intracranial pressure evelation
Conditions
Interventions
(a) for unilateral hemisphere swelling / a large unilateral
fronto-temporo-parietal craniectomy
or
(b) for bilateral diffuse hemisphere swelling a large bilateral
fronto-temporo-parietal craniectom
Sponsors
University of Cambridge
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Patients with head injury 2. age 18-65 3. Abnormal CT 4. ICP monitoring 5. refractory ICP to standard treatment for 1-12 hours
Exclusion criteria
Exclusion criteria: Bilateral fixed and dilated pupils, bleeding diathesis, devastating injury not expected to survive for 24 hours, follow up not possible, patients treated on the Lund protocol, have recieved Barbiturates pre-randomisation, significant brain stem involvement on CT
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint will be assessment of outcome at discharge( Glasgow outcome Score) and 6 months( Extended Goasgow outcome Score) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints will be: a. Assessment of outcome using the SF-36 and SF-10( for children below 16 years of age) questionnaires b. Assessment of ICP control c. Time in intensive care d. Time to discharge from neurosurgical unit e. Detailed health-economic analysis | — |
Countries
Netherlands
Outcome results
None listed