Advanced hemodynamic monitoring: principles and practice in neurocritical care.

abstract：BACKGROUND:Early recognition and treatment of autoimmune encephalitis (AE) has become an essential issue in clinical practice. However, little is known about patients with deteriorating conditions and the need for intensive care treatment. Here, we aimed to characterize underlying aetiologies, clinical symptoms, reason...

journal_title：Neurocritical care

authors： Harutyunyan G,Hauer L,Dünser MW,Karamyan A,Moser T,Pikija S,Leitinger M,Novak HF,Trinka E,Sellner J

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Fever is associated with worse outcome after intracerebral hemorrhage (ICH). Autonomic dysfunction, commonly seen after brain injury, results in reduced heart rate variability (HRV). We sought to investigate whether HRV was associated with the development of fever in patients with ICH. METHODS:We prospectiv...

journal_title：Neurocritical care

authors： Swor DE,Thomas LF,Maas MB,Grimaldi D,Manno EM,Sorond FA,Batra A,Kim M,Prabhakaran S,Naidech AM,Liotta EM

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:To propose a novel definition for hydrocephalus growth and to further describe the association between hydrocephalus growth and poor outcome among patients with intracerebral hemorrhage (ICH). METHODS:We analyzed consecutive patients who presented within 6 h after ICH ictus between July 2011 and ...

journal_title：Neurocritical care

authors： Yang WS,Shen YQ,Zhang XD,Zhao LB,Wei X,Xiong X,Xie XF,Li R,Deng L,Li XH,Lv XN,Lv FJ,Li Q,Xie P

更新日期：2020-11-10 00:00:00

abstract：BACKGROUND:Intrahospital transport is associated with a high rate of complications. Investigations of this problem using neuromonitoring remain scarce. METHODS:This is a monocentric, prospective observational study. Patients with severe brain diseases and intracranial pressure (ICP) monitoring were included. Continuou...

journal_title：Neurocritical care

authors： Kleffmann J,Pahl R,Deinsberger W,Ferbert A,Roth C

更新日期：2016-12-01 00:00:00

abstract：BACKGROUND:To investigate the effects of hyperbaric oxygen (HBO) on brain damage and autophagy levels in a rat model of middle cerebral artery occlusion. METHODS:Neurologic injury and infarcted areas were evaluated according to the modified neurological severity score and 2,3,5-triphenyltetrazolium chloride staining. ...

journal_title：Neurocritical care

authors： Lu K,Wang H,Ge X,Liu Q,Chen M,Shen Y,Liu X,Pan S

更新日期：2019-02-01 00:00:00

abstract：:The objective of this study was to determine the prevalence of intracranial hypertension (IHT) and the associated mortality rate in patients who suffered from primary intracerebral hemorrhage (ICH). A secondary objective was to assess predisposing factors to IHT development. We conducted a systematic literature search...

journal_title：Neurocritical care

authors： Godoy DA,Núñez-Patiño RA,Zorrilla-Vaca A,Ziai WC,Hemphill JC 3rd

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:An increasing number of patients receive antiplatelet therapy. Patients exposed to surgery while receiving platelet inhibitors hold an increased bleeding risk. Especially in neurosurgery and neurocritical care patients, bleeding and hematoma expansion are feared complications as even minor blee...

journal_title：Neurocritical care

authors： Andersen LK,Hvas AM,Hvas CL

更新日期：2020-08-04 00:00:00

abstract：OBJECTIVES:Prophylactic treatment with antiepileptic drugs is common practice following subarachnoid hemorrhage (SAH) and traumatic brain injury. However, commonly used antiepileptic drugs have multiple drug interactions, require frequent monitoring of serum levels, and are associated with adverse effects that may prom...

journal_title：Neurocritical care

authors： Wang H,Gao J,Lassiter TF,McDonagh DL,Sheng H,Warner DS,Lynch JR,Laskowitz DT

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Improvements in technology play an important role in caring for critically ill patients. One example is the advance in ventilator design to facilitate triggering of mechanical breaths. Minimal changes in circuit flow unrelated to respiratory effort can trigger a ventilator breath and may mislead caregivers i...

journal_title：Neurocritical care

authors： McGee WT,Mailloux P

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Lymphopenia is increasingly recognized as a consequence of acute illness and may predispose to infections. We investigated whether admission lymphopenia (AL) is associated with increased risk of infectious complications and poor outcome in patients with spontaneous intracerebral hemorrhage (ICH). METHODS:We...

journal_title：Neurocritical care

authors： Morotti A,Marini S,Jessel MJ,Schwab K,Kourkoulis C,Ayres AM,Gurol ME,Viswanathan A,Greenberg SM,Anderson CD,Goldstein JN,Rosand J

