Monitoring of brain and systemic oxygenation in neurocritical care patients.

abstract：INTRODUCTION:Dynamic testing of cerebral pressure autoregulation is more practical than static testing for critically ill patients. The process of cuff deflation is innocuous in the normal subject, but the systemic and cerebral effects of cuff deflation in severely head-injured patients have not been studied. The purpo...

journal_title：Neurocritical care

authors： Hlatky R,Valadka AB,Robertson CS

更新日期：2006-01-01 00:00:00

abstract：:Neurocritical care relies on the continuous, real-time measurement of numerous physiologic parameters. While our capability to obtain such measurements from patients has grown markedly with multimodal monitoring in many neurologic or neurosurgical intensive care units (ICUs), our ability to transform the raw data into...

journal_title：Neurocritical care

authors： Sivaganesan A,Manley GT,Huang MC

更新日期：2014-02-01 00:00:00

abstract：: ...

journal_title：Neurocritical care

authors： Couret D,Simeone P,Freppel S,Velly L

更新日期：2019-04-01 00:00:00

abstract：INTRODUCTION:Prompt management of aneurysmal subarachnoid hemorrhage (SAH) is critical. Literature is inconclusive regarding outcomes for patients directly admitted to specialized centers versus transferred from lower-volume hospitals. Providers are often unclear about the safety of transferring critical patients. This...

journal_title：Neurocritical care

authors： Nuño M,Patil CG,Lyden P,Drazin D

更新日期：2012-12-01 00:00:00

abstract：INTRODUCTION:Despite the recognized deleterious effects of hyperthermia on critically ill neurological patients, few investigations have studied hyperthermia after an ischemic stroke in the intensive care unit (ICU) setting. METHODS:Acute ischemic stroke patients admitted to the ICU were assigned to one of three group...

journal_title：Neurocritical care

authors： Seo WK,Yu SW,Kim JH,Park KW,Koh SB

更新日期：2008-01-01 00:00:00

abstract：INTRODUCTION:Delayed ischemic deficit from vasospasm is a leading cause of morbidity and mortality after aneurysmal subarachnoid hemorrhage. Although several treatment modalities have been used to reverse the deleterious effects of vasospasm, alternative therapies are needed, as conventional therapies are often ineffec...

journal_title：Neurocritical care

authors： Goodson K,Lapointe M,Monroe T,Chalela JA

更新日期：2008-01-01 00:00:00

abstract：:We now recognize that the main breathing generator resides principally in the medulla oblongata. Vivisectionists-specifically, Julien Legallois-discovered "the respiratory center." Cutting through the brainstem stops respiration but not if the medulla remains intact and the brain is sliced in successive portions. Pier...

journal_title：Neurocritical care

authors： Wijdicks EFM

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:Takotsubo syndrome is a reversible neuromyocardial failure that has been thought to be related to an acute catecholamine toxicity of the myocardium brought upon by a stressful event. The neurocritical care unit population is particularly vulnerable for this condition given the acute presentation of neurologi...

journal_title：Neurocritical care

authors： Lemke DM,Hussain SI,Wolfe TJ,Torbey MA,Lynch JR,Carlin A,Fitzsimmons BF,Zaidat OO

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:The primary objectives of this study were to identify patient and community benefits of mandatory intensivist management in a neurocritical care (NCC) unit. Our hospital recently mandated intensivist management for patients admitted to the NCC unit. As one of the only comprehensive stroke centers in Orlando,...

journal_title：Neurocritical care

authors： Rodricks MB,Hawkins SE,Anderson GA,Basignani C,Tuppeny M

更新日期：2015-12-01 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:Hyponatremia may complicate brain injury and exacerbate cerebral edema and intracranial pressure (ICP). Vasopressin-receptor antagonists (such as conivaptan) are promising novel agents to treat hyponatremia that act by inducing aquaresis. It is unclear whether raising serum sodium in this way could also conf...

journal_title：Neurocritical care

authors： Dhar R,Murphy-Human T

更新日期：2011-02-01 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：:This review examines the available data on the use of osmotic agents in patients with head injury and ischemic stroke, summarizes the physiological effects of osmotic agents, and presents the leading hypotheses regarding the mechanism by which they reduce ICP. Finally, it addresses the validity of the following common...

journal_title：Neurocritical care

authors： Diringer MN,Zazulia AR

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND AND AIMS:Lipid peroxidation represents a marker of secondary brain injury both in traumatic and in non-traumatic conditions-as in major neurosurgical procedures-eventually leading to brain edema amplification and further brain damage. Malondialdehyde (MDA), a lipid peroxidation marker, and ascorbate, a marke...

journal_title：Neurocritical care

authors： Piastra M,Caresta E,Massimi L,Picconi E,Luca E,Morena TC,Conti G,Eaton S

更新日期：2020-08-01 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：:Computed tomography (CT) scan of the brain transitioned clinical neurology from the educated-guess world to the real computer-age world. One of the first CT scans-published by the British neuroradiologist James Ambrose-showed an intracranial hemorrhage and also suggested the use of iodine to demonstrate abnormal blood...

journal_title：Neurocritical care

authors： Wijdicks EFM

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Therapeutic hypothermia (i.e., temperature management) is an effective option for improving survival and neurological outcome after cardiac arrest and is potentially useful for the care of the critically ill neurological patient. We analyzed the feasibility of a device to control the temperature of the brain...

