Ketamine and ICP.
We can use ketamine in patients with traumatic brain injury… The ketamine effect on ICP in traumatic brain injury. Zeiler et al, Canada. Neurocritical Care, 2014 Aug. Access the abstract here.
Category: Neuroanaesthesia
Cricoid pressure?
“Cricoid pressure is contraindicated in patients with suspected cricotracheal injury, active vomiting, or unstable cervical spine injuries.” Cricoid pressure: indications and complications. Landsman, USA. Paediatic Anaesthesia, 2004 Jan. Abstract available here.
CNS/AANS Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries
Spinal cord injury guidelines issued jointly by the Congress of Neurological Surgeons (CNS) and the American Association of Neurological Surgeons (AANS). Published in Neurosurgery 2013. Read the full guidelines here.
Cochrane Review – Barbiturates for acute traumatic brain injury
The latest version of a Cochrane review of barbiturate therapy for ICP-management. “There is no evidence that barbiturate therapy in patients with acute severe head injury improves outcome. Barbiturate therapy results in a fall in blood pressure in one in four patients. This hypotensive effect will offset any ICP lowering effect on cerebral perfusion pressure”… Continue reading Cochrane Review – Barbiturates for acute traumatic brain injury
Hyperosmolar therapy for intracranial hypertension
Review in Neurocrit Care. 2012. Torre-Healy et al. Hyperosmolar therapy for intracranial hypertension.
RadioPaedia SAH – Subarachnoid Hemorrhage From a Radiological Perspective
Nice synopsis of the radiological features of SAH for non-radiologists by radiopaedia.org. Read the entry here.
Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study
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.
EMCrit-Neurocritical Care Intubation
An interesting take on anaesthesia induction and intubation of the acute neuro-patient by EMCrit’s Scott Weingart. Listen to the podcast here.
Impact of tracheostomy timing on outcome after severe head injury
Abstract: Impact of tracheostomy timing on outcome after severe head injury. Neurocrit Care. Rizk et al 2011.
Hemostatic and hemorrhagic problems in neurosurgical patients
Hemostatic and hemorrhagic problems in neurosurgical patients. Abstract by Gerlach et al. 2009, Acta Neurochirurgica. Good review covering bleeding issues and coagulopathies in neurosurgery.
neuroscand.com 