confirmed prospectively, and indications have to be clarified. The positive effects of decompressive craniectomy compared to barbiturate or hypocapnia in the "second tier therapy" in refractory intracranial hypertension could be interesting to evaluate.

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