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Tarek Sharshar, Giuseppe Citerio, Peter J D Andrews, Arturo Chieregato, Nicola Latronico, David K Menon, Louis Puybasset, Claudio Sandroni, Robert D Stevens
OBJECTIVE: Many patients admitted to the intensive care unit (ICU) have pre-existing or acquired neurological disorders which significantly affect their short-term and long-term outcomes. The ESICM Neuro Intensive Care Section convened an expert panel to establish a pragmatic approach to neurological examination (NE) of the critically ill patient. METHODS: The group conducted a comprehensive review of published studies on the NE of patients with coma, delirium, seizures and neuromuscular weakness in critically ill patients...
April 2014: Intensive Care Medicine
Vishal N Patel, Rishi Gupta, Christopher M Horn, Tommy T Thomas, Raul G Nogueira
Acute ischemic stroke carries high morbidity and mortality. The advent of intravenous thrombolysis and endovascular reperfusion techniques have helped improve clinical outcomes for patients with large vessel acute ischemic stroke. The care of the post-endovascular stroke patient is complex and encompasses almost all aspects of medicine. Hemodynamics should be optimized post procedure to ensure adequate cerebral perfusion and strict hemodynamic parameters must be adhered to minimize reperfusion injury. Though no studies have specifically examined hemodynamic goals, our practice is to maintain a mean arterial pressure (MAP) > 70 and systolic blood pressure (SBP) < 140 for patients following successful recanalization...
April 2013: Current Treatment Options in Neurology
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