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
Crash-2 showed that TXA reduced mortality due to bleeding and all-cause mortality in trauma patients with extra cranial bleeding. The Crash-3 trial will provide reliable evidence about the effect of TXA on mortality and disability in patients with TBI. the effect of TXA on the risk of vascular occlusive vents and seizures will also be… Continue reading Crash-3 has enrolled 9653 patients!
The Scandinavian Neurotrauma Committee is arranging their very first Nordic neurotrauma event. It will take place November 13-15th in Lund, Sweden. This multidisciplinary conference features a range of relevant lectures relating to head and spinal injury, suited to clinicians and researchers alike. Expect to meet a nice mix neurosurgeons, anaesthetists and intensivists. We´re going to… Continue reading First Nordic Neurotrauma Conference in Lund – Be There!
A bit more ICP-material for our basic science portfolio: Medscape´s review by Czosnyka and colleagues. It was published in 2007 but remains reasonably current and provides a useful introduction to intracranial pressure monitoring and its derived indices.
I happened upon this review by Wagshul et al, published in 2011. ICP waveforms and the factors influencing them can be difficult to grasp. This article offers an extensive review of the history and science of brain pulsatility. Well worth a read when you have a few spare hours.
Neuroscand’s Anders is attending Skandinavisk Akuttmedisin (Scandinavian Emergency Medicine) 2017 at Thon Airport hotel in Oslo. We were lucky enough to be invited to present our FOAMed experiences alongside brilliant speakers, such as Lars Didrik Flingtorp from NAKOS (nakos.no) and Niklas Jonsson (traumarummet.se and hemodynamik.se) from Karolinska University Hospital in Stockholm. The talks were followed… Continue reading NeuroScand at SAM 2017
Recently published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine by Hov et al. This article relays two case reports on successful diagnosis of SAH in a prehospital setting using a mobile CT unit. As the article reveals, this could entail significantly shortened time to meaningful intervention at a neurosurgical center, especially in… Continue reading SJTREM – Prehospital CT for Diagnosing SAH