Journal of Neurointensive Care最新文献

Erratum: Decompressive Laparotomy as a Treatment Option for Refractory Intracranial Hypertension in Patients With Traumatic Brain Injury: A Systematic Review 勘误：减压腹腔手术作为脑外伤患者难治性颅内高压的治疗选择：系统性综述

Journal of Neurointensive Care Pub Date : 2023-10-31 DOI: 10.32587/jnic.2023.00591.e1

W. Florez-Perdomo, Ebtesam Abdulla, L. Moscote-Salazar, S. Raj, Vishal Chavda, Amit Agrawal

引用次数: 0

Locked in Syndrome After Penetrating Traumatic Brain Injury 穿透性创伤性脑损伤后锁死综合症

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2022.00556

Christian Bennet, T. Scalea, Sayuri P. Jinadasa

引用次数: 0

The Role of Angiographic Interventions in Life-Threatening Traumatic Maxillofacial Bleeding 血管造影干预在危及生命的创伤性颌面部出血中的作用

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2023.00612

J. Yu, J. Choi, K. Whang, J. Oh

{"title":"The Role of Angiographic Interventions in Life-Threatening Traumatic Maxillofacial Bleeding","authors":"J. Yu, J. Choi, K. Whang, J. Oh","doi":"10.32587/jnic.2023.00612","DOIUrl":"https://doi.org/10.32587/jnic.2023.00612","url":null,"abstract":"Background: Intravascular embolization is an effective treatment option for cases of trauma induced massive maxillofacial bleeding (MFB). However, a viable guideline for endovascular treatment of MFB has not been established yet. This article investigates on parameters to distinguish suitable candidates of endovascular embolization among trauma victims with MFB, and discusses factors related to the clinical outcomes. Methods: From January 2015 to December 2018, 24 massive MFB patients underwent tranas-femoral angiography, and 16 of them proceeded with endovascular embolization (embolization group) while the other 8 patients only received angiography as no extravasation was observed (non-embolization group). We compared laboratory values (hemoglobin, pH, lactate, base excess) and clinical factors (blood pressure, age, initial GCS, time interval from trauma to intervention) related to the massive blood loss between the 16 of embolization group and the 8 of non-embolization group. The treatment results of angiographic intervention and mortality related factors were also compared to investigate factors related to treatment outcome.Results: Compared with non-embolization group, the patients of embolization group has a trend of lower hemoglobin (7.9 ± 3.6 g/dL vs 11.6 ± 2.3 g/dL, p = 0.047), lower base excess (-14.73 vs -6.9, p = 0.002), and lower systolic & diastolic blood pressure (100.5mmHg vs 59.9mmHg, 66.0 mmHg vs 30.9mmHg, respectively, p < 0.05). The overall mortality rate was 66.7% (87.5% in embolization group, 25% in non-embolization group). In the embolization group, there was no significant difference in all clinical and laboratory values between survivors and non-survivors. Conclusion: This study suggests initial hemoglobin, base-excess and low blood pressure as possible indicators to distinguish potential beneficiaries of facial embolization among MFB victims. However, it failed to find the viable prognosis factors to predict the clinical outcome of the embolization. Larger-scale prospective studies are needed in the future.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133772513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Large-Vessel Occlusion Stroke Associated with Covid-19: A Systematic Review and Meta-Analysis of Outcomes 与Covid-19相关的大血管闭塞性卒中:结果的系统回顾和荟萃分析

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2023.00605

Sofia Carolina Granados-Mendoza, W. Florez-Perdomo, Vishal Chavda, Bingwei Lu, Tariq Janjua, A. Agrawal, L. Moscote-Salazar

