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Recommendations for the Management of Cerebral and Cerebellar Infarction With Swelling: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association AHA/ASA Scientific Statement
Conclusions— Swollen cerebral and cerebellar infarcts are critical conditions that warrant immediate, specialized neurointensive care and often neurosurgical intervention. Decompressive craniectomy is a necessary option in many patients. Selected patients may benefit greatly from such an approach, and although disabled, they may be functionally independent.
Source: Stroke - March 24, 2014 Category: Neurology Authors: Wijdicks, E. F. M., Sheth, K. N., Carter, B. S., Greer, D. M., Kasner, S. E., Kimberly, W. T., Schwab, S., Smith, E. E., Tamargo, R. J., Wintermark, M., on behalf of the American Heart Association Stroke Council Tags: AHA Statements and Guidelines AHA/ASA Scientific Statement Source Type: research

Peri-interventional management of acute endovascular stroke treatment.
Abstract Due to the ground breaking consistent evidence that supports the effect of endovascular stroke treatment (EST), many acute care hospitals and stroke centers will have to be prepared to provide this treatment in an optimal way within the coming years. In addition to the intervention itself, patient preparation, stabilization and monitoring during the treatment as well as the aftercare represent significant challenges and have mostly not yet been sufficiently investigated. Under these aspects, the questions of optimal sedation and airway management have received the highest attention. Based on retrospective...
Source: Der Nervenarzt - August 28, 2015 Category: Neurology Authors: Schönenberger S, Bösel J Tags: Nervenarzt Source Type: research

Tracheostomy, Extubation, Reintubation: Airway Management Decisions in Intubated Stroke Patients
Conclusion: Airway management decisions in intubated stroke patients represent a clinical challenge. Classical weaning criteria and parameters reflecting the patient's state of consciousness are not reliably predictive of extubation success. Criteria more closely related to airway safety and secretion handling may provide the most relevant information and should therefore be assessed by specific clinical scoring systems.Cerebrovasc Dis 2017;44:1-9
Source: Cerebrovascular Diseases - April 11, 2017 Category: Neurology Source Type: research

Anesthesia Considerations in Neurological Emergencies
This article provides a summary of the unique airway management and anesthesia considerations and controversies for neurologic emergencies in general, as well as for specific commonly encountered conditions: elevated intracranial pressure, neuromuscular respiratory failure, acute ischemic stroke, and acute cervical spinal cord injury.
Source: Neurologic Clinics - March 31, 2021 Category: Neurology Authors: Anil Ramineni, Erik A. Roberts, Molly Vora, Sohail K. Mahboobi, Ala Nozari Source Type: research