Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Oct 2009
Cerebral hemodynamic changes in severe head injury patients undergoing decompressive craniectomy.
To assess the intracranial hemodynamic modifications induced by a decompressive craniectomy (DC) after severe traumatic brain injury (TBI), using transcranial Doppler (TCD) ultrasonography and intracranial pressure (ICP) sensor. Mortality rate and neurological outcomes were also evaluated after this procedure. ⋯ The DC results in a significant, immediate, and durable improvement of ICP associated with a normalization of cerebral blood flow velocities in most TBI patients with refractory intracranial hypertension.
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J Neurosurg Anesthesiol · Oct 2009
Editorial Comment Historical ArticleVictorian water pumps and anesthetic neurotoxicity.