Lifting the lid on a ‘proven therapy’
According to an editorial in the NEJM, decompressive craniectomy "has a proven benefit in the management of malignant cerebral edema after ischemic stroke”... We point out the caveats to this assertion.
Category Neurosurgery
Spinal Injury Patient Hot Case
GENERAL APPROACH Phase of injury— Acute: ileus, cardiovascular, ventilation— Sub-acute: recurrent atelectasis and segmental collapse— Chronic: pain, psychological issues, infection (uro, resp, pressure areas), autonomic dysreflexia, spasm. Stability of spine Tracheostomy Other injuries INTRODUCTION CUBICLE Edgerton spinal bed until spine…
Spinal epidural abscess
Spinal epidural abscess is considered a neurosurgical emergency; morbidity and mortality is worse with delayed diagnosis, and the worse the neurological deficit at the time of surgery the worse the outcome
Decompressive craniectomy for Malignant MCA infarction
Decompressive craniectomy is a controversial therapy for malignant middle cerebral artery (MCA) stroke
Decompressive Craniectomy
Decompressive Craniectomy: can be prophylactic or therapeutic; increases intracranial compliance and prevents/treats elevated ICP (especially if dura opened)
Monitoring in Subarachnoid Haemorrhage
Monitoring in the critically ill subarachnoid haemorrhage patient is primarily to detect vasospasm.
Neurosurgery Literature Summaries
Neurosurgery Literature Summaries
Subarachnoid Haemorrhage: Complications
SAH Complications including Neurological deterioration; Seizures; Hyponatremia; Cardiac complications; Re-bleeding; Vasospasm
Subarachnoid Haemorrhage Grading Systems
Subarachnoid Haemorrhage Grading Systems: GCS; Hunt and Hess; WFNS; Fisher; Claassen; Ogilvy and Carter
Subarachnoid Haemorrhage: ICU Management
SAH ICU Management: Follows initial management of SAH; FASTS HUGS IN BED Please applies; certain aspects have particular relevance
Subarachnoid Haemorrhage: Initial Management
SAH initial management includes: resuscitation; specific treatment; supportive care and monitoring; disposition
Subarachnoid Haemorrhage (SAH)
Subarachnoid Haemorrhage (SAH) potentially fatal bleeding into the subarachnoid space, usually due to a ruptured cerebral aneurysm