文章基本信息

标题：Craniotomy and Evacuation at Remote Island Hospital;Challenges and Way Ahead
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作者：Bharat K Jani ; SGS Datta
期刊名称：Journal of Marine Medical Society
印刷版ISSN：0975-3605
电子版ISSN：2589-1235
出版年度：2019
卷号：21
期号：1
页码：91-93
DOI：10.4103/jmms.jmms_27_18
语种：English
出版社：Medknow Publications
摘要：We herein report the management of a case of acute-on-chronic subdural hematoma by emergency craniotomy at mid-zonal hospital with basic surgical facilities.The timely intervention has made significant difference in patient outcome.A 72-year-old male was on antiplatelet agents,presented with status epilepticus,and also had multiple comorbidities.We faced challenges of specialist consultation,medical evacuation of an intubated case,neurosurgery intensive care,and availability of blood products and intensivists at place like Andaman and Nicobar islands where connectivity remains a challenge.Casualty evacuation and transport of critical patients by air are a major exercise and are not possible in certain situations.Moreover,it is potentially detrimental to the life of a patient during air evacuation due to changes in the atmospheric pressure.In such adverse situations,aggressive surgical intervention at small centers can make significant difference in the outcome of patient.
关键词：Craniotomy and evacuation;duraplasty;subdural hematoma