journal_title：Neurocritical care

authors： Giuliani E,Magnoni S,Fei M,Addis A,Zanasi R,Stocchetti N,Barbieri A

更新日期：2016-12-01 00:00:00

abstract：INTRODUCTION:Hydrocephalus with normal intracranial pressure has rarely been reported to result in herniation. METHODS:Case report. RESULTS:A 52-year-old man became acutely comatose with extensor posturing and ventriculomegaly 17 days after experiencing a primary ventricular hemorrhage. An external ventricular drain ...

journal_title：Neurocritical care

authors： Pratt RW,Mayer SA

更新日期：2005-01-01 00:00:00

abstract：BACKGROUND:Cerebral edema is a major cause of mortality following cardiac arrest (CA) and cardiopulmonary resuscitation (CPR). Arginine vasopressin (AVP) and water channel aquaporin-4 (AQP4) have been implicated in the pathogenesis of CA-evoked cerebral edema. In this study, we examined if conivaptan, a V1a and V2 anta...

journal_title：Neurocritical care

authors： Nakayama S,Amiry-Moghaddam M,Ottersen OP,Bhardwaj A

更新日期：2016-04-01 00:00:00

abstract：:Severe intracranial hypertension (IH) in the setting of fulminant hepatic failure (FHF) carries a high mortality and is a challenging disease for the critical care provider. Despite considerable improvements in the understanding of the pathophysiology of cerebral edema during liver failure, therapeutic maneuvers that ...

journal_title：Neurocritical care

authors： Raghavan M,Marik PE

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Nosocomial pneumonia (NP) is a frequent complication among spontaneous intracerebral hemorrhage (sICH) patients. This study was aimed at identifying in-hospital risk factors that predispose sICH patients to NP. METHODS:We identified 591 consecutive sICH subjects admitted to six tertiary care hospitals betwe...

journal_title：Neurocritical care

authors： Divani AA,Hevesi M,Pulivarthi S,Luo X,Souslian F,Suarez JI,Bershad EM

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:The management of symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage (aSAH) can be often complicated by the presence of stunned myocardium and left ventricular failure. Vasopressors and inotropes are commonly used to optimize mean arterial pressure (MAP) and cerebral perfusion pressure (...

journal_title：Neurocritical care

authors： Lazaridis C,Pradilla G,Nyquist PA,Tamargo RJ

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Little data exist regarding the practice of sodium management in acute neurologically injured patients. This study describes the practice variations, thresholds for treatment, and effectiveness of treatment in this population. METHODS:This retrospective, multicenter, observational study identified 400 ICU p...

journal_title：Neurocritical care

authors： Human T,Cook AM,Anger B,Bledsoe K,Castle A,Deen D,Gibbs H,Lesch C,Liang N,McAllen K,Morrison C,Parker D Jr,Rowe AS,Rhoney D,Sangha K,Santayana E,Taylor S,Tesoro E,Brophy G

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND/PURPOSE:Blood type has become an increasingly recognized risk factor for coagulopathy. We explored the association between blood type and hematoma expansion (HE) after intracerebral hemorrhage (ICH). METHODS:Spontaneous ICH patients prospectively enrolled in an ongoing ICH cohort study at Columbia Universit...

journal_title：Neurocritical care

authors： Roh D,Martin A,Sun CH,Eisenberger A,Boehme A,Elkind MSV,Pucci JU,Murthy S,Kamel H,Sansing L,Park S,Agarwal S,Connolly ES,Claassen J,Hod E,Francis RO

更新日期：2019-08-01 00:00:00

abstract：:Traumatic brain injury (TBI) was chosen as an Emergency Neurological Life Support topic due to its frequency, the impact of early intervention on outcomes for patients with TBI, and the need for an organized approach to the care of such patients within the emergency setting. This protocol was designed to enumerate the...

journal_title：Neurocritical care

authors： Swadron SP,LeRoux P,Smith WS,Weingart SD

更新日期：2012-09-01 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：INTRODUCTION:Effective treatment for severe ischemic stroke continues to be largely an unmet medical need. Using a nonvascular (paravascular cerebrospinal fluid) pathway to provide oxygen and nutrients to ischemic tissues may be a means of treating this disease. The primary objective of this study was to evaluate the s...

journal_title：Neurocritical care

authors： Bell RD,Powers BL,Brock D,Provencio JJ,Flanders A,Benetiz R,Rosenwasser R,Strause J,Frazer G,Kramer MS,Hesson D,Barnitz J,Osterholm JL

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:Status epilepticus remains a life-threatening condition that afflicts both adults and children which although occurs in patients with epilepsy, often presents as new-onset seizure activity also. Refractory status epilepticus poses a management challenge for neurological and neurosurgical teams. CASE REPOR...

journal_title：Neurocritical care

authors： Ng YT,Bristol RE,Schrader DV,Smith KA

更新日期：2007-01-01 00:00:00

abstract：BACKGROUND:There are some intracranial insults which are associated with cardiac abnormalities. Studies of these abnormalities have never been carried out in elective intracranial neurosurgery for the removal of brain tumors. Our prospective study aims at quantifying serum cardiac troponin T (cTnT) and N-terminal pro-b...

journal_title：Neurocritical care

authors： Ruggieri F,Gemma M,Calvi MR,Nicelli E,Agarossi A,Beretta L

更新日期：2012-12-01 00:00:00

abstract：:Acute liver failure (ALF), the abrupt loss of liver function in a patient without previous liver disease, remains a highly mortal condition. Patients with ALF often succumb to their liver injury after the development of cerebral edema, resulting in intracranial hypertension and brain herniation. While the management o...

journal_title：Neurocritical care

authors： Stravitz RT,Lee WM,Kramer AH,Kramer DJ,Hynan L,Blei AT

更新日期：2008-01-01 00:00:00