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.
Effects of the neurological wake-up test on intracranial pressure and cerebral perfusion pressure in brain-injured patients. Read the abstract by Skoglund K, Enblad P, Marklund N. Neurocrit Care 2009.