scholarly journals Evidence-Based Treatment of Chronic Subdural Hematoma

10.5772/57336 ◽  
2014 ◽  
Author(s):  
Jehuda Soleman ◽  
Philipp Taussky ◽  
Javier Fandino ◽  
Carl Muroi
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Evidence Based ◽  
Evidence Based Treatment

Evidence based diagnosis and management of chronic subdural hematoma: A review of the literature

2018 ◽  
Vol 50 ◽  
pp. 7-15 ◽  
Author(s):  
Vikram Mehta ◽  
Stephen C. Harward ◽  
Eric W. Sankey ◽  
Gautam Nayar ◽  
Patrick J. Codd
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Evidence Based ◽  
Review Of The Literature ◽  
Diagnosis And Management

scholarly journals Burr-Hole Evacuation of Chronic Subdural Hematoma: Biophysically and Evidence-Based Technique Improvement

2019 ◽  
Vol 10 (01) ◽  
pp. 113-118 ◽  
Author(s):  
Martin Májovský ◽  
David Netuka ◽  
Vladimír Beneš ◽  
Pavel Kučera
Keyword(s):  
Recurrence Rate ◽  
Local Anesthesia ◽  
Subdural Hematoma ◽  
Scientific Evidence ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Evidence Based ◽  
Rural And Remote Areas ◽  
Burr Hole Evacuation ◽  
Reoperation Rates

ABSTRACTChronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions. Despite ongoing efforts, recurrence and reoperation rates after surgical treatment remain high. We synthesize scientific evidence on the treatment of CSDH with biophysical principles and then propose a simple and effective surgical technique aiming to reduce the recurrence rate. Under local anesthesia, one burr hole is placed in the area above the maximum hematoma thickness. One drain is inserted into the dorsal direction to the deepest point of the hematoma cavity, and a second drain is inserted frontally into the highest point. Next, saline is gently instilled to the dorsal drain to eliminate air from the hematoma cavity through the frontal drain. Once saline has filled the frontal drain, the frontal drain is removed. The dorsal drain is left in situ for 48 h, and the pressure within the cavity may be adapted hydrostatically. We implemented evidence-based conclusions of previous studies and modified the classical burr-hole technique to reduce the recurrence rate. As a result, we developed a straightforward surgical procedure that is possible to perform under local anesthesia, suitable for everyday practice in rural and remote areas while working with limited resources. The novelty of this technique is in the purposeful reduction of postoperative pneumocephalus, a known independent factor of recurrence. Subdural air is eliminated during surgery using a two-drain system. Safety and efficacy of the technique need to be evaluated in future clinical trials.

Finding Harmony Between the Evidence-Based Treatment and Cultural Adaptation Movements

PsycCRITIQUES ◽  
2012 ◽  
Vol 57 (40) ◽  
Author(s):  
Esther J. Calzada
Keyword(s):  
Cultural Adaptation ◽  
Evidence Based ◽  
Evidence Based Treatment

Open to options: Lessons learned using an evidence-based treatment decision model for blood cancer patients in a community based setting

2010 ◽  
Author(s):  
M. F. Miller ◽  
J. Belkora ◽  
N. Blakeney ◽  
K. Coyne ◽  
B. Crawford ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Decision Model ◽  
Treatment Decision ◽  
Lessons Learned ◽  
Evidence Based ◽  
Community Based ◽  
Blood Cancer ◽  
Evidence Based Treatment
Sign in / Sign up

Export Citation Format

Share Document