The State of the Field of Pediatric Multimodality Neuromonitoring
ConclusionsThe possible benefits of multimodal neuromonitoring are immense and have great potential to advance the field of pediatric neurocritical care and the health of critically ill children. (Source: Neurocritical Care)
Source: Neurocritical Care - October 20, 2023 Category: Neurology Source Type: research
Standardized A-Scan Technique as Best Option in Optic Nerve Sheath Diameter Measurements and Troubles with Evaluation of Eyeball Transverse Diameter
(Source: Neurocritical Care)
Source: Neurocritical Care - October 19, 2023 Category: Neurology Source Type: research
In Reply: Standardized A-Scan Technique in Optic Nerve Sheath Diameter Measurements and Troubles With Evaluation of Eyeball Transverse Diameter
(Source: Neurocritical Care)
Source: Neurocritical Care - October 19, 2023 Category: Neurology Source Type: research
Inaugural State of the Union: Continuous Cerebral Autoregulation Monitoring in the Clinical Practice of Neurocritical Care and Anesthesia
AbstractHow continuous cerebral autoregulation (CCA) knowledge should be optimally gained and interpreted is still an active area of research and refinement. We now experience a unique situation of having indices clinically available before definitive evidence of benefit or practice guidelines, in a moment when high rates of institutional variability exist both in the application of monitoring as well as in monitoring-guided treatments. Responses from 47 international clinicians, experts in this field, were collected with polling and discussion of the results. The clinical use of CCA in critical illness was not universal a...
Source: Neurocritical Care - October 18, 2023 Category: Neurology Source Type: research
Association Between Monocyte-to-Lymphocyte Ratio and Hematoma Progression After Cerebral Contusion
ConclusionsOur study suggests that MLR may serve as a potential indicator for predicting the progression of hematoma after cerebral contusion. Further research is necessary to investigate the underlying pathological and physiological mechanisms that contribute to the association between MLR and the progression of hematoma after cerebral contusion and to explore its clinical implications. (Source: Neurocritical Care)
Source: Neurocritical Care - October 17, 2023 Category: Neurology Source Type: research
Predictive Value of Fibrin Fibrinogen Degradation Products-to-Potassium Ratio for Poor Functional Outcome in Patients with Aneurysmal Subarachnoid Hemorrhage: A Retrospective Case –Control Study
ConclusionsFibrin(ogen) degradation product-to-potassium ratio is an independent predictor of poor outcomes for patients with aSAH and may be a promising tool for clinicians to evaluate patients ’ functional prognosis. (Source: Neurocritical Care)
Source: Neurocritical Care - October 13, 2023 Category: Neurology Source Type: research
Perfusion Computed Tomography as a Screening Tool for Pending Delayed Cerebral Ischemia in Comatose Patients After Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cohort Study
ConclusionsP-CT resulted in few interventions and often resulted in late detection of DCI at an irreversible stage. Although a positive P-CT result accurately predicts impending DCI-related infarction, screening on days four and eight alone in comatose patients with aSAH often fails to timely detect impending DCI. Based on our analysis, we cannot recommend P-CT as a screening modality. P-CT is likely best used as a confirmatory test prior to invasive interventions when guided by continuous multimodal monitoring; however, prospective studies with comparison groups are warranted. The need for a reliable continuous screening ...
Source: Neurocritical Care - October 11, 2023 Category: Neurology Source Type: research
A National Survey on Coma Epidemiology, Evaluation, and Therapy in India: Revisiting the Curing Coma Campaign Come Together Survey
ConclusionsDifferences from the global survey were noted regarding the following: traumatic brain injury being the most common etiology of coma in India, more frequent practice of sedation interruption, less frequent use of electroencephalography in India, rare use of pharmacological neurostimulants, and home being the most common discharge disposition in India. (Source: Neurocritical Care)
Source: Neurocritical Care - October 11, 2023 Category: Neurology Source Type: research
Correction: Effects of Tranexamic Acid in Patients with Subarachnoid Hemorrhage in Brazil: A Prospective Observational Study with Propensity Score Analysis
(Source: Neurocritical Care)
Source: Neurocritical Care - October 11, 2023 Category: Neurology Source Type: research
Perfusion Computed Tomography as a Screening Tool for Pending Delayed Cerebral Ischemia in Comatose Patients After Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cohort Study
ConclusionsP-CT resulted in few interventions and often resulted in late detection of DCI at an irreversible stage. Although a positive P-CT result accurately predicts impending DCI-related infarction, screening on days four and eight alone in comatose patients with aSAH often fails to timely detect impending DCI. Based on our analysis, we cannot recommend P-CT as a screening modality. P-CT is likely best used as a confirmatory test prior to invasive interventions when guided by continuous multimodal monitoring; however, prospective studies with comparison groups are warranted. The need for a reliable continuous screening ...
Source: Neurocritical Care - October 11, 2023 Category: Neurology Source Type: research
A National Survey on Coma Epidemiology, Evaluation, and Therapy in India: Revisiting the Curing Coma Campaign Come Together Survey
ConclusionsDifferences from the global survey were noted regarding the following: traumatic brain injury being the most common etiology of coma in India, more frequent practice of sedation interruption, less frequent use of electroencephalography in India, rare use of pharmacological neurostimulants, and home being the most common discharge disposition in India. (Source: Neurocritical Care)
Source: Neurocritical Care - October 11, 2023 Category: Neurology Source Type: research
Correction: Effects of Tranexamic Acid in Patients with Subarachnoid Hemorrhage in Brazil: A Prospective Observational Study with Propensity Score Analysis
(Source: Neurocritical Care)
Source: Neurocritical Care - October 11, 2023 Category: Neurology Source Type: research
Correction: Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Neuroimaging
(Source: Neurocritical Care)
Source: Neurocritical Care - October 4, 2023 Category: Neurology Source Type: research
Ketamine to Prevent Endotracheal Intubation in Adults with Refractory Non-convulsive Status Epilepticus: A Case Series
ConclusionThe use of ketamine as the primary anesthetic agent may be a reasonable option to avoid endotracheal intubation in a subset of patients with refractory NCSE. This study is limited by its small sample size, retrospective design, and reliance on information obtained from chart review. (Source: Neurocritical Care)
Source: Neurocritical Care - October 3, 2023 Category: Neurology Source Type: research
