Chesnut-talk about brain injury
Be quiet and listen here. Visit neurotrauma.org.uk for more ! Podcasts/ videos from the october 15 Neurotrauma symposium in London. Several talks. 6 months. Nice.
Be quiet and listen here. Visit neurotrauma.org.uk for more ! Podcasts/ videos from the october 15 Neurotrauma symposium in London. Several talks. 6 months. Nice.
The full statement is available here: The Insertion and Management of External Ventricular Drains: An Evidence-Based Consensus Statement – A Statement for Healthcare Professionals from the Neurocritical Care Society. Published in Neurocritical Care 2016.
Intermittent versus continuous cerebrospinal fluid drainage management in adult severe traumatic brain injury: assessment of intracranial pressure burden. This small cohort study (n=62) from 2014 by Nwachuku EL suggests that continuous drainage is associated with better ICP-control. Read the abstract in Neurocritical Care.
An excellent talk by Shock Trauma’s eminent Thomas Scalea on ICP-management. Funny and insightful. I keep going back to this podcast from 2013 every now and then for a bit of inspiration.
Nice review article. Meng et al, USA. Journal og Neurosurgical Anesthesiology, 2015 Oct. Abstract available here.
“Scalp block with a mixture of lidocaine and ropivacaine seems to provide effective and safe anesthetic management in patients undergoing awake craniotomy.” Comment: Be aware of the doses of local anesthetics that you are using. Efficacy and Safety of a Lidocaine and Ropivacaine Mixture for Scalp Nerve Block and Local Infiltration Anesthesia in Patients Undergoing… Continue reading Local anesthetics and awake craniotomy.
Retrospective cohort study by Patanwala and colleagues including 233 head injured patients that required RSI with either rocuronium or suxamethonium. The results reveal that sux was associated with increased mortality in the most severely injured subset, compared with roc. In patients with less severe injury there was no significant difference between the two NMBs. Interesting… Continue reading Roc or Sux in RSI of TBI Patients?
NeuroScand was well received at the annual symposium at Haukeland University Hospital today. It was a great day with a phenomenal program and excellent speakers. Thanks to the hosts for having us over and to the audience for the warm reception!
Useful reading for non-radiologists, Medscape’s overview of the radiological findings associated with Diffuse Axonal Injury (DAI).
“.. infusion of 2 ml kg(-1) during 20 min has a predictable and clinically significant beneficial effect on ICP and CPP.” Predictable reduction of intracranial hypertension with hypertonic saline hydroxyethyl starch: a prospective clinical trial in critically ill patients with subarachnoid hemorrhage. Bentsen et al, Norway. Acta Anaesthesiologica Scandinavica, 2004 Oct. Read the abstract here. Hypertonic… Continue reading SAH-patients: HyperHaes and reduction in ICP (2004)