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Literature DB >> 6768847

Treatment for severe head injury.

B Jennett, G Teasdale, J Fry, R Braakman, J Minderhoud, J Heiden, T Kurze.

Abstract

Difficulties in establishing the value of certain treatments for head injury are reviewed. An analysis of 1000 severely head injured patients, managed by varying methods in three different countries, showed that certain treatments were more often used in the most severely injured patients. Even when the severity of injury was taken account of, it appeared that the use of steroids and tracheostomy did not affect outcome; but that patients undergoing mechanical ventilation had outcomes which were worse than expected. The value of treatments proposed for severe head injury needs rigorous scrutiny.

Entities: Chemical Disease Species

Mesh：

Substances：
Mannitol
Dexamethasone

Year: 1980 PMID： 6768847 PMCID： PMC490531 DOI： 10.1136/jnnp.43.4.289

Source DB: PubMed Journal: J Neurol Neurosurg Psychiatry ISSN： 0022-3050 Impact factor: 10.154

22 in total

Review 10. Temporal bone fractures.

Authors: Piya V Saraiya; Nafi Aygun
Journal: Emerg Radiol Date: 2008-11-04

Treatment for severe head injury.

1. The outcome from severe head injury with early diagnosis and intensive management.

2. Assessment of coma and impaired consciousness. A practical scale.

3. Conservatism of the approximation sigma (O-E)2-E in the logrank test for survival data or tumor incidence data.

4. Barbiturate-augmented hypothermia for reduction of persistent intracranial hypertension.

5. Hemicraniectomy in the management of acute subdural hematoma.

6. Avoidable factors contributing to death after head injury.

7. Measuring the outcome from head injuries.

8. Hemicraniectomy in the treatment of acute subdural hematoma: a re-appraisal.

9. Predicting outcome in individual patients after severe head injury.

10. Aspects of coma after severe head injury.

1. Cerebrospinal fluid leakage complicating skull base fractures: analysis of 81 cases.

2. Neurosurgical intensive care improves outcome after severe head injury.

3. Quality of care and cost containment in the U.S. and U.K.

4. A clinical sickness score for the critically ill in Central Africa.

5. The future role of neurosurgery in the care of head injuries.

6. Risk factors in traumatic head injury.

7. Derivation of a bioclinical prognostic index in severe head injury.

8. Inappropriate use of intensive care.

9. Comparison of the clinical relevance of traditional and new classification systems of temporal bone fractures.

Review 10. Temporal bone fractures.