Neurocritical Care · Neuromonitoring · Neuroprotection · Neurotrauma · Traumatic Brain Injury

Lung Injury Is a Predictor of Cerebral Hypoxia and Mortality in Traumatic Brain Injury – Retrospective Study

This recently published open-access article by Robba et al delves into the retrospective monitoring data on 70 TBI patients. The patients in the cohort were all monitored comprehensively, providing the investigators with continuous data on PbtO2, ICP and CPP, as well as on relevant respiratory indices. They found a statistically significant link between lung function… Continue reading Lung Injury Is a Predictor of Cerebral Hypoxia and Mortality in Traumatic Brain Injury – Retrospective Study

European Guidelines · Neurocritical Care · Neuromonitoring · Neurotrauma · Scandinavian Guidelines · Traumatic Brain Injury

Fresh off the Press: The Long Awaited 2nd Edition of Management of Severe Traumatic Brain Injury

The first edition of this comprehensive guide to the treatment of severe TBI was originally published in 2012, based entirely on editorial contributions from Nordic researchers and clinicians. It has proven to be a very useful and popular reference tool for professionals working with TBI. After an extensive review of all the relevant topics, the… Continue reading Fresh off the Press: The Long Awaited 2nd Edition of Management of Severe Traumatic Brain Injury

Decompressive Surgery · ICP/CPP management · Neurotrauma · Traumatic Brain Injury · US Guidelines

BTF guidelines – Decompressive Craniectomy Update

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

Neurotrauma · Paediatrics · Scandinavian Guidelines · TBI General · Traumatic Brain Injury

The SHIPP Study: Scandinavian Head Injury Trial in Paediatric Patients

Do you work in a centre that manages head injuries in paediatric patients? The SHIPP trial is a pragmatic, prospective, multicentre study for the validation of the Scandinavian guidelines for minor and moderate head trauma in children. Currently the trial group is actively recruiting participant centres in Scandinavia. Any centre in Norway, Finland, Sweden or… Continue reading The SHIPP Study: Scandinavian Head Injury Trial in Paediatric Patients

ICP/CPP management · Neurocritical Care · Neuromonitoring · Neurotrauma · TBI General · Traumatic Brain Injury · US Guidelines

SIBICC: Management Algorithm for TBI-patients with both PbtO2 and ICP-monitoring

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

Acute Cerebrovascular Conditions · European Guidelines · Intracerebral Haemorrhage · Ischaemic Stroke · Neurocritical Care · Neurotrauma · Traumatic Brain Injury · UK Guidelines

Joint AAGBI & NACCS Guidelines on Safe Transfer of the Brain Injured Patient

In December 2019 the Association of Anaesthetists and the Neuro Anaesthesia and Critical Care Society and the Neuro Anaesthesia and Critical Care Society published their joint guidelines on how to safely transfer patients with acute brain injury to the appropriate level of care. Focusing on TBI and stroke-related brain injury, this consensus document outlines both… Continue reading Joint AAGBI & NACCS Guidelines on Safe Transfer of the Brain Injured Patient

Analgaesia · Awake Craniotomy · Cervical Spine Surgery · Ischaemic Stroke · Neuroanaesthesia · Neuromonitoring · Perioperative Management · Thoracolumbar Spine Surgery · Ventilation and Oxygenation

Neuroanaesthesia Special in the October Edition of Current Opinion in Anaesthesiology

This month’s edition of Current Opinion in Anaesthesiology is replete with neuro-topics, ranging from awake craniotomy to complex spinal surgery and anaesthesia for stroke thrombectomy. Well worth a read, this collection of articles provides (often excellent) summaries of evidence and current practice in numerous fields relevant to the neuroanaesthetist.

Cervical Spine Injury · Neuroprotection · Neurotrauma · Scandinavian Guidelines · Thoracolumbar Spine Injury

New Danish Guidelines on Spinal Stabilisation in Trauma

Our Danish colleagues have recently issued updated guidelines on spinal stabilisation of adult trauma patients (open-access in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine). As expected, the evidence base is fairly limited as robust randomised studies on this topic are rare and often hard to conduct. The group does provide a strong recommendation… Continue reading New Danish Guidelines on Spinal Stabilisation in Trauma

ICP/CPP management · Neurocritical Care · Neurotrauma · Osmotherapy · Traumatic Brain Injury

Mannitol vs. Hypertonic Saline in TBI – A Retrospective Study

The optimal hyperosmotic agent for treatment of intracranial hypertension following TBI has been an inexhaustible subject of debate. Scant evidence underlies these discussions despite widespread and long-standing use of both agents. In this article Anstey et al. retrospectively analysed data from 14 different centres to compare outcomes in mannitol-only and hypertonic saline-only cohorts. They excluded… Continue reading Mannitol vs. Hypertonic Saline in TBI – A Retrospective Study