From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. Clinical guidelines have widespread impact and practical utility for practitioners. We want to bring attention to these updates, which recently appeared in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which publishes research on clinical and experimental neurosurgery covering the very latest developments in science, technology and medicine.

In September of 2020, Neurosurgery published “Guidelines for the Management of Severe Traumatic Brain Injury: 2020 Update of the Decompressive Craniectomy Recommendations,” adding to the 2017 publication, “Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition,” in the spirit of living guidelines.

According to the Brain Trauma Foundation press release, this update “delineates key knowledge gaps which remain insufficiently informed by evidence.” Incorporating new evidence from the RESCUEicp study and 12-month outcome data from the DECRA study, these guidelines provide three new level-IIA recommendations and validates a previously presented level-IIA recommendation.

To read the full Neurosurgery article, click here.

Editor’s Note: We encourage everyone to join the conversation online by using the hashtag #TBI.

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