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 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 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 cc2361 This article is online at http 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 .
