Neurocritical Care
Oli Flower gives an iconoclastic view of neurocritical care.
This is a talk that was given at the College of Intensive Care Medicine’s ASM in Wellington in June 2013.
It focuses on three aspects of traumatic brain injury management:
- Prognostication
- Transfusion thresholds
- The role of ICP monitoring
Some references:
- The Best Trip Study
- Haemoglobin management in acute brain injury
- Anemia in the setting of traumatic brain injury: the arguments for and against liberal transfusion
- Chesnut: The BEST TRIP trial in perspective
- Menon: Intracranial pressure monitoring in severe traumatic brain injury
- Predicting Outcome after TBI
- Prognosis in moderate and severe traumatic brain injury: external validation of the IMPACT models and the role of extracranial injuries
- Early prognostication in acute brain damage: where is the evidence?
- Updates in the management of intracranial pressure in traumatic brain injury
- Multifaceted advances in neurointensive care: the future is today
- Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury
- Decompressive craniectomy in traumatic brain injury after the DECRA trial. Where do we stand?
- Blood management: transfusion medicine comes of age
- Controversies in neurosciences critical care
- Effect of a liberal versus restrictive transfusion strategy on mortality in patients with moderate to severe head injury