The Insertion and Management of External Ventricular Drains.
An Evidence-Based Consensus Statement from the Neurocritical Care Society. Read more here. Best regards, Riikka Takala.
Category: Neurotrauma
Brain Impact Apnea
Immediate apnea after acute head trauma is a concept that has received renewed focus lately. BIA/IBA (Brain Impact Apnea or as some call it, Impact Brain Apnea) was described in animal models as far back as 1874 by Koch and Filehne (1). A number of subsequent studies (2-5) have established a clear link between severity of impact and duration of… Continue reading Brain Impact Apnea
BEST TRIP – ICP vs. CT/clinical exam for TBI
Now more than three years old, but still an absolute landmark study and mandatory reading for anyone who cares for neurotrauma patients. Smallish trial but very well carried out and yielding some remarkable findings. A commonly cited article by Randy Chesnut and his group showing equipoise between an ICP-driven protocol and management determined by CT… Continue reading BEST TRIP – ICP vs. CT/clinical exam for TBI
Methylprednisolone and SCI
“… findings support current guidelines against routine use, but strong recommendations are not warranted because confidence in the effect estimates is limited.” Methylprednisolone for the Treatment of Patients with Acute Spinal Cord Injuries: A Systematic Review and Meta-Analysis. Evaniew et al. Journal of Neurotrauma, Feb. 2016. Link to the abstract here.
Oslo university Hospital Trauma Registry
Survival improvement in Critical neurotrauma and the Triss model. Link to the abstract here. Sudden survival improvement in critical neurotrauma: An exploratory analysis using a stratified statistical process control technique. Søvik et al, Norway. Injury, 2014 Nov.
It`s a Knockout ! TBI
Dr. Mark Wilson is a neurosurgeon and doctor for the Air Ambulance in the UK. Podcast from Smacc Chicago 2015.
10 Things you Need to Know about TBI
By Bill Knight, Smacc Chicago 2015. Listen to the podcast here.
Geoff Raisman: stem cell spinal cord repair
A look into the future. Interesting talk. This talk is from the October 2015 Neurotrauma symposium at the Royal Geographical Society in London.
Acute SCI´s and MAP >85-90 for 7 days
Until now little evidence supports this recommandation. Read the abstract from this new study here. Hawryluk et al, USA. J Neurotrauma , 2015 Dec. Mean Arterial Blood Pressure Correlates with Neurological Recovery after Human Spinal Cord Injury: Analysis of High Frequency Physiologic Data.
SMACC Podcast – Temperature and TBI by Manoj Saxena
Excellent talk by Manoj Saxena on traumatic brain injury and temperature control. A useful overview of the available evidence. From SMACC Chicago 2015.
neuroscand.com 