CONTROL OF INTRACRANIAL PRESSURE FOR TWO CASES OF MULTIPLE TRAUMA WITH SEVERE HEAD INJURY

-USEFULNESS OF VENTRICULAR DRAINAGE-

Abstract

　　We encountered 2 patients with multiple trauma in whom control of intracranial pressure (ICP) was effective only through ventricular drainage. In these two cases, there was multiple trauma with severe head injury, and the injury severity scores (ISS) were high. In these patients, an ICP sensor was initially inserted and ventricular drainage was performed when ICP reached a high value. ICP control was favorable, and there were no complications. Ventricular drainage accurately reduces ICP, and can be noninvasively performed in a short time. Therefore, this procedure is advantageous for patients with multiple trauma. Ventricular drainage may be a therapeutic strategy that should be positively considered in multiple trauma patients with severe head injury.