Show Summary Details
Page of

Decompressive Craniectomy for Diffuse Traumatic Brain Injury: The DECRA Trial 

Decompressive Craniectomy for Diffuse Traumatic Brain Injury: The DECRA Trial
Decompressive Craniectomy for Diffuse Traumatic Brain Injury: The DECRA Trial

Shivani Ghoshal

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 16 September 2019

This chapter provides a summary of a landmark study in neurocritical care. Is decompressive craniectomy or medical management more effective for obtaining better outcomes in traumatic brain injury patients with increased intracranial pressure? Starting with that question, it describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. For severe TBI patients without mass lesions, decompressive craniectomy for refractory intracranial pressure elevations after first-tier therapy was found to significantly lower pressure and reduce both days of mechanical ventilation and ICU length of stay; however, it possibly led to worse 6-month functional outcomes versus third-tier therapies. The chapter briefly reviews other relevant studies and information, and concludes with a relevant clinical case.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.