Craniectomía descompresiva: Nivel I No hay evidencia suficiente para soportar esta recomendación con un nivel I
Nivel II A:
Level I • There was insufficient evidence to support a Level I recommendation for this topic. Level II A • Bifrontal DC is not recommended to improve outcomes as measured by the Glasgow Outcome Scale–Extended (GOS-E) score at 6 months post-injury in severe TBI patients with diffuse injury (without mass lesions), and with ICP elevation to values >20 mm Hg for more than 15 minutes within a 1-hour period that are refractory to first-tier therapies. However, this procedure has been demonstrated to reduce ICP and to minimize days in the intensive care unit (ICU).
Hipotermia profiláctica Level I and II A • There was insufficient evidence to support a Level I or II A recommendation for this topic. Level II B • Early (within 2.5 hours), short-term (48 hours post-injury) prophylactic hypothermia is not recommended to improve outcomes in patients with diffuse injury
Craniectomía descompresiva:
ResponderEliminarNivel I
No hay evidencia suficiente para soportar esta recomendación con un nivel I
Nivel II A:
Level I
• There was insufficient evidence to support a Level I recommendation for this topic.
Level II A
• Bifrontal DC is not recommended to improve outcomes as measured by the Glasgow Outcome Scale–Extended (GOS-E) score at 6 months post-injury in severe TBI patients with diffuse injury (without mass lesions), and with ICP elevation to values >20 mm Hg for more than 15 minutes within a 1-hour period that are refractory to first-tier therapies. However, this procedure has been demonstrated to reduce ICP and to minimize days in the intensive care unit (ICU).
Hipotermia profiláctica
Level I and II A
• There was insufficient evidence to support a Level I or II A recommendation for this
topic.
Level II B
• Early (within 2.5 hours), short-term (48 hours post-injury) prophylactic hypothermia is not recommended to improve outcomes in patients with diffuse injury