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?
Here’s a few resources on anaesthesia for awake craniotomies that have recently come to our attention, thanks to some of our colleagues: The first, from UpToDate, was updated this year. The second is part of the British Journal of Anaesthesia’s Continuing Education in Anaesthesia Critical Care & Pain series. It dates back to 2013 but is still… Continue reading Awake Craniotomy: Useful Resources
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
A colleague wants to hear if anyone has experience with dexmedetomidine in neurocritcal care: adults and children ? We want to open a discussion on the subject and would like your input. Please add you comments below.
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
An interesting take on anaesthesia induction and intubation of the acute neuro-patient by EMCrit’s Scott Weingart. Listen to the podcast here.