Critical Care Management of Patients Following Aneurysmal Subarachnoid Hemorrhage: Recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference
Subarachnoid hemorrhage (SAH) is an acute cerebrovascular event which can have devastating effects on the central nervous system as well as a profound impact on several other organs. SAH patients are routinely admitted to an intensive care unit and are cared for by a multidisciplinary team. A lack o...
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| Veröffentlicht in: | Neurocritical care Jg. 15; H. 2; S. 211 - 240 |
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
New York
Humana Press Inc
01.10.2011
Springer Nature B.V |
| Schlagworte: | |
| ISSN: | 1541-6933, 1556-0961, 1556-0961 |
| Online-Zugang: | Volltext |
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| Abstract | Subarachnoid hemorrhage (SAH) is an acute cerebrovascular event which can have devastating effects on the central nervous system as well as a profound impact on several other organs. SAH patients are routinely admitted to an intensive care unit and are cared for by a multidisciplinary team. A lack of high quality data has led to numerous approaches to management and limited guidance on choosing among them. Existing guidelines emphasize risk factors, prevention, natural history, and prevention of rebleeding, but provide limited discussion of the complex critical care issues involved in the care of SAH patients. The Neurocritical Care Society organized an international, multidisciplinary consensus conference on the critical care management of SAH to address this need. Experts from neurocritical care, neurosurgery, neurology, interventional neuroradiology, and neuroanesthesiology from Europe and North America were recruited based on their publications and expertise. A jury of four experienced neurointensivists was selected for their experience in clinical investigations and development of practice guidelines. Recommendations were developed based on literature review using the GRADE system, discussion integrating the literature with the collective experience of the participants and critical review by an impartial jury. Recommendations were developed using the GRADE system. Emphasis was placed on the principle that recommendations should be based not only on the quality of the data but also tradeoffs and translation into practice. Strong consideration was given to providing guidance and recommendations for all issues faced in the daily management of SAH patients, even in the absence of high quality data. |
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| AbstractList | Subarachnoid hemorrhage (SAH) is an acute cerebrovascular event which can have devastating effects on the central nervous system as well as a profound impact on several other organs. SAH patients are routinely admitted to an intensive care unit and are cared for by a multidisciplinary team. A lack of high quality data has led to numerous approaches to management and limited guidance on choosing among them. Existing guidelines emphasize risk factors, prevention, natural history, and prevention of rebleeding, but provide limited discussion of the complex critical care issues involved in the care of SAH patients. The Neurocritical Care Society organized an international, multidisciplinary consensus conference on the critical care management of SAH to address this need. Experts from neurocritical care, neurosurgery, neurology, interventional neuroradiology, and neuroanesthesiology from Europe and North America were recruited based on their publications and expertise. A jury of four experienced neurointensivists was selected for their experience in clinical investigations and development of practice guidelines. Recommendations were developed based on literature review using the GRADE system, discussion integrating the literature with the collective experience of the participants and critical review by an impartial jury. Recommendations were developed using the GRADE system. Emphasis was placed on the principle that recommendations should be based not only on the quality of the data but also tradeoffs and translation into practice. Strong consideration was given to providing guidance and recommendations for all issues faced in the daily management of SAH patients, even in the absence of high quality data. Subarachnoid hemorrhage (SAH) is an acute cerebrovascular event which can have devastating effects on the central nervous system as well as a profound impact on several other organs. SAH patients are routinely admitted to an intensive care unit and are cared for by a multidisciplinary team. A lack of high quality data has led to numerous approaches to management and limited guidance on choosing among them. Existing guidelines emphasize risk factors, prevention, natural history, and prevention of rebleeding, but provide limited discussion of the complex critical care issues involved in the care of SAH patients. The Neurocritical Care Society organized an international, multidisciplinary consensus conference on the critical care management of SAH to address this need. Experts from neurocritical care, neurosurgery, neurology, interventional neuroradiology, and neuroanesthesiology from Europe and North America were recruited based on their publications and expertise. A jury of four experienced neurointensivists was selected for their experience in clinical investigations and development of practice guidelines. Recommendations were developed based on literature review using the GRADE system, discussion integrating the literature with the collective experience of the participants and critical review by an impartial jury. Recommendations were developed using the GRADE system. Emphasis was placed on the principle that recommendations should be based not only on the quality of the data but also tradeoffs and translation into practice. Strong consideration was given to providing guidance and recommendations for all issues faced in the daily