2018 AANS Annual Scientific Meeting-Update on Surgical Trials in Traumatic Brain Injury

Video Transcription

Video Summary

In this video, Peter Hutchinson from Cambridge discusses an update on surgical trials, specifically focusing on the results of the rescue ICP study. The study aimed to improve outcomes by performing decompressive craniectomy as a last-resort therapy for patients with difficult-to-control intracranial pressure. The study included over 2,000 patients from 52 centers across 20 countries. The results showed a marked reduction in mortality among patients randomized to surgery, with an increased rate of vegetative state and lower severe disability, but also a higher proportion of upper severe disability, indicating independence at home or better. The study indicated that decompressive craniectomy can be a life-saving intervention, but the decision to perform the procedure should be individualized. Further studies are needed to refine patient selection and improve decision making. The speaker also briefly mentions ongoing and upcoming surgical trials, such as the Decompressive Craniotomy Study and the NIHR Global Health Research Group in neurotrauma. The video concludes with a discussion among the speakers and attendees regarding the use and outcomes of decompressive craniectomy.

Asset Caption

Peter John Hutchinson, MD (United Kingdom)

Keywords

surgical trials

rescue ICP study

decompressive craniectomy

mortality reduction

neurotrauma