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.
Cochrane Review – Mannitol vs. HS in Patients Undergoing Craniotomy
Cochrane review from 2014: Mannitol versus hypertonic saline for brain relaxation in patients undergoing craniotomy. By Prabhakar et al. “From the limited data available on the use of mannitol and hypertonic saline for brain relaxation during craniotomy, it is suggested that hypertonic saline significantly reduces the risk of tense brain during craniotomy”
Critical Care – Mannitol vs. Hypertonic Saline
In this commentary in Critical Care 2012 Dr. Nicholas Marko argues in favour of choosing HS over mannitol in management of intracranial hypertension.
MedScape – Management of Raised Intracranial Pressure and Hyperosmolar Therapy
Well written overview of ICP-management and the role of hyperosmolar therapy. By Ropper, 2014. The chapter comparing hypertonic saline and mannitol is particularly interesting.
Cochrane Review – Hypothermia for Neuroprotection after Cardiac Arrest
Just off the press: Cochrane Collaboration Review of the use of therapeutic hypothermia after cardiopulmonary resuscitation. “Evidence of moderate quality suggests that conventional cooling methods provided to induce mild therapeutic hypothermia improve neurological outcome after cardiac arrest, specifically with better outcomes than occur with no temperature management” The updated Cochrane review goes a long way… Continue reading Cochrane Review – Hypothermia for Neuroprotection after Cardiac Arrest
HEFT-EMCast on Status Epilepticus
Recently released Podcast by HEFT -EMCast (Heart of England Foundation Trust’s Emergency Department) on status epilepticus. Latest evidence digested and made clinically useful. Special emphasis on early and aggressive treatment for those patients who don´t seem likely to recover after initial first-line management. Largely based on the NICE guidelines from 2012.
Cochrane review 2013: Mannitol and TBI
“…treatment with mannitol may increase the likelihood of death when compared to treatment with hypertonic saline.” Read the Cochrane review from 2013: Mannitol for acute traumatic brain injury.
neuroscand.com 