Mandatory Intensivist Management Decreases Length of Stay, Facilitates an Increase in Admissions and Minimizes Closure of a Neurocritical Care Unit.

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：BACKGROUND AND PURPOSE:Stress-induced hyperglycemia (SIH) is the relative transient increase in glucose during a critical illness such as intracerebral hemorrhage (ICH) and is likely to play an important role in the pathogenesis of remote diffusion-weighted imaging (DWI) lesion (R-DWIL) in primary ICH. We sought to det...

journal_title：Neurocritical care

authors： Ye XH,Cai XL,Nie DL,Chen YJ,Li JW,Xu XH,Cai JS,Liu ZR,Yin XZ,Song SJ,Tong LS,Gao F

更新日期：2020-04-01 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:Clinical recognition of acute bacterial meningitis (ABM) and its early prognostication would guide the degree of intensive treatment required. We aimed to study the clinical features and factors associated with death in patients with community acquired ABM. METHODS:Adult patients with clinically suspected c...

journal_title：Neurocritical care

authors： Vibha D,Bhatia R,Prasad K,Srivastava MV,Tripathi M,Singh MB

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Burst suppression in mechanically ventilated intensive care unit (ICU) patients is associated with increased mortality. However, the relative contributions of propofol use and critical illness itself to burst suppression; of burst suppression, propofol, and critical illness to mortality; and whether preventi...

journal_title：Neurocritical care

authors： Hogan J,Sun H,Aboul Nour H,Jing J,Tabaeizadeh M,Shoukat M,Javed F,Kassa S,Edhi MM,Bordbar E,Gallagher J,Junior VM,Ghanta M,Shao YP,Akeju O,Cole AJ,Rosenthal ES,Zafar S,Westover MB

更新日期：2020-10-01 00:00:00

abstract：INTRODUCTION:Hyponatremia frequently complicates acute brain injury and may precipitate neurological worsening by promoting cerebral edema. An increase in brain water may be better managed through water excretion than with fluid restriction or hypertonic fluids. Vasopressin-receptor antagonists such as conivaptan, whic...

journal_title：Neurocritical care

authors： Murphy T,Dhar R,Diringer M

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND/OBJECTIVE:Infection is the most common complication of external ventricular drain (EVD) placement. National trends in the annual incidence of meningitis among patients with traumatic brain injury (TBI) who have undergone EVD placement have not been reported. METHODS:The Nationwide Inpatient Sample was used ...

journal_title：Neurocritical care

authors： Hoffman H,Jalal MS,Chin LS

更新日期：2019-06-01 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：BACKGROUND:Global cerebral edema (GCE) with subsequent refractory intracranial hypertension complicates some cases of aneurysmal subarachnoid hemorrhage (aSAH), and typically is associated with poorer outcome. Treatment options for refractory intracranial pressure (ICP) cases are limited to decompressive hemicraniectom...

journal_title：Neurocritical care

authors： Karnatovskaia LV,Lee AS,Festic E,Kramer CL,Freeman WD

更新日期：2014-12-01 00:00:00

abstract：INTRODUCTION:Over-the-counter herbal and alternative medicines are classified as dietary supplements and, unlike drugs, are not rigorously regulated by the United States Food and Drug Administration. Their potential adverse effects are often poorly characterized. METHOD:Red clover, dong quai, and Siberian ginseng are ...

journal_title：Neurocritical care

authors： Friedman JA,Taylor SA,McDermott W,Alikhani P

更新日期：2007-01-01 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/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：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：:Maintenance of adequate oxygenation is a mainstay of intensive care, however, recommendations on the safety, accuracy, and the potential clinical utility of invasive and non-invasive tools to monitor brain and systemic oxygenation in neurocritical care are lacking. A literature search was conducted for English languag...

journal_title：Neurocritical care

authors： Oddo M,Bösel J,Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring.

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:The objective was to investigate the impact of targeting tight glycemic control (4.4-6.1 mM) on endogenous ketogenesis in severely head-injured adults. METHODS:The data were prospectively collected during a randomized, within-patient crossover study comparing tight to loose glycemic control, defined as 6.7-...

journal_title：Neurocritical care

authors： Wolahan SM,Prins ML,McArthur DL,Real CR,Hovda DA,Martin NA,Vespa PM,Glenn TC

更新日期：2017-04-01 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：:Traumatic brain injury (TBI) is a major cause of death and disability worldwide. In large part critical care for TBI is focused on the identification and management of secondary brain injury. This requires effective neuromonitoring that traditionally has centered on intracranial pressure (ICP). The purpose of this pap...

journal_title：Neurocritical care

authors： Chesnut R,Videtta W,Vespa P,Le Roux P,Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring.

