Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care, AANS/CNS. J Trauma. Objective: Several studies have indicated that decompressive craniectomy (DC) for traumatic brain injury (TBI) is lifesaving. Objective: Several studies have indicated that decompressive craniectomy (DC) for traumatic brain injury (TBI) is lifesaving. Is decompressive craniectomy a better option then craniotomy for patients with severe TBI and mass lesions such as subdural hematoma? Current studies report mixed results, preventing any clear conclusions on the place of decompressive craniectomy in traumatology. Standard care from the time of enrollment followed clinical practice guidelines 13 that were based on those recommended by the Brain Trauma Foundation. To accom-plish this, the clinical algorithm included head-of-bed elevation to 20–30 degrees, and maintenance of the neck in neutral position. The Brain Trauma Foundation TBI-trac is an online clinical database that stratifies patients according to injury and standardizes radiographic and clinical finding according to a predefined protocol. We performed a meta-analysis of all the randomized controlled trials (RCTs) published so far on the role of DC in adult patients with TBI. Crit Care Med. n the Fourth Edition of the “Brain Trauma Foundation’s Guidelines for the Management ... During the past 20 years, the brain trauma community’s approach to guideline development ... sive craniectomy as a secondary procedure, after ICP-targeted Close more info about Decompressive Craniectomy in Traumatic Brain Injury: Weighing the Risks and Benefits Loading... You’ve read {{metering-count}} of {{metering-total}} articles this month. Medical treatments initiated during management of severe TBI are defined according to detailed guidelines published by the Brain Trauma Foundation (BTF) . Authors. Methods .

To view the Executive Summary of the Guidelines click here. Background . Decompressive Craniectomy and Traumatic Brain Injury: A Review Hernando Alvis-Miranda … The American Association of Neurological Surgeons. A craniectomy is a surgery done to remove a part of your skull in order to relieve pressure in that area when your brain swells. Objective. Back to All Guidelines. Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care, AANS/CNS. Decompressive craniectomy may need to be considered when the situation is no longer controlled by these techniques. A craniectomy is usually performed after a traumatic brain injury. This study was designed to examine this practice with particular attention to long-term functional outcome.Methods:A retrospective However, there is lack of level 1 evidence to define the role of DC in TBI. In greater detail: Rationale for decompressive craniectomy. Craniectomy for Traumatic Brain Injury. • Ho KM, Honeybul S, Litton E. Delayed neurological recovery after decompressive craniectomy for severe nonpenetrating traumatic brain injury. To put simply, borrowing words from the abstract to an article by Quinn et al (2011), "the rationale for this procedure is based on the Monro-Kellie Doctrine; expanding the physical space confining edematous brain tissue after traumatic brain injury will reduce intracranial pressure".

Decompressive craniectomy in pediatric patients with traumatic brain injury with intractable elevated intracranial pressure. Decompressive craniectomy can be proposed in the management of severe traumatic brain injury. This article highlights that recovery from DC and TBI is an on-going process for 18 months or more and not limited to the 6-month follow up period normally seen in TBI studies. Systematic review of the literature to evaluate the role of decompressive craniectomy (DC) after severe traumatic brain injury (TBI), comparing the first major randomized clinical trial on this topic (DECRA) with subsequent literature. The Brain Trauma Foundation. The objective of this retrospective study was to evaluate the results of all decompressive craniectomies performed …

Guidelines for the Management of Severe TBI, 4th Ed. In the Fourth Edition of the “Brain Trauma Foundation's Guidelines for the Management of Severe Traumatic Brain Injury,” there are 189 publications included as evidence to support 28 recommendations covering 18 topics.The publication reports on 5 Class 1 studies, 46 Class 2 studies, 136 Class 3 studies, and 2 meta-analyses.