ArticleAsian journal of neurosurgery2026
Comparison of Intraoperative Fluid by Goal-Directed and Conventional Fluid Administration in Patients Undergoing Early Decompressive Craniectomy: A Prospective Randomized Controlled Trial.
Article in Asian journal of neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Background: Optimal fluid administration is important following traumatic brain injury (TBI) due to its associated fluid imbalance and cardiovascular abnormalities. Liberal use of fluids may be associated with overload and adverse cardiovascular effects. Hence, the study was conducted to compare the effect of goal-directed fluid therapy (GDT) with conventional fluid therapy (CFT) in moderate to severe TBI patient scheduled for early decompressive craniectomy. Materials and Methods: Sixty-four patients with moderate to severe TBI were randomly allocated into Group A (goal-directed therapy [GDT] Results: There was no statistical difference in intraoperative fluid volume between groups (2,567 vs. 2,670 mL; Conclusion: GDT had no difference in intraoperative fluid volume but fewer hypotension episodes, more drop of lactate, and lesser fall in hematocrit as compared with CFT in moderate to severe TBI patients undergoing early decompressive craniectomy.
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