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Neurologic Critical Care
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Your search returned 28 results
from the time period: last 90 days.
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Journal of intensive care medicine
... the development of radiographic sinus opacification and pneumonia in the neurologic ICU setting AbstractText: A retrospective review of head computed tomography or magnetic resonance imaging of 612 patients admitted to the neurocritical care unit at a tertiary care center from April 2013 through ... finds a strong relationship between worsening sinus opacification in the neurologic ICU patient to the development of hospital-acquired pneumonia and increased ... Keyword: neurologic intensive care unit.
Pneumonia (14), Sinusitis (5), Hospital Infections (1), more mentions
2. The neurology literature 2016.  
Date: 09/20/2017
The American journal of emergency medicine
Emergency neurology is a complex and rapidly changing field. Its evolution can be attributed in part to increased imaging options, debates about optimal treatment, and simply the growth of emergency medicine as a specialty. Every year, a number of articles published in emergency medicine or other specialty journals should become familiar to the emergency physician.
Neurocritical care
Emergency Neurologic Life Support (ENLS) is an educational program designed to provide users advisory instructions regarding management for the first few hours of a neurologic emergency... Certification and training in ENLS is hosted by the Neurocritical Care Society. This document introduces the concept of ENLS and describes revisions that constitute the third version.
Neurocritical care
Acute ischemic stroke is a neurological emergency that can be treated with time-sensitive interventions, including both intravenous thrombolysis and endovascular approaches to thrombus removal... For this reason, acute ischemic stroke was chosen as an emergency neurological life support protocol. The protocol focuses on the first hour of medical care following the acute onset of a neurological deficit.
Cardiovascular Diseases (3)
Thrombus (1), more mentions
Neurocritical care
The need for a systematic evidence-based approach to the care of severe TBI patients within the emergency setting has led to its inclusion as an Emergency Neurological Life Support topic. This protocol was designed to enumerate the practice steps that should be considered within the first critical hours of neurological injury from severe TBI.
Traumatic Brain Injuries (5), more mentions
Neurocritical care
... must have an organized approach to detect easily remediable causes, prevent ongoing neurologic injury, and determine a hierarchical plan for diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support protocol because timely medical and surgical interventions can be life-saving, and the initial work-up of such patients is critical to establishing a correct diagnosis.
Coma (4), more mentions
Neurocritical care
... experience suggest that early and aggressive treatment of SE improves patient outcomes, for which reason this was chosen as an Emergency Neurological Life Support protocol... as accelerated second line anticonvulsant drugs and induced coma when these fail, coupled with admission to a unit capable of neurological critical care and electroencephalography monitoring.
Status Epilepticus (2), Convulsions (1), Coma (1), more mentions
Neurocritical care
Subarachnoid hemorrhage (SAH) is a neurological emergency because it may lead to sudden neurological decline and death and, depending on the cause, has treatment options that can return a ... be life-saving in the first few hours after onset, SAH was chosen as an Emergency Neurological Life Support (ENLS) protocol.
Subarachnoid Hemorrhage (4), more mentions
Neurocritical care
... encephalitis, particularly herpes simplex encephalitis, are severe neurological infections that, if not treated promptly and effectively, lead to poor neurological outcome or death. Because of the value of early recognition and treatment, meningitis and encephalitis was chosen as an Emergency Neurological Life Support protocol. This protocol provides a practical approach to recognition and urgent treatment of bacterial meningitis and encephalitis.
Infectious Diseases (5)
Encephalitis (3), Bacterial Meningitis (2), Meningitis (2), more mentions
Neurocritical care
... neurological events that require immediate recognition and treatment to prevent irreversible injury and death. As in cardiac arrest, a brain code mandates the organized implementation of a stepwise management algorithm. The goal of this Emergency Neurological Life Support protocol is to implement an evidence-based, standardized approach to the evaluation and management of patients with intracranial hypertension and/or herniation.
Cardiovascular Diseases (3)
Intracranial Hypertension (3), Heart Arrest (1), more mentions
Neurocritical care
An organized bundle of neurocritical care interventions can improve chances of survival and neurological recovery in patients who are successfully resuscitated from cardiac arrest. Therefore, resuscitation following cardiac arrest was chosen as an Emergency Neurological Life Support protocol. Key aspects of successful early post-arrest management include: prevention of secondary brain injury; identification of treatable causes of arrest in need ...
