Excellent and widely read overview of sedation regimes in acute brain injury. Find the article by Oddo et al in Critical Care here.
A recently published review by our Danish colleagues sums up the more recent trials on the subject of anaesthetic technique for endovascular treatments for ischemic stroke. Older publications based largely on retrospective data have suggested harm from general anaesthesia (GA) for these procedures, when compared with conscious sedation (CS). In their review in Current Anesthesiology… Continue reading Anaesthesia for Endovascular Treatment of Acute Ischemic Stroke: Still Controversial?
The 2015 joint American Heart Association/American Stroke Association guidelines for ICH-management can be found here.
Just published: the European Society of Intensive Care Medicine´s consensus document on fluid administration in the NICU. It covers all manner of neurocritical conditions and sums up the available evidence for various fluid therapy approaches. As expected there are few recommendations that aren´t already well established and by now fairly uncontroversial (multimodal monitoring, avoiding colloids,… Continue reading Fluid Therapy in Neurointensive Care patients – An ESICM Recommendation
Subarachnoid Hemorrhage International Trialists (SAHIT) scoring system. Also see the following article i the BMJ: Development and validation of outcome prediction models for aneurysmal subarachnoid haemorrhage: the SAHIT multinational cohort study.
The world of medical publishing is waking up from its summer slumber and a host of good neurology articles have been released lately. And here’s one on SAH from NEJM’s clinical practice series. A nice and easily read synopsis on the subject. Can be found here.
Does choice of anaesthetic approach have an impact on neurological outcomes in stroke patients? This article, recently published in Stroke, examines outcomes in patients undergoing endovascular treatment for acute ischemic stroke, randomised to either conscious sedation or general anaesthesia. Retrospective material till now has suggested poorer outcomes in patients subjected to full anaesthesia when compared… Continue reading AnStroke Trial: Anaesthesia vs. Sedation for Endovascular Treatment of Ischemic Stroke