![]() ![]() Favourable outcome was 44% in patients treated with thiopental before DC, 56% in patients treated with DC without prior thiopental, 29% in patients treated primarily with DC and 52% in patients treated with thiopental with no DC. Eighty-eight percent of our DC patients would have qualified for the DECRA study and 38% for the Rescue-ICP trial. For 23 patients, no DC was needed after thiopental. ![]() Six patients received thiopental after DC. Of 35 DC patients, 9 were treated stepwise with thiopental before DC, 9 were treated stepwise with no thiopental before DC and 17 were treated primarily with DC. Background variables, intracranial pressure (ICP) measures and global outcome were analysed. Of 609 patients aged 16 years or older, 35 treated with DC and 23 treated with thiopental only were studied in particular. ![]() The study included all TBI patients treated at the neurointensive care unit, Akademiska sjukhuset, Uppsala, Sweden, between 20. The aims of this study were to evaluate usage and outcome of DC and thiopental in a single centre. Two randomised controlled trials (RCTs) of decompressive craniectomy (DC) in traumatic brain injury (TBI) have shown poor outcome, but there are considerations of how these protocols relate to real practice. ![]()
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