{"title":"Large-Vessel Occlusion Stroke Associated with Covid-19: A Systematic Review and Meta-Analysis of Outcomes","authors":"Sofia Carolina Granados-Mendoza, W. Florez-Perdomo, Vishal Chavda, Bingwei Lu, Tariq Janjua, A. Agrawal, L. Moscote-Salazar","doi":"10.32587/jnic.2023.00605","DOIUrl":"https://doi.org/10.32587/jnic.2023.00605","url":null,"abstract":"Background SARS-CoV-2 induced respiratory illness is increasingly being recognized to be associated with neurological manifestations including an increase in the incidence of strokes, particularly those induced by large vessel occlusion (LVO). Given this, the aim of present study was to determine the influence of SARS-CoV-2 i.e. Coronavirus disease-19 (COVID-19) on mortality, neurological outcomes, and treatment response in patients with stroke due to large vessel occlusion induced by COVID-19.Methods A search of randomized controlled trials (RCTs), prospective and retrospective cohort studies was conducted through PUBMED, SCOPUS, MEDLINE, EMBASE, the Central Cochrane Registry of Controlled Trials, and CINAHL databases. The statistical analysis was performed using the relative risk with the Mantel-Haenszel methodology for dichotomous variables with a fixed-effects model. The Newcastle-Ottawa scale (NOS) was used to assess the quality of the publications and ROBINS-I tool was used to evaluate the risk of bias across the studies.Results Six retrospective observational cohort and case-control studies involving 1000 patients with LVO were included. The group of COVID 19 patients with LVO had a greater risk of mortality(OR= 7.09, [95% CI: 4.6-10.91], I2= 0%, p = <0.00001), fewer rates of treatment success(OR 0.15 [95% CI 0.08-0.29], I2 = 49%, p = <0.00001), and lower favorable outcomes (OR 0.39 [95% CI 0.16-0.96], I2 = 63%, p = 0.04) than COVID 19 negative patients with LVO.Conclusion The findings from present systematic review suggest that patients with COVID 19 and LVO stroke have higher mortality and poorer outcomes than COVID 19 negative patients with LVO stroke.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117234643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cooperative Sedation in Moderate Traumatic Brain Injury: A Tool for Neurocritical Care Management 合作镇静在中度创伤性脑损伤:一个工具的神经危重症护理管理

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2022.00535

Ebtesam Abdulla, A. Agrawal, R. Cincu, Tariq Janjua, L. Moscote-Salazar

引用次数: 0

Analysis of Nitrogen Balance Test in Patients With Traumatic Brain Injury 外伤性脑损伤患者氮平衡试验分析

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2023.00640

Da Ham Kim, Jiwoong Oh

引用次数: 0

Analysis of Prognostic Factors in Patients with Hemorrhagic Moyamoya Disease 出血性烟雾病患者预后因素分析

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2023.00619

Dong-Wook Lee, J. Kim, D. Lim, D. Park

{"title":"Analysis of Prognostic Factors in Patients with Hemorrhagic Moyamoya Disease","authors":"Dong-Wook Lee, J. Kim, D. Lim, D. Park","doi":"10.32587/jnic.2023.00619","DOIUrl":"https://doi.org/10.32587/jnic.2023.00619","url":null,"abstract":"Background: Hemorrhagic Moyamoya disease (MMD) is a common subtype of MMD in adult patients, especially in East Asian countries. To our knowledge, current studies regarding factors affecting the prognosis in patients with hemorrhagic MMD is lacking. This study aimed to determine the potential prognostic factors for hemorrhagic MMD.Methods: This retrospective study reviewed patients with hemorrhagic MMD diagnosed at our hospital between June 2011 and June 2021. Patient outcome was measured at discharge using the extended Glasgow outcome scale (GOSE). Prognostic factors were assessed by multivariate logistic regression analysis.Results: Patients discharged with worst outcomes (GOSE 1 and 2) had significantly lower initial Glasgow coma scale (GCS) scores (5.9 ± 3.1 vs. 10.3 ± 3.7; P = 0.002) and were associated with more severe intraventricular hemorrhage (IVH) (P = 0.007), and IVH-related hydrocephalus requiring extraventricular drain (EVD) insertion was more common (n = 12 vs. n = 7; P = 0.001). The multivariate analysis showed that IVH-related hydrocephalus requiring EVD placement (OR 8.256, 95% CI 0.996–68.450; P = 0.016) and low initial GCS scores (OR 0.644; 95% CI 0.465–0.892; P = 0.008) were independent risk factors for unfavorable outcomes (GOSE 1–4) in patients with hemorrhagic MMD.Conclusion: This study analyzed several potential prognostic factors for patients with hemorrhagic MMD. Low initial GCS scores and IVH-related hydrocephalus requiring EVD insertion were related to unfavorable outcomes.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"18 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132609649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Application and Significance of Indirect Calorimetry in Neurocritical Care 间接量热法在神经危重症中的临床应用及意义

