Current opinion in critical care
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Curr Opin Crit Care · Apr 2007
ReviewCurrent status of cerebral protection with mild-to-moderate hypothermia after traumatic brain injury.
The aim of this article is to review the current status of protective effects of mild-to-moderate hypothermia on traumatic brain injury. ⋯ Mild-to-moderate hypothermia plays a significant role in cerebral protection after traumatic brain injury.
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Controversy still exists about the management of spontaneous intracerebral haemorrhage. This review summarizes our current knowledge on indications and benefits of surgery for intracerebral haemorrhage. It further describes the detailed meta-analysis of the surgical results in lobar (superficial) supratentorial intracerebral haemorrhage, summarizes the limited information on the surgical treatment of cerebellar intracerebral haemorrhage, and identifies three ongoing trials. ⋯ Clinicians are encouraged to discover if the suspected beneficial role of surgery truly exists by randomizing patients with intracerebral haemorrhage in the ongoing prospective randomized controlled trials in the following circumstances: lobar intracerebral haemorrhage (clot reaches to within 1 cm of the cortical surface), STICH II; intraventricular haemorrhage (clot maximum size of 30 ml), CLEAR IVH; deep intracerebral haemorrhage and minimal invasive surgery, MISTIE.