Subdural drainage of liquor cerebrospinal and early tracheostomy: Alternative management of severe traumatic brain injury with minimal lesion in limited facility and rural area
| Autor: | Bambang Priyanto, Muhammad Kamil, Syifa Farakha Sari, Dewa Putu Wisnu Wardhana, Meilisva Audila Anggraini, Rohadi Muhammad Rosyidi |
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| Rok vydání: | 2020 |
| Předmět: |
Mechanical ventilation
medicine.medical_specialty business.industry Traumatic brain injury medicine.medical_treatment Medical record Glasgow Outcome Scale Glasgow Coma Scale medicine.disease Intensive care unit 030218 nuclear medicine & medical imaging law.invention 03 medical and health sciences 0302 clinical medicine law Emergency medicine Medicine Intracranial pressure monitoring Surgery Neurology (clinical) Drainage business 030217 neurology & neurosurgery |
| Zdroj: | Interdisciplinary Neurosurgery. 19:100614 |
| ISSN: | 2214-7519 |
| Popis: | Background Patients with severe traumatic brain injury (TBI) usually required rapid evacuation and special care in the Intensive Care Unit for respiratory control, mechanical ventilation, neurosurgical evaluation, and intracranial pressure monitoring (ICP), but in areas with limited facilities not all of these are exist, so it is necessary to provide a novel protocol for it especially in the modest neurosurgical settings. Method The study sample was a severe TBI which classified from initial glasgow coma scale (GCS) score ≤8 in the West Nusa Tenggara General Hospital, who met the inclusion criteria in between 2016 and 2018 time periode. All samples underwent urgent subdural drainage management and also tracheostomy. Clinical outcome were assesed by the glasgow outcome scale (GOS). All analyses determined by the Medical Record data. Result 62 severe TBI patients who underwent subdural drainage and early tracheostomy procedures consisting of 53 (85.5%) men and 9 (14.5%) women. The average age of the study subjects was 30.47 years old with the youngest age of 3 years old and the oldest was 77 years old. The outcome of the study subjects consisted of 48 patients survived (77.4%) and 14 patients died (22.6%). Conclusion Subdural drainage and early tracheostomy are recommended novel to perform on severe TBI patient in the area with the modest neurosurgical settings, due to lower mortality rate and better end result. |
| Databáze: | OpenAIRE |
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