BACKGROUND: Ventricular drainage has played an important role in the management of traumatic brain-injured patients. The aim of the present study was describe outcomes in a series of 57 patients with diffuse brain swelling underwent to intracranial pressure (ICP) monitoring. METHOD: Fifty-eight patients with diffuse posttraumatic brain swelling, were evaluated prospectively. The Glasgow Coma Scale (GCS) scores of patients varied from 4 to 12. Patients groups divided according to GCS and age. Patient neurological assessment was classified as favorable, unfavorable, and death. RESULTS: Mechanisms of injury were vehicle accidents in 72.4% and falls in 15.6%. 54% of patients had GCS scores between 6 and 8. There were no statistical differences, regarding outcome, between groups separated by age. In the adults group (n=47), 44.7% evolved favorably. CONCLUSION: Our results indicate a poor prognosis in patients with brain swelling. We believe that continuous ventricular CSF drainage with ICP monitoring is a simple method as an adjunct in the management of these patients.
BACKGROUND: Ventricular drainage has played an important role in the management of traumatic brain-injuredpatients. The aim of the present study was describe outcomes in a series of 57 patients with diffuse brain swelling underwent to intracranial pressure (ICP) monitoring. METHOD: Fifty-eight patients with diffuse posttraumatic brain swelling, were evaluated prospectively. The Glasgow Coma Scale (GCS) scores of patients varied from 4 to 12. Patients groups divided according to GCS and age. Patient neurological assessment was classified as favorable, unfavorable, and death. RESULTS: Mechanisms of injury were vehicle accidents in 72.4% and falls in 15.6%. 54% of patients had GCS scores between 6 and 8. There were no statistical differences, regarding outcome, between groups separated by age. In the adults group (n=47), 44.7% evolved favorably. CONCLUSION: Our results indicate a poor prognosis in patients with brain swelling. We believe that continuous ventricular CSF drainage with ICP monitoring is a simple method as an adjunct in the management of these patients.
Authors: Luis Rafael Moscote-Salazar; Andres M Rubiano; Hernando Raphael Alvis-Miranda; Willem Calderon-Miranda; Gabriel Alcala-Cerra; Marco Antonio Blancas Rivera; Amit Agrawal Journal: Bull Emerg Trauma Date: 2016-01
Authors: Michael J Bell; Bedda L Rosario; Patrick M Kochanek; P David Adelson; Kevin P Morris; Alicia K Au; Michelle Schober; Warwick Butt; Richard J Edwards; Jerry Zimmerman; Jose Pineda; Truc M Le; Nathan Dean; Michael J Whalen; Anthony Figaji; James Luther; Sue R Beers; Deepak K Gupta; Jessica Carpenter; Sandra Buttram; Stephen R Wisniewski Journal: JAMA Netw Open Date: 2022-07-01
Authors: Charlene Y C Chau; Saniya Mediratta; Mikel A McKie; Barbara Gregson; Selma Tulu; Ari Ercole; Davi J F Solla; Wellingson S Paiva; Peter J Hutchinson; Angelos G Kolias Journal: J Clin Med Date: 2020-06-25 Impact factor: 4.241
Authors: Shyam J Deshpande; Julia Velonjara; Silvia Lujan; Gustavo Petroni; Jin Wang; Kushang V Patel; Linda Ng Boyle; Michael J Bell; Monica S Vavilala Journal: PLoS One Date: 2022-09-29 Impact factor: 3.752
Authors: Charlene Y C Chau; Claudia L Craven; Andres M Rubiano; Hadie Adams; Selma Tülü; Marek Czosnyka; Franco Servadei; Ari Ercole; Peter J Hutchinson; Angelos G Kolias Journal: J Clin Med Date: 2019-09-10 Impact factor: 4.241