更新日期：2017-04-01 00:00:00

abstract：INTRODUCTION:Patients on neurological intensive care units (NICU) who require ventilatory support often suffer from co-existing bulbar dysfunction, either because of their underlying disease or because of their decreased level of consciousness. For this reason, most patients are ventilated through a cuffed tracheostomy...

journal_title：Neurocritical care

authors： McGowan SL,Gleeson M,Smith M,Hirsch N,Shuldham CM

更新日期：2007-01-01 00:00:00

abstract：BACKGROUND:We hypothesized that the degree of preserved functional connectivity within the DMN during the first week after cardiopulmonary arrest (CPA) would be associated with functional outcome at hospital discharge. METHODS:Initially comatose CPA survivors with indeterminate prognosis at 72 h were enrolled. Sevente...

journal_title：Neurocritical care

authors： Koenig MA,Holt JL,Ernst T,Buchthal SD,Nakagawa K,Stenger VA,Chang L

更新日期：2014-06-01 00:00:00

abstract：INTRODUCTION:Recent and on going clinical research trials may indicate that the incidence of vasospasm is less in patients treated with lumbar drains following SAH than with patients treated with external ventricular drainage (EVD) alone. These studies have sparked interest in the more aggressive use of LDs in patients...

journal_title：Neurocritical care

authors： Hoekema D,Schmidt RH,Ross I

更新日期：2007-01-01 00:00:00

abstract：BACKGROUND:The indications for bevacizumab (a vascular endothelial growth factor inhibitor) have been expanded recently. Despite concerns for cerebrovascular events from bevacizumab treatment, detailed clinical and radiologic information are lacking. METHODS:Using the Mayo Clinic Rochester database (January 2006-Septe...

journal_title：Neurocritical care

authors： Seet RC,Rabinstein AA,Lindell PE,Uhm JH,Wijdicks EF

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Median nerve short-latency somatosensory evoked potentials (SSEPs) are useful in determining prognosis for awakening after coma following hypoxic ischemic encephalopathy, but reliability of interpretation is unclear. OBJECTIVE:To measure inter- and intra-observer reliability of determining presence or absen...

journal_title：Neurocritical care

authors： Hakimi K,Kinney G,Kraft G,Micklesen P,Robinson L

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Fever control plays a key role in therapy of patients with acute brain injury. The infusion of cold saline could serve as an alternative or additional method for targeted temperature management. However, it is difficult to estimate the amount of fluid required to achieve normothermia merely on the basis of b...

journal_title：Neurocritical care

authors： Willms JF,Boss O,Keller E

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Delayed neurological deficit (DND) is the most important cause of morbidity and mortality in patients with subarachnoid hemorrhage (SAH) whose aneurysms have been secured. However, the methods currently used to predict the development of DND, such as trans-cranial Doppler or levels biochemical markers in blo...

journal_title：Neurocritical care

authors： Sjöberg RL,Bergenheim T,Mörén L,Antti H,Lindgren C,Naredi S,Lindvall P

更新日期：2015-10-01 00:00:00

abstract：BACKGROUND:Global cerebral edema (GCE) is a manifestation of early brain injury (EBI) after subarachnoid hemorrhage (SAH) and is an independent risk factor for poor outcome. The lack of a quantitative method to measure GCE limits the study of its pathophysiology. The goal of this study is to develop a quantitative surr...

journal_title：Neurocritical care

authors： Choi HA,Bajgur SS,Jones WH,Savarraj JP,Ko SB,Edwards NJ,Chang TR,Hergenroeder GW,Dannenbaum MJ,Chen PR,Day AL,Kim DH,Lee K,Grotta JC

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:The correlation between noninvasive (oscillometric) blood pressure (NBP) and intra-arterial blood pressure (IAP) in critically ill patients receiving vasoactive medications in a Neurocritical Care Unit has not been systematically studied. The purpose of this study is to examine the relationship between simul...

journal_title：Neurocritical care

authors： Saherwala AA,Stutzman SE,Osman M,Kalia J,Figueroa SA,Olson DM,Aiyagari V

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Rapid diagnosis and proper management of intracerebral hemorrhage (ICH) play a crucial role in the outcome. Prediction of the outcome with a high degree of accuracy based on admission data including imaging information can potentially influence clinical decision-making practice. METHODS:We conducted a retro...

journal_title：Neurocritical care

authors： Salazar P,Di Napoli M,Jafari M,Jafarli A,Ziai W,Petersen A,Mayer SA,Bershad EM,Damani R,Divani AA

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Neurocardiogenic injury results from increased sympathetic nervous system activation following acute brain injury. No diagnostic criteria for neurocardiogenic injury exist, and agreement has not been tested. We investigated the agreement by neurointensivists for the presence of neurocardiogenic injury on rou...

