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Inclusion criteria for the early decompressive craniectomy procedure
(SBH. Neurological Surgery Service Protocol)
No. Description of inclusion criteria
Age less than 50 years.
Glasgow Coma Scale <9 after the emergency room resuscitation (SaO2 >90% and systolic blood pressure >90 mmHg) and after pharmacologic sedation or paralytic agents are metabolized if they were used (short action agents in rapid sequence induction institutional protocols).
Isolated, non-penetrating head injury, without other associated traumas (e.g. abdominal, thoracic or extremity injuries).
CT findings compatible with diffuse injury III or IV of the Marshall classification (volume and width of the lesions and the midline shift were measured with the CT scan software and correlated with the ABC method for width and the [A/2] – B method for the midline shift).