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
This narrative review by Green et al (full text) was published recently in Anaesthesia. It explores the existing literature on the use of near-infrared spectroscopy cerebral oximetry in various settings, including surgery and resuscitation from cardiac arrest.
The always relevant Critical Care Reviews guys have released a complete set of all their reviews published in the last year. The whole book can be downloaded for free at criticalcarereviews.com. Several key neuro-specific trials have been included and reviewed, such as RescueICP, HYBERNATUS, PATCH, ATACH II among others. As usual, CCR provide succinct and precise analyses of the… Continue reading Critical Care Reviews 2017 – The Book
Excellent review of asssessment of cerebral circulation by Donnelly et al. in Critical Care May 2016. The authors go through most of today’s available modalities and review their utility in neurocritical care. Find the article here.
Really interesting article in the latest issue of JAMA Neurology: Specific EEG changes, known as periodic discharges (PDs), seem to be of value in predicting brain tissue hypoxia in vulnerable patients with acute brain injury. In this investigation, Witsch and colleagues included 90 patients with high-grade subarachnoid haemorrhage and monitored them with continuous EEG in addition to… Continue reading EEG and Oxygenation in Acute Brain Injury
Just published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine as an open-access article: The Norwegian guidelines for the prehospital management of adult trauma patients with potential spinal injury by Kornhall et al. The result of a critical review of the available evidence by a multidisciplinary group of clinicians, these guidelines wrestle with many of… Continue reading New Norwegian Prehospital Spinal Injury Guidelines
Patients with head- and neck injuries can have challenging airways. We often use videolaryngoscopes or flexible fibrescopes (single use scope) when performing intubation in such patients. Our colleagues in Copenhagen have put together a useful website with videos and other learning resources on that subject. They also arrange an annual two-day airway course with a very extensive workshop. Read more… Continue reading A Few Handy Resources on Airway Management
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