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Báo cáo khoa học: " Early decompressive craniectomy and duraplasty for refractory intracranial hypertension in children: results of a pilot study"

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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Early decompressive craniectomy and duraplasty for refractory intracranial hypertension in children: results of a pilot study. | Available online http ccforum.eom content 7 6 R133 Research Open Access Early decompressive craniectomy and duraplasty for refractory intracranial hypertension in children results of a pilot study Bettina Ruf1 Matthias Heckmann1 Ilona Schroth2 Monika Hugens-Penzel3 Irwin Reiss1 Arndt Borkhardt1 Ludwig Gortner4 and Andreas Jodicke2 1 Department of Pediatrics University Medical Centre Justus-Liebig-University Giessen Germany 2Department of Neurosurgery University Medical Centre Justus-Liebig-University Giessen Germany 3Department of Neuroradiology University Medical Centre Justus-Liebig-University Giessen Germany 4Professor Department of Pediatrics University Medical Centre Justus-Liebig-University Giessen Germany Correspondence Bettina Ruf bettina.ruf@paediat.med.uni-giessen.de Received 19 June 2003 Revisions requested 10 July 2003 Revisions received 18 July 2003 Accepted 22 July 2003 Published 10 September 2003 Critical Care 2003 7 R133-R138 DOI 10.1186 cc2361 This article is online at http ccforum.com content 7 6 R133 2003 Ruf et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X . This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Introduction Severe traumatic brain injury TBI in childhood is associated with a high mortality and morbidity. Decompressive craniectomy has regained therapeutic interest during past years however treatment guidelines consider it a last resort treatment strategy for use only after failure of conservative therapy. Patients We report on the clinical course of six children treated with decompressive craniectomy after TBI at a pediatric intensive care unit. The standard protocol of intensive care treatment included continuous intracranial pressure ICP monitoring sedation and muscle relaxation normothermia mild hyperventilation and catecholamines to maintain an .

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