Download Decision making in neurocritical care by Jennifer A Frontera PDF

Download Decision making in neurocritical care by Jennifer A Frontera PDF

By Jennifer A Frontera

From vital points of the actual exam to imaging experiences to healing procedures and dosage guidance, determination Making in Neurocritical Care presents a ...

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This pocketbook offers a fantastic advent to the evidence-based administration of sufferers within the neurological extensive care unit. Read more...

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J Neurotrauma 1992;9(Suppl 1):S287–S292 5. van Dongen KJ, Braakman R, Gelpke GJ. The prognostic value of computerized tomography in comatose head-injured patients. J Neurosurg 1983;59(6):951–957 FRONMC02_020_035-hr2 12-02-2009 13:06 Page 35 2 Traumatic Brain Injury 35 6. Oertel M, Boscardin WJ, Obrist WD, et al. Posttraumatic vasospasm: the epidemiology, severity, and time course of an underestimated phenomenon: a prospective study performed in 299 patients. J Neurosurg 2005;103:812–824 7. , Surgical management of acute epidural hematomas.

Class I Level B Monitoring and management of ICH should take place in an ICU setting. Class I Level B Appropriate antiepileptic medications should be used for treatment of clinical seizures in patients with ICH. Class I Level C Sources of fever should be treated, and antipyretic medications should be administered to lower temperature. Class I Level C Early mobilization and rehabilitation are recommended. Class I Level B Patients with acute ICH and hemiparesis/hemiplegia should have intermittent pneumatic compression for VTE prevention.

Class IIb Level B Minimally invasive clot evacuation utilizing a variety of mechanical devices and/or endoscopy awaits further testing. 4 2007 AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage in Adults (continued) Category Guidelines Class IIb Level B Patients with supratentorial lobar clots within 1 cm of the cortical surface may be considered for evacuation. Class IIb Level B Ultra-early craniotomy is not proven to improve functional outcome or mortality. Operative removal within 12 h, particularly when performed by less invasive methods, has the most evidence.

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