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2023.00626

Yoon-Hee Choo, Jae Hyun Kim, Hee-Won Jung, Moinay Kim, Hanwool Jeon, E. Ha, Jiwoong Oh, Youngbo Shim, Seung Bin Kim, Han-Gil Jung, S. Park, Jung Ook Kim, Junhyung Kim, H. Kim, Seungjoo Lee

{"title":"Clinical Application and Significance of Indirect Calorimetry in Neurocritical Care","authors":"Yoon-Hee Choo, Jae Hyun Kim, Hee-Won Jung, Moinay Kim, Hanwool Jeon, E. Ha, Jiwoong Oh, Youngbo Shim, Seung Bin Kim, Han-Gil Jung, S. Park, Jung Ook Kim, Junhyung Kim, H. Kim, Seungjoo Lee","doi":"10.32587/jnic.2023.00626","DOIUrl":"https://doi.org/10.32587/jnic.2023.00626","url":null,"abstract":"Neurocritical care has emerged as a specialized field addressing the complex needs of patients with acute neurological disorders, such as stroke, brain tumor and traumatic brain injury. The clinical management of these patients necessitates precise, individualized nutritional support due to the significant variability in neurological deficits and resting energy expenditure (REE) based on factors including stroke phase, type (hemorrhagic or ischemic), and intracranial pressure and activity of neuronal cells. This emphasizes the need for accurate, patient-specific nutritional recommendations, achievable through indirect calorimetry. Traditional predictive equations may not accurately capture the diverse nutritional requirements of neurocritical patients. Indirect calorimetry offers a more reliable, personalized approach to determining patients' nutritional needs, crucial for this heterogeneous population. Furthermore, clinical practice often inadequately addresses nutritional needs in neurocritical patients, highlighting the importance of optimizing nutritional support to enhance patient outcomes. Indirect calorimetry also plays a critical role in assessing patients with non-normal body temperatures. Hypothermia affects the body's metabolic rate and overall energy expenditure, making it challenging to evaluate energy requirements during hypothermia treatment. Indirect calorimetry can provide more accurate assessments under such conditions. In conclusion, employing indirect calorimetry in neurocritical care is essential for accurate, individualized nutritional support. By accounting for factors such as stroke type, location, intracranial pressure and body temperature, indirect calorimetry offers valuable insights and improved patient care, emphasizing its indispensability in managing neurocritical patients.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"62 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114052567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Decompressive Laparotomy as a Treatment Option for Refractory Intracranial Hypertension in Patients With Traumatic Brain Injury: A Systematic Review 减压剖腹手术作为治疗外伤性脑损伤患者顽固性颅内高压的一种选择:一项系统综述

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2023.00591

William Florez-Perdo, Ebtesam Abdulla, L. Moscote-Salazar, S. Raj, Vishal Chavda, A. Agrawal

{"title":"Decompressive Laparotomy as a Treatment Option for Refractory Intracranial Hypertension in Patients With Traumatic Brain Injury: A Systematic Review","authors":"William Florez-Perdo, Ebtesam Abdulla, L. Moscote-Salazar, S. Raj, Vishal Chavda, A. Agrawal","doi":"10.32587/jnic.2023.00591","DOIUrl":"https://doi.org/10.32587/jnic.2023.00591","url":null,"abstract":"Background: Researchers investigated the role of decompressive laparotomy as a novel technique to improve the outcome of refractory intracranial hypertension in patients with severe Traumatic brain injury (TBI). In this paper, we conduct a systematic review of the literature and discuss the existing information on the role of decompressive laparotomy in patients with severe TBI. Methods: A search for RCT, not RCT, prospective and retrospective cohort studies will be carried out through electronic databases. The strategy comprised topic headings (MeSH) such as \"Decompressive laparotomy,\" \"traumatic brain damage,\" \"Neurocritical care,\" and \"intracranial hypertension,\" as well as text words related to Booleans terms. The following data were retrieved individually and separately: mortality, functional independence (modified Rankin scale 0 to 2, or Glasgow Prognostic Scale with a score of 4 or above), and intracranial pressure value before and after Decompressive laparotomy. Results: Following a thorough text review, ten articles were examined for confidentiality, one of which is a narrative review, two of which did not cover traumatic brain injury and one of which included thoracic and neck trauma, and six of which were included for qualitative and quantitative analysis. Among the six trials considered, 46 patients with TBI and intracranial hypertension were evaluated and treated with hyperosmolar treatment and/or Decompressive Craniectomy with Decompressive laparotomy. The Glasgow Outcome