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Related Experiment Video

Updated: Jul 16, 2025

Controlled Cortical Impact Model for Traumatic Brain Injury
05:30

Controlled Cortical Impact Model for Traumatic Brain Injury

Published on: August 5, 2014

28.7K

Direct to Operating Room for Decompressive Craniotomy/Craniectomy in Patients With Traumatic Brain Injury.

Jesse K Kelley1, Katie E Jaje, Chase W Smitterberg

  • 1Department of General Surgery, Corewell Health, Grand Rapids, Michigan (Drs Kelley, Chapman, and Yang); Michigan State University College of Human Medicine, Grand Rapids (Ms Jaje and Messrs Smitterberg and Reed); and Trauma Research Institute, Corewell Health, Grand Rapids, Michigan (Messrs Pounders and Groseclose, Mss Krech and Fisk, and Drs Chapman and Yang).

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
|September 13, 2023
PubMed
Summary

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This summary is machine-generated.

A new surgical pathway for severe traumatic brain injury (TBI) patients is feasible and speeds up operating room transport. This improves patient care by preparing them for decompressive craniectomy/craniectomy sooner.

Area of Science:

  • Neurosurgery
  • Trauma Surgery
  • Surgical Pathway Optimization

Background:

  • Emergent decompressive craniotomy/craniectomy is a critical intervention for severe traumatic brain injury (TBI).
  • Timely surgical management significantly impacts TBI patient outcomes.

Purpose of the Study:

  • To evaluate the feasibility and clinical impact of a novel protocol for direct operating room transfer of severe TBI patients.
  • To streamline the process for emergent decompressive craniotomy/craniectomy.

Main Methods:

  • Retrospective cohort study comparing pre- and post-intervention periods (2016-2022) at a Level I trauma center.
  • New pathway involves in-house trauma surgeon and neurosurgery advanced practice provider preparing patients in the OR while neurosurgeon is en route.

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Last Updated: Jul 16, 2025

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Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
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Published on: August 16, 2019

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Main Results:

  • 44 patients included: 5 pre-intervention, 39 post-intervention.
  • Median arrival-to-operating room time was 1.4 hours post-intervention vs. 1.5 hours pre-intervention.
  • Night shift analysis showed shorter times pre-intervention (1.2 hr) than post-intervention (1.5 hr).

Conclusions:

  • The new pathway is feasible for severe TBI patients requiring emergent decompressive surgery.
  • The protocol expedites patient transfer to the operating room, facilitating timely surgical intervention.