Right off the press: an open access review article from Critical Care on fluid therapy in the neurological patient. It provides a nice synopsis of the different fluid therapy paradigms that are advocated through various guidelines. The review challenges some of the tenets of basic treatment, such as empirical fluid maintenance and the definition of… Continue reading Critical Care: Fluid Therapy in Neurological Patients
A very worthwhile and insightful overview of SAH management in the acute phase. Courtesy of Continuing Education in Anaesthesia, Critical Care & Pain. Read it here.
A quick run-through on acute care of subarachnoid haemorrhage patiefnts by the always-relevant Life In The Fast Lane guys.
“.. infusion of 2 ml kg(-1) during 20 min has a predictable and clinically significant beneficial effect on ICP and CPP.” Predictable reduction of intracranial hypertension with hypertonic saline hydroxyethyl starch: a prospective clinical trial in critically ill patients with subarachnoid hemorrhage. Bentsen et al, Norway. Acta Anaesthesiologica Scandinavica, 2004 Oct. Read the abstract here. Hypertonic… Continue reading SAH-patients: HyperHaes and reduction in ICP (2004)
Neurogenic Pulmonary Oedema by Dr John Griffiths of Anaesthesia UK. A very nice synopsis of this very relevant topic.
Read the full text article from D´Souza here. Journal of Neurosurgical Anesthesiology, 2015 Jul.
Nice synopsis of the radiological features of SAH for non-radiologists by radiopaedia.org. Read the entry here.
An oft-cited and important study in SAH-diagnostics. “Modern third generation computed tomography is extremely sensitive in identifying subarachnoid haemorrhage when it is carried out within six hours of headache onset and interpreted by a qualified radiologist” Read the full article by Perry et al. in the BMJ (2011) here.
2012 Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage by the American Heart Association/American Stroke Association. Published in Stroke 2012. ASA Guidelines SAH 2012
Neurocritical Care Society´s guidelines for management of patients with Aneurysmal Subarachnoid Haemorrhage 2011