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Subarachnoid hemorrhage (SAH) has been associated with pronounced acute sympathetic activation. The purpose of this investigation is to identify demographic, clinical, radiological, and anatomical features of SAH that relate to sympathetic activation. METHODS:Observational study of consecutive Grades 3-5 SA...

journal_title：Neurocritical care

authors： Moussouttas M,Lai EW,Khoury J,Huynh TT,Dombrowski K,Pacak K

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:Decompressive hemicraniectomy (DHC) has proven efficacious for the treatment of malignant middle cerebral artery infarction (mMCAI) only in patients less than 60 years. This study aimed to assess the effectiveness of DHC in patients up to 80. METHODS:This is a prospective, randomized, controlled trail compa...

journal_title：Neurocritical care

authors： Zhao J,Su YY,Zhang Y,Zhang YZ,Zhao R,Wang L,Gao R,Chen W,Gao D

更新日期：2012-10-01 00:00:00

abstract：INTRODUCTION:Delayed ischemic neurologic deficits secondary to vasospasm are a major cause of morbidity and mortality after subarachnoid hemorrhage (SAH). Treatment of vasospasm after SAH is associated with complications, and reliable techniques for evaluating effects of treatment of vasospasm in such patients are warr...

journal_title：Neurocritical care

authors： Majoie CB,van Boven LJ,van de Beek D,Venema HW,van Rooij WJ

更新日期：2007-01-01 00:00:00

abstract：BACKGROUND:The effects of induced hypertension (IH) on cerebral perfusion after subarachnoid hemorrhage (SAH) are unclear. The objectives of this investigation are to: (1) determine whether there are differences in cerebral blood flow (CBF), cerebral blood volume (CBV), and mean transit time (MTT) measured with compute...

journal_title：Neurocritical care

authors： Murphy A,de Oliveira Manoel AL,Macdonald RL,Baker A,Lee TY,Marotta T,Montanera W,Aviv R,Bharatha A

更新日期：2017-08-01 00:00:00

abstract：:This article reports an unusual case of a syphilitic gumma with a clinical and radiographical presentation initially suggestive of glioblastoma multiforme. Pathological evaluation was essential in establishing the diagnosis of neurosyphilis and in excluding neoplastic involvement. Cerebral gumma should be considered a...

journal_title：Neurocritical care

authors： Ances BM,Danish SF,Kolson DL,Judy KD,Liebeskind DS

更新日期：2005-01-01 00:00:00

abstract：BACKGROUND:Cerebral blood flow (CBF) measurements are helpful in managing patients with traumatic brain injury (TBI), and testing the cerebrovascular reactivity to CO(2) provides information about injury severity and outcome. The complexity and potential hazard of performing CBF measurements limits routine clinical use...

journal_title：Neurocritical care

authors： Reinstrup P,Ryding E,Asgeirsson B,Hesselgard K,Unden J,Romner B

更新日期：2014-02-01 00:00:00

abstract：INTRODUCTION:Cerebral vasospasm in aneurysmal subarachnoid hemorrhage (SAH) is associated with poor outcome. The safety and feasibility of continuous high-dose intravenous magnesium sulfate (MgSO4) for the prevention of cerebral vasospasm and ischemic cerebral injury has not been well studied. METHODS:Patients present...

journal_title：Neurocritical care

authors： Yahia AM,Kirmani JF,Qureshi AI,Guterman LR,Hopkins LN

更新日期：2005-01-01 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：OBJECTIVE:Identification of patients with posterior fossa infarction at risk for neurological deterioration remains a challenge. MRI-based assessments of MCA infarction can predict poor outcome. Similar quantitative imaging measures after cerebellar stroke have not been studied. We tested the hypothesis that MRI-based ...

journal_title：Neurocritical care

authors： Tchopev Z,Hiller M,Zhuo J,Betz J,Gullapalli R,Sheth KN

更新日期：2013-12-01 00:00:00

abstract：INTRODUCTION:Patients with acute neurological illness may be hypercatabolic. The Harris-Benedict Equation (HBE) is used to estimate energy needs in acute stroke. A "stress factor" for stroke does not exist, and it is not known if the HBE accurately estimates the energy expenditure needs in acute ischemic or hemorrhagic...

journal_title：Neurocritical care

authors： Chalela JA,Haymore J,Schellinger PD,Kang DW,Warach S

更新日期：2004-01-01 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 AND PURPOSE:Patients with acute brain injuries require strict physiologic control to minimize morbidity and mortality. This study aimed to assess in-hospital compliance to strict physiologic parameters (BP, HR, ICP, SpO2) in these populations. METHODS:Patients with severe cerebrovascular events were admitte...

journal_title：Neurocritical care

authors： Porto GB,Spiotta AM,Chalela JA,Kellogg RT,Jauch EC

更新日期：2015-12-01 00:00:00

abstract：INTRODUCTION:Acute bilateral acute carotid arteries occlusion is a very rare condition. We describe a patient with initial right middle cerebral artery syndrome who developed coma and quadriplegia 1 h after thrombolysis with intravenous tPA and was found to have bilateral cervical internal carotid artery occlusion. ...

journal_title：Neurocritical care

authors： Zubkov AY,Klassen BT,Burnett MS,Rabinstein AA

更新日期：2007-01-01 00:00:00