Publications by authors named "Freddy Sandi Lora"
Article Synopsis
- A study looked at how a special treatment method called the CREVICE protocol helped patients with severe brain injuries do better after 6 months compared to not using a protocol at all.
- They found that using CREVICE led to fewer deaths and better recovery scores for patients.
- The research involved 501 patients mostly from public hospitals in South America and showed that having a structured protocol made a positive difference in their care.
Background: Most patients with severe traumatic brain injury (sTBI) in low- or-middle-income countries and surprisingly many in high-income countries are managed without intracranial pressure (ICP) monitoring. The impact of the first published protocol (Imaging and Clinical Examination [ICE] protocol) is untested against nonprotocol management.
Objective: To determine whether patients treated in intensive care units (ICUs) using the ICE protocol have lower mortality and better neurobehavioral functioning than those treated in ICUs using no protocol.
Article Synopsis
- Intracranial pressure (ICP) monitoring for severe traumatic brain injury (sTBI) varies worldwide due to differences in resources and medical philosophies, with a lack of comprehensive management strategies for suspected intracranial hypertension (SICH) when monitoring is absent.
- A consensus conference with 43 Latin American medical professionals refined the existing BEST:TRIP algorithm, creating the CREVICE (Consensus REVised ICE) algorithm to define SICH and outline management and treatment options.
- The CREVICE algorithm serves as a structured decision-support model for sTBI management in settings without ICP monitoring, aiming to improve clinical care and guide future research, while being based on expert consensus due to limited existing literature.
Background: Severe traumatic brain injury (sTBI) is a significant global health problem disproportionately affecting low- and middle-income countries (LMICs). Management of intracranial hypertension in sTBI is crucial to survival and optimal recovery. Practitioners in high-income countries routinely use intracranial pressure (ICP) monitors although their usefulness has been questioned.
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