Health Condition 1: null- Pneumocephalus following head injury
Conditions
Interventions
Intervention1: Elevation of the head end of the bed: Head end of the bed will be elevated by 30 degrees to 45 degrees and this angle will be verified twice a day using a smart phone application.
Contr
Sponsors
JIPMER
Eligibility
Inclusion criteria
Inclusion criteria: All patients with pneumocephalus detected by CT scan soon after head injury Pneumocephalus should measure at least 10 ml by volumetry in the initial scan or if volumetry cannot be done, the air bubble should measure 3 cm in all dimensions. If there are multiple specks of pneumocephalus, the total diameter in each of the two dimensions should be 3 cm so that the volume is approximately 10 ml by the formula axbxc divided by 2 where a, b and c are the dimensions in orthogonal planes.
Exclusion criteria
Exclusion criteria: 1)Patients who are pregnant in whom CT scans are relatively contraindicated or have to be limited 2)Patients whose pneumocephalus was detected more than 24 hours after the injury. 3)Preexisting CSF rhinorrhea or otorrhea 4)Patients who require immediate cranial neurosurgical intervention or are very likely to have surgery within 5 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resolution of pneumocephalusTimepoint: Five days after trauma. (fitth post-trauma day) | — |
Secondary
| Measure | Time frame |
|---|---|
| Hypostatic pneumoniaTimepoint: Day seven;Operative intervention for hypostatic pneumoniaTimepoint: 30 days after trauma;Post traumatic meningitisTimepoint: Day seven and day 30. | — |
Countries
India
Contacts
Public ContactRahul Srivastava
JIPMER (Jawaharlal Institute of Post-graduate Medical Education and Research
Outcome results
None listed