Current opinion in critical care
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To examine the evidence for the role of decompressive craniectomy in the management of traumatic brain injury. ⋯ Decompressive craniectomy is currently being applied in the management of traumatic brain injury with a wide range of outcomes reported in the literature. Current opinion on the role of this operation is therefore divided and it is now appropriate to proceed to prospective randomised studies.
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Curr Opin Crit Care · Apr 2004
ReviewIs keeping cool still hot? An update on hypothermia in brain injury.
The purpose of this review is to examine recent research results for hypothermia as a treatment for brain injury. ⋯ Hypothermia is a useful adjunct to barbiturates and mannitol to control elevated intracranial pressure. The results of trials that have tested systemic hypothermia as a neuroprotectant have been negative or equivocal, and cooling may have been induced outside the treatment window.