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10,347 results for

Management of Severe Head Injury

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10341. Management and outcome of severe head injury in the Trent region 1985-90. (PubMed)

Management and outcome of severe head injury in the Trent region 1985-90. 8333780 1993 08 16 2018 11 13 1468-2044 68 6 1993 Jun Archives of disease in childhood Arch. Dis. Child. Management and outcome of severe head injury in the Trent region 1985-90. 803 Murdoch I I Bihari D D eng Comment Letter England Arch Dis Child 0372434 0003-9888 AIM IM Arch Dis Child. 1992 Dec;67(12):1430-5 1489220 Child Craniocerebral Trauma therapy Humans Hypothermia, Induced adverse effects Treatment Outcome 1993 6

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1993 Archives of Disease in Childhood

10342. Management and outcome of severe head injuries in the Trent region 1985-90. (PubMed)

Management and outcome of severe head injuries in the Trent region 1985-90. In a five year period, 39 children (29 boys, 10 girls) aged 2 months to 13 years (mean 7.8 years) were studied who had suffered a major head injury (29 road traffic accidents, six falls, and four non-accidental injury). The injury had been assessed clinically and by cranial computed tomography or cranial ultrasound (in a single baby of 2 months). Initial Glasgow coma scores for all subjects ranged from 3-11 (mean 5.5 (...) in seven of nine fatalities. Severe hypocapnia both in the first 24 hours and overall was correlated with poor outcomes (dead or major disability), as were bilateral contusions or diffuse axonal injury.

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1992 Archives of Disease in Childhood

10343. Case management after severe head injury. (PubMed)

Case management after severe head injury. 7950585 1994 12 05 2018 11 13 0959-8138 309 6957 1994 Sep 24 BMJ (Clinical research ed.) BMJ Case management after severe head injury. 807 Murray-Leslie C F CF Kenny C C eng Letter England BMJ 8900488 0959-8138 AIM IM Craniocerebral Trauma rehabilitation Humans Managed Care Programs 1994 9 24 1994 9 24 0 1 1994 9 24 0 0 ppublish 7950585 PMC2540974 BMJ. 1994 Jan 1;308(6920):1-2 8298343

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1994 BMJ : British Medical Journal

10344. Decision analytic approach to severe head injury management. (PubMed)

Decision analytic approach to severe head injury management. Severe head injury management in the intensive care unit is extremely challenging due to the complex domain, the uncertain intervention efficacies, and the time-critical setting. We adopt a decision analytic approach to automate the management process. We document our experience in building a simplified influence diagram that involves about 3000 numerical parameters. We identify the inherent problems in structuring a model

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1999 Proceedings of the AMIA Symposium

10345. A prospective, randomized, and controlled study of fluid management in children with severe head injury: lactated Ringer's solution versus hypertonic saline. (PubMed)

A prospective, randomized, and controlled study of fluid management in children with severe head injury: lactated Ringer's solution versus hypertonic saline. Resuscitation in severe head injury may be detrimental when given with hypotonic fluids. We evaluated the effects of lactated Ringer's solution (sodium 131 mmol/L, 277 mOsm/L) compared with hypertonic saline (sodium 268 mmol/L, 598 mOsm/L) in severely head-injured children over the first 3 days after injury.An open, randomized (...) . 2180 +/- 770 mL/m2, p = .05). They also had a higher frequency of acute respiratory distress syndrome (four vs. 0 patients, p = .1) and more than two complications (six vs. 1 patient, p = .09). Group 2 patients had significantly shorter ICU stay times (11.6 +/- 6.1 vs. 8.0 +/- 2.4 days; p = .04) and shorter mechanical ventilation times (9.5 +/- 6.0 vs. 6.9 +/- 2.2 days; p = .1). The survival rate and duration of hospital stay were similar in both groups.Treatment of severe head injury

1998 Critical care medicine

10346. Absence of evidence for the effectiveness of five interventions routinely used in the intensive care management of severe head injury: a systematic review. (PubMed)

Absence of evidence for the effectiveness of five interventions routinely used in the intensive care management of severe head injury: a systematic review. To assess the effectiveness of interventions routinely used in the intensive care management of severe head injury, specifically, the effectiveness of hyperventilation, mannitol, CSF drainage, barbiturates, and corticosteroids.Systematic review of all unconfounded randomised trials, published or unpublished, that were available by August (...) 1996.None of the interventions has been reliably shown to reduce death or disability after severe head injury. One trial of hyperventilation was identified of 77 participants. The relative risk for death was 0.73 (95% confidence interval (95% CI) 0.36-1.49), and for death or disability it was 1.14 (95% CI 0.82-1.58). One trial of mannitol was identified of 41 participants. The relative risk for death was 1.75 (95% CI 0.48-6.38), no data were available for disability. No randomised trials of CSF

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1998 Journal of neurology, neurosurgery, and psychiatry

10347. High dose glucocorticoids in the management of severe head injury. (PubMed)

High dose glucocorticoids in the management of severe head injury. Eighty-eight patients with a Glasgow coma score of 8 or less 6 hours after nonpenetrating head trauma were given either high dose methylprednisolone sodium succinate (30 mg/kg q6h X2, then 250 mg q6h X6, then tapering over 8 days), low dose methylprednisolone (1.5 mg/kg q6h X2, then 25 mg q6h X6, then tapering over 8 days), or placebo. Standard care including the removal of traumatic hematomas, assisted ventilation

1984 Neurosurgery

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