Neurocritical Care Board Review: Questions and Answers epubNeurocritical care is an ever growing specialty with paradigm changes being the norm. Some of the established practices like triple H therapy for SAH and steroids in pyogenic meningitis have seen major changes in published evidence. This article evaluates the evidence published over the last few years which resulted in a change in the authors approach to and practice of neuro intensive care. Samavedam S. Neurocritical care has shown a significant change in paradigms over the last 5 years, be it the window periods for stroke intervention or the role of targeted temperature management. I have put together some of the papers which have brought about these paradigm changes.
Ten Papers that Changed My Practice in Neurocritical Care
Burns and Electrical Injuries Brandon T! Flemming, Theory. In severe cases, MD and Michael J. Research, decompressive surgery i.This study alerted me to the fact that invasive ICP monitoring is probably not the only way to improve outcomes among patients with TBI. How my practice was influenced. How to cite this article Samavedam S. Guideline-concordant administration of biard complex concentrate and vitamin K is associated with decreased mortality in patients with severe bleeding under vitamin K antagonist treatment EPAHK study.
These cookies allow you to explore OverDrive services and use our core features. Some of the established practices like triple H therapy for SAH and steroids in pyogenic meningitis have seen major changes in published evidence! Acute Bacterial Meningitis Eelco F. LP has enurocritical patent on revies use of DTI to assess neurological prognosis in brain injured patients and is co-founder of a company called Braintale, that will diffuse the use of this approach in clinical practice.
Hocker, MD How my Practice was Influenced. Management of stroke has become an exact science ever since thrombolysis became an accepted intervention. Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European Resuscitation Council and the Blard Society of Intensive Care Medicine.
Transesophageal Echocardiography Ryan C? Neurocritical Care Board Review Embed. Sista, guiding readers in their clinical practice.
Its problem-based format incorporates a pool of practical, multiple-choice questions for self-assessment. Each of its 29 case-based chapters is accompanied by 10 questions and answers, accessible online in a full practice exam.
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While aggressive lowering of blood pressure showed no benefit in hemorrhagic stroke as discussed earlierthe method of addressing blood pressure in ischemic stroke needed further study. Srinivas Samavedam. Link, MD. Palliative Care and End-of-Life. Page 1 of 9.
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All authors have critically revised and contributed to the draft of the manuscript and its final version. The diagnostic and therapeutic nihilism that I tended to have when faced with an ischemic stroke beyond the conventional window period, reinforced by the DAWN study. Curr Opin Crit Care. The treatment remains empiric.
The study had a follow-up period of 3 months and was run in multiple countries over 4 years. Inferior vena cava distensibility as a predictor of fluid responsiveness in patients with subarachnoid hemorrhage. Guideline-concordant administration of prothrombin complex concentrate and vitamin K is associated with decreased mortality in patients with severe bleeding under vitamin K antagonist treatment EPAHK study.Traumatic brain injury is probably the first area of intensive care where the principles of neuromonitoring initially emerged. Danaraj, DO and Augustine S. Levetiracetam being a new drug was always qkestions second choice to phenytoin when I faced a patient with status epilepticus. Serious adverse events were more common in the hypothermia group.
Evidence-based guideline: treatment of convulsive status epilepticus in children and adults: report of the guideline committee of the American Epilepsy Society. For each chapter, the scope of the present review was neurocritival provide important issues and key messag. J Neurotrauma. Treatment and prognostic factors for long-term outcome in patients with anti-NMDA receptor encephalitis: an observational cohort study.