• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Comparison of 8 Scores for predicting Symptomatic Intracerebral Hemorrhage after IV Thrombolysis
Conclusions Three scores showed good agreement with sICH: DRAGON, Stroke-TPI, and HAT with odds ratios substantially greater than 1. Stroke-TPI and HAT additionally benefited from low computational complexity and therefore performed best overall. Our results demonstrate the utility of clinical scores as predictors of sICH in acute ischemic stroke patients undergoing IV thrombolytic therapy.
Source: Neurocritical Care - March 18, 2015 Category: Neurology Source Type: research

The Routine Follow-up Head CT: Is it Still a Necessary Step in the Thrombolysis Pathway?
ConclusionsThe 24-h head CT scan does not change management for most patients, particularly those with low National Institutes of Health Stroke Scale scores who do not undergo MT. Consideration should be given to removing routine follow-up imaging from postthrombolysis protocols in favor of an examination-based approach.
Source: Neurocritical Care - September 27, 2021 Category: Neurology Source Type: research

Causes, Predictors, and Timing of Early Neurological Deterioration and Symptomatic Intracranial Hemorrhage After Administration of IV tPA
ConclusionsIn this study, only a small proportion suffered from either sICH and/or END, typically within 12  h of tPA administration. These findings may support earlier deescalation of higher acuity monitoring in clinically stable post-IV tPA patients without large vessel occlusion.
Source: Neurocritical Care - July 6, 2021 Category: Neurology Source Type: research

Impact of Cerebral Autoregulation Monitoring in Cerebrovascular Disease: A Systematic Review
AbstractCerebral autoregulation (CA) prevents brain injury by maintaining a relatively constant cerebral blood flow despite fluctuations in cerebral perfusion pressure. This process is disrupted consequent to various neurologic pathologic processes, which may result in worsening neurologic outcomes. Herein, we aim to highlight evidence describing CA changes and the impact of CA monitoring in patients with cerebrovascular disease, including ischemic stroke, intracerebral hemorrhage (ICH), and aneurysmal subarachnoid hemorrhage (aSAH). The study was preformed according to the Preferred Reporting Items for Systematic Reviews ...
Source: Neurocritical Care - April 5, 2022 Category: Neurology Source Type: research

Cohort-Based Identification of Predictors of Symptomatic Intracerebral Hemorrhage After IV Thrombolysis
Conclusions Using a novel cohort-based approach, we identified two new independent predictors of sICH after IV rt-PA therapy: the presence of the hyperdense MCA sign and early CT hypodensities. Novel methods are needed to reduce the risk of sICH for patients receiving antithrombolytic therapy for ischemic stroke.
Source: Neurocritical Care - February 18, 2015 Category: Neurology Source Type: research

TURN: A Simple Predictor of Symptomatic Intracerebral Hemorrhage After IV Thrombolysis
Conclusions We developed a new score for predicting sICH after IV thrombolysis. Our score is simple and with acceptable accuracy, making it ideal for use in the hyperacute stroke setting.
Source: Neurocritical Care - April 13, 2015 Category: Neurology Source Type: research

Predictors of Extubation Success in Patients with Posterior Fossa Strokes
Conclusions In posterior fossa stroke patients with a GCS ≤ 6 at the time of intubation and who remain intubated for more than 1 week, extubation is less likely to be successful, and tracheostomy should be considered.
Source: Neurocritical Care - February 17, 2016 Category: Neurology Source Type: research

Intensive Care Unit Admission for Patients in the INTERACT2 ICH Blood Pressure Treatment Trial: Characteristics, Predictors, and Outcomes
ConclusionsThis study presents prognostic variables for ICU management and outcome of ICH patients included in a large international cohort. These data may assist in the selection and counseling of patients and families concerning ICU admission.
Source: Neurocritical Care - December 19, 2016 Category: Neurology Source Type: research

Physiological Effects of Early Incremental Mobilization of a Patient with Acute Intracerebral and Intraventricular Hemorrhage Requiring Dual External Ventricular Drainage
Conclusion Progressive, device-assisted early mobilization was feasible and safe in this critically ill patient with hemorrhagic stroke when titrated by an interdisciplinary team of skilled healthcare professionals. Studies are needed to gain insight into the hemodynamic and neurophysiological responses associated with early mobility in acute stroke to identify subsets of patients who are most likely to benefit from this intervention.
Source: Neurocritical Care - February 26, 2017 Category: Neurology Source Type: research

Impact of Fever Prevention in Brain-Injured Patients (INTREPID): Study Protocol for a Randomized Controlled Trial
DiscussionThe INTREPID trial will provide the first results of the impact of a pivotal fever prevention intervention in patients with acute stroke (www.clinicaltrials.gov; NCT02996266; registered prospectively 05DEC2016).
Source: Neurocritical Care - March 24, 2021 Category: Neurology Source Type: research

Neuromonitoring in Children with Cerebrovascular Disorders
ConclusionsOur understanding of pediatric cerebrovascular disorders has increased dramatically over the past several years, in part due to advances in the neuromonitoring modalities that allow us to better understand these conditions. We are now poised, as a field, to take advantage of advances in neuromonitoring capabilities to determine how best to manage and treat acute cerebrovascular disorders in children.
Source: Neurocritical Care - February 24, 2023 Category: Neurology Source Type: research

Characteristics and Outcomes of Children with Cerebral Sinus Venous Thrombosis
ConclusionsCSVT, which has a U-shaped age distribution, is an uncommon condition in children. Stroke is common in children with CSVT, and it is associated with an increased need for mechanical ventilation and increased mortality. The need for mechanical ventilation is more common in infants, and it is associated with increased mortality across all age groups.
Source: Neurocritical Care - July 12, 2023 Category: Neurology Source Type: research

Neurophysiologic Features Reflecting Brain Injury During Pediatric ECMO Support
ConclusionsIncreased seizure burden and increased interhemispheric differences in both quantitative electroencephalographic amplitude and TCD MCA TIBI scores are independently associated with acute brain injury in children undergoing ECMO support.
Source: Neurocritical Care - September 11, 2023 Category: Neurology Source Type: research

Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right
Conclusion In this case of embolic ischemic stroke with reperfusion hemorrhage, contrast extravasation “spot sign” was associated with hematoma expansion.
Source: Neurocritical Care - February 4, 2015 Category: Neurology Source Type: research

Common Data Elements for Subarachnoid Hemorrhage and Unruptured Intracranial Aneurysms: Recommendations from the Working Group on Subject Characteristics
ConclusionsThese CDEs would allow the development of best practice guidelines to standardize the assessment and reporting of observations concerning UIA and SAH.
Source: Neurocritical Care - May 9, 2019 Category: Neurology Source Type: research

Pages: 1  2  3  4  5  6  7  8  9