journal_title：Neurocritical care

authors： Fletcher JJ,Meurer W,Dunne M,Rajajee V,Jacobs TL,Sheehan KM,Nathan B,Kade AM

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:To date, common therapy in patients with intracranial hemorrhage (ICH) includes prophylaxis of seizure using antiepileptic drugs, commonly phenytoin. Phenytoin therapy is associated with a high incidence of cognitive disturbance. Levetiracetam is known to cause less cognitive disruption and may be a suitable...

journal_title：Neurocritical care

authors： Taylor S,Heinrichs RJ,Janzen JM,Ehtisham A

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:Stroke is common after aneurysmal subarachnoid hemorrhage (aSAH). Transcranial Doppler ultrasound (TCD) monitoring is often employed to identify vasospasm and allow intervention to avoid infarction. The required duration of monitoring has not been established. We aim to determine if 10 days of TCD monitoring...

journal_title：Neurocritical care

authors： Miller CM,Palestrant D,Schievink WI,Alexander MJ

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:The frequency and associations of spontaneous hyperventilation in subarachnoid hemorrhage (SAH) are unknown. Because hyperventilation decreases cerebral blood flow, it may exacerbate delayed cerebral ischemia (DCI) and worsen neurological outcome. METHODS:This is a retrospective analysis of data from a pros...

journal_title：Neurocritical care

authors： Williamson CA,Sheehan KM,Tipirneni R,Roark CD,Pandey AS,Thompson BG,Rajajee V

更新日期：2015-12-01 00:00:00

abstract：PURPOSE:One study found higher leukocytes 8-hydroxy-2'-deoxyguanosine (8-OHdG) levels in patients with spontaneous intracerebral hemorrhage (ICH) than in healthy subjects due to the oxidation of guanosine from deoxyribonucleic acid (DNA). The objective of this study was to determine whether there is an association betw...

journal_title：Neurocritical care

authors： Lorente L,Martín MM,González-Rivero AF,Pérez-Cejas A,Abreu-González P,Sabatel R,Ramos L,Argueso M,Cáceres JJ,Solé-Violán J,Jiménez A,García-Marín V

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Infection is common following stroke and is independently associated with worse outcome. Clinical studies suggest that infections occur more frequently in those individuals with stroke-induced immunologic dysfunction. This study sought to explore the contribution of immunomodulatory cytokines and hormones to...

journal_title：Neurocritical care

authors： Tanzi P,Cain K,Kalil A,Zierath D,Savos A,Gee JM,Shibata D,Hadwin J,Carter K,Becker K

更新日期：2011-04-01 00:00:00

abstract：INTRODUCTION:Robotic tele-presence (RTP) is a form of mobile telemedicine, which enables a direct face-to-face rapid response by the physician, instead of the traditional telephonic paradigm. We hypothesized that a model of RTP for after-hour ICU rounds and emergencies would be associated with improved ICU nurse satisf...

journal_title：Neurocritical care

authors： Rincon F,Vibbert M,Childs V,Fry R,Caliguri D,Urtecho J,Rosenwasser R,Jallo J

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Hematoma expansion after acute intracerebral hemorrhage occurs most frequently in patients presenting within 3 h of symptom onset. However, the majority of patients present outside this window or with an unknown onset time. We investigated the prevalence of hematoma expansion in these patients and assessed t...

journal_title：Neurocritical care

authors： Brouwers HB,Falcone GJ,McNamara KA,Ayres AM,Oleinik A,Schwab K,Romero JM,Viswanathan A,Greenberg SM,Rosand J,Goldstein JN

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND AND PURPOSE:In patients with subarachnoid hemorrhage (SAH), higher hemoglobin (HGB) has been associated with better outcomes, but packed red blood cell (PRBC) transfusions with worse outcomes. We performed a prospective pilot trial of goal HGB after SAH. METHODS:Forty-four patients with SAH and high risk fo...

journal_title：Neurocritical care

authors： Naidech AM,Shaibani A,Garg RK,Duran IM,Liebling SM,Bassin SL,Bendok BR,Bernstein RA,Batjer HH,Alberts MJ

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Currently, continuous electroencephalographic monitoring (cEEG) is the only available diagnostic tool for continuous monitoring of brain function in intensive care unit (ICU) patients. Yet, the exact relevance of routinely applied ICU cEEG remains unclear, and information on the implementation of cEEG, espec...

journal_title：Neurocritical care

authors： Hilkman DMW,van Mook WNKA,Mess WH,van Kranen-Mastenbroek VHJM

更新日期：2018-10-01 00:00:00