There has been a recent important update to the Brain Trauma Foundation guidelines regarding decompressive craniectomy for intractable intracranial hypertension, published in Neurosurgery. The latest iteration of the BTF guidelines from 2016 was released prior to the publication of the RESCUEicp study, as well as the 12 month outcome data from the DECRA trial. With… Continue reading BTF guidelines – Decompressive Craniectomy Update
The Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC) recently released a superb article detailing the recommended treatment approach in TBI-patients with both cerebral tissue oximetry and ICP-monitoring. It provides an easy-to-follow and logical multi-tier algorithm for addressing various combinations of ICP/PbtO2 abnormalities. As such it offers a guidance document for clinical care that… Continue reading SIBICC: Management Algorithm for TBI-patients with both PbtO2 and ICP-monitoring
From our quality-focused colleagues at the Society for Neuroscience in Anesthesiology and Critical Care (SNACC) comes this set of guidelines for management of the most common emergencies encountered in neuroanaesthetic practice. Conceived with the purpose of addressing complex emergent issues in a concise, goal-directed and simplified manner, these cognitive aids are clear-cut and based on… Continue reading SNACC – How to Handle Neuroanaesthetic Emergencies
In a long overdue update, the Brain Trauma Foundation have issued their recently revised guidelines for management of paediatric severe traumatic brain injury. We at neuroscand.com have yet to assess all of the recommendations yet, so expect more as we get through the whole document. At first glance, though, there seems to be little substantial… Continue reading BTF Guidelines for Paediatric TBI 2019 – Finally Updated
These guidelines were updated in 2018 and can be found here. Of special interest is the reversal of the recommendation to avoid general anaesthesia for thrombectomy in stroke, in view of newer data. The choice of conscious sedation versus GA should be individualised and are both approaches are acceptable, according to the revised guidelines. More on… Continue reading AHA/ASA Guidelines for Early Management of Patients with Acute Ischaemic Stroke
The 2015 joint American Heart Association/American Stroke Association guidelines for ICH-management can be found here.
Published in 2015: American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment. Available here. It acknowledges that a stronger recommendation for the use of endovascular thrombectomy can now be made. This is based on a number of studies suggesting benefit with these… Continue reading AHA/ASA Guidelines on Ischemic Stroke
Brain Trauma Foundation has just published the 4th edition of Guidelines for the Management of Severe TBI. Study the guidelines here.
This guideline, issued jointly by the Neurocritical Care Society and Society of Critical Care Medicine and published in Neurocrit Care December 2015, provides timely and evidence-based reversal strategies to assist practitioners in the care of patients with antithrombotic-associated intracranial hemorrhage. Read the statement here. Best regards, Riikka Takala.
Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Society of Critical Care Medicine. Pediatr Crit Care Med, 2012. Read more here.