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ISSN 2448-8909 (Print)

1999, Number 3

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Med Crit 1999; 13 (3)

Lumbar cerebrospinal fluid drainage in severe head injury

Pineda MC, Herrera JE, Chávez CJF, Zirahuén MCH, Reséndiz VMB, García LMC

Language: English
References: 28
Page: 93-99
PDF size: 132.53 Kb.


ABSTRACT

Objective. To determine the clinical usefulness and safety of lumbar cerebrospinal fluid drainage (CSF) in nonsurgical patients with severe head injury (SHI).
Design. A prospective clinical study.
Setting. An ICU of a second level hospital of Morelia, Mich. (México).
Patients. Thirty three nonsurgical SHI patients, non-monitored with intracranial pressure and without shift of midline.
Interventions. At intervals of 24 or 72 hours a lumbar CSF drainage was performed and CSF was drawn as much as to bring a subdural pressure the closest possible to 20 cm of water.
Measurements and main results. There was a negative correlation between subdural hypertension and the Glasgow Coma Scale (GCS) score at admission with the Glasgow Outcome Scale GOS) score at discharge. Forty five percent of patients were discharged in good condition (GOS 4-5).
Conclusion. Decompressive drainage of lumbar CSF is a useful and safe procedure as treatment of nonsurgical patients with SHI.


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