...Roberta P. Glick; Alexander Ksendzovsky; John Greesh; Patti Raksin Objective: In the pediatric population, treatment of severely injured children presenting with low Glasgow Coma Score (GCS) and fixed and dilated pupils is controversial. The combination of barbiturate coma and decompressive...

... children required surgical evacuation of focal mass lesions. Within 72 h of admission, all children manifested high intracranial pressures (ICP) refractory to maximal therapy, including hyperventi-lation, furosemide, mannitol, and barbiturate coma. After the institution of lumbar drainage, 3 of the 5...