Cardiovascular Diseases (1)
Heart Arrest (6), Brain Injuries (2), Intracranial Hemorrhages (1), more mentions
Neurocritical care
Furthermore, intubation, ventilation, and sedative choices directly affect brain perfusion. Therefore, Airway, Ventilation, and Sedation was chosen as an Emergency Neurological Life Support protocol. Topics include airway management, when and how to intubate with special attention to hemodynamics and preservation of cerebral blood flow, mechanical ventilation settings and the use of sedative agents based on the patient's neurological status.
Neurocritical care
Urgent laboratory tests and neuroimaging are needed to confirm the diagnosis. Because acute weakness is a common presenting sign of neurological emergencies, it was chosen as an Emergency Neurological Life Support protocol. Causes of acute non-traumatic weakness are discussed here by both presenting clinical signs and anatomical location. For each diagnosis, key features of the history, examination, investigations, and ...
Neurological and Central Nervous System Diseases (1)
Muscle Weakness (1), Nervous System Diseases (1), more mentions
Neurocritical care
Traumatic spine injuries (TSIs) carry significantly high risks of morbidity, mortality, and exorbitant health care costs from associated medical needs following injury. For these reasons, TSI was chosen as an ENLS protocol. This article offers a comprehensive review on the management of spinal column injuries using the best available evidence. Though the review focuses primarily on cervical spinal column injuries, thoracolumbar injuries are briefly discussed as well. The initial emergency department (ED) clinical evaluation of possible spinal fractures and cord injuries, along with the definitive early management of confirmed injuries, are also covered.
Men's Health (1), more mentions
Neurocritical care
... an adequate airway, proper diagnosis, and early management of several specific issues such as blood pressure, coagulopathy reversal, and surgical hematoma evacuation for appropriate patients. ICH was chosen as an Emergency Neurological Life Support (ENLS) protocol because intervention within the first hours may improve outcome, and it is critical to have site-specific protocols to drive care quickly and efficiently.
Cerebral Hemorrhage (2), Hematoma (1), Stroke (1), more mentions
Neurocritical care
The appropriate use of medications during Emergency Neurological Life Support (ENLS) is essential to optimize patient care... article focuses on the important pharmacokinetic and pharmacodynamics characteristics, advantages and disadvantages and clinical pearls of these therapies, providing practitioners with essential drug information to optimize pharmacotherapy in acutely ill neurocritical care patients.
Allergy (1), more mentions
Neurocritical care
... outcomes for family members of patients discharged from the neurosciences intensive care unit (neuro-ICU) AbstractText: We conducted a prospective, longitudinal cohort study in a single, thirty-bed neuro-ICU in a regional comprehensive stroke and level 1 trauma center ... One of two neuro-ICU services that admit patients to the same ICU on alternating days used a palliative care needs checklist during ... Keyword: Neuro-intensive care unit.
Neuroscience (1), Cardiovascular Diseases (1)
Depressive Disorder (1), more mentions
Neurology
Quality improvement in neurology: Inpatient and emergency care quality measure set: Executive summary..
Neurocritical care
There are many causes of acute myelopathy including multiple sclerosis, systemic disease, and acute spinal cord compression (SCC). SCC should be among the first potential causes considered given the significant permanent loss of neurologic function commonly associated with SCC. This impairment can occur over a short period of time, and may be avoided through rapid and acute surgical intervention. Patients with SCC typically present with a combination of motor and sensory dysfunction that has a distribution referable to a spinal level. Bowel and bladder dysfunction and neck or back pain may also be part of the clinical presentation, but are not uniformly present. Because interventions are critically time-sensitive, the recognition and treatment of SCC was chosen as an ENLS protocol.
Immune System Diseases (1)
Spinal Cord Compression (2), Multiple Sclerosis (1), Back Pain (1), more mentions
PLoS medicine
The aim of this study is to assess the relationship between ultrasound-based non-invasive ICP (nICP) and invasive ICP measurement in neurocritical care patients AbstractText: This was a prospective, single-cohort observational study of patients admitted to a tertiary neurocritical care unit. Patients with brain injury requiring invasive ICP monitoring were considered for inclusion.
Cardiovascular Diseases (3)
Intracranial Hypertension (3), Craniocerebral Trauma (1), Coma (1), more mentions
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