management of SAH patients, even in the absence of high quality data.Subarachnoid hemorrhage (SAH) is an acute cerebrovascular event which can have devastating effects on the central nervous system as well as a profound impact on several other organs. SAH patients are routinely admitted to an intensive care unit and are cared for by a multidisciplinary team. A lack of high quality data has led to numerous approaches to management and limited guidance on choosing among them. Existing guidelines emphasize risk factors, prevention, natural history, and prevention of rebleeding, but provide limited discussion of the complex critical care issues involved in the care of SAH patients. The Neurocritical Care Society organized an international, multidisciplinary consensus conference on the critical care management of SAH to address this need. Experts from neurocritical care, neurosurgery, neurology, interventional neuroradiology, and neuroanesthesiology from Europe and North America were recruited based on their publications and expertise. A jury of four experienced neurointensivists was selected for their experience in clinical investigations and development of practice guidelines. Recommendations were developed based on literature review using the GRADE system, discussion integrating the literature with the collective experience of the participants and critical review by an impartial jury. Recommendations were developed using the GRADE system. Emphasis was placed on the principle that recommendations should be based not only on the quality of the data but also tradeoffs and translation into practice. Strong consideration was given to providing guidance and recommendations for all issues faced in the daily management of SAH patients, even in the absence of high quality data. |
| ArticleNumber | 211 |
| Author | Bleck, Thomas P. Vergouwen, Mervyn D. I. Suarez, Jose I. Wolf, Stefan Gress, Daryl Connolly, E. Sander Hoh, Brian L. Hänggi, Daniel Diringer, Michael N. Shutter, Lori Menon, David Schmutzhard, Erich Stocchetti, Nino Treggiari, Miriam Vespa, Paul Claude Hemphill, J. Tseng, Ming-Yuan Bruder, Nicolas Citerio, Giuseppe Lanzino, Giuseppe Le Roux, Peter Zipfel, Gregory Rabinstein, Alejandro |
| Author_xml | – sequence: 1 givenname: Michael N. surname: Diringer fullname: Diringer, Michael N. email: diringerm@neuro.wustl.edu organization: Neurology/Neurosurgery Intensive Care Unit, Washington University – sequence: 2 givenname: Thomas P. surname: Bleck fullname: Bleck, Thomas P. organization: Rush Medical College – sequence: 3 givenname: J. surname: Claude Hemphill fullname: Claude Hemphill, J. organization: University of California at San Francisco – sequence: 4 givenname: David surname: Menon fullname: Menon, David organization: University of Cambridge – sequence: 5 givenname: Lori surname: Shutter fullname: Shutter, Lori organization: University of Cincinnati – sequence: 6 givenname: Paul surname: Vespa fullname: Vespa, Paul organization: University of California at Los Angeles – sequence: 7 givenname: Nicolas surname: Bruder fullname: Bruder, Nicolas organization: Université de la Méditerranée – sequence: 8 givenname: E. Sander surname: Connolly fullname: Connolly, E. Sander organization: Columbia University – sequence: 9 givenname: Giuseppe surname: Citerio fullname: Citerio, Giuseppe organization: San Gerardo Hospital – sequence: 10 givenname: Daryl surname: Gress fullname: Gress, Daryl organization: University of Virginia – sequence: 11 givenname: Daniel surname: Hänggi fullname: Hänggi, Daniel organization: Heinrich-Heine University – sequence: 12 givenname: Brian L. surname: Hoh fullname: Hoh, Brian L. organization: University of Florida – sequence: 13 givenname: Giuseppe surname: Lanzino fullname: Lanzino, Giuseppe organization: Mayo Clinic – sequence: 14 givenname: Peter surname: Le Roux fullname: Le Roux, Peter organization: University of Pennsylvania – sequence: 15 givenname: Alejandro surname: Rabinstein fullname: Rabinstein, Alejandro organization: Mayo Clinic – sequence: 16 givenname: Erich surname: Schmutzhard fullname: Schmutzhard, Erich organization: University Hospital Innsbruck – sequence: 17 givenname: Nino surname: Stocchetti fullname: Stocchetti, Nino organization: Fondazione IRCCS Cà Granda–Ospedale Policlinico, Milan University – sequence: 18 givenname: Jose I. surname: Suarez fullname: Suarez, Jose I. organization: Baylor College of Medicine – sequence: 19 givenname: Miriam surname: Treggiari fullname: Treggiari, Miriam organization: University of Washington – sequence: 20 givenname: Ming-Yuan surname: Tseng fullname: Tseng, Ming-Yuan organization: Nottingham University Hospitals – sequence: 21 givenname: Mervyn D. I. surname: Vergouwen fullname: Vergouwen, Mervyn D. I. organization: University of Utrecht – sequence: 22 givenname: Stefan surname: Wolf fullname: Wolf, Stefan organization: Freie Universität Berlin – sequence: 23 givenname: Gregory surname: Zipfel fullname: Zipfel, Gregory organization: Washington University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21773873$$D View this record in MEDLINE/PubMed |
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| Contributor | Hemphill, J Claude Bleck, Thomas P Suarez, Jose I Zipfel, Gregory J Diringer, Michael N Hoh, Brian L Connolly, E Sander Gress, Daryl Hänggi, Daniel Wolf, Stephan Shutter, Lori Menon, David Vergouwen, Mervyn D I Schmutzhard, Erich Stocchetti, Nino Treggiari, Miriam Vespa, Paul Tseng, Ming-Yuan Bruder, Nicolas Citerio, Giuseppe Lanzino, Giuseppe Le Roux, Peter Rabinstein, Alejandro |
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| Publisher | Humana Press Inc Springer Nature B.V |
| Publisher_xml | – name: Humana Press Inc – name: Springer Nature B.V |
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| Title | Critical Care Management of Patients Following Aneurysmal Subarachnoid Hemorrhage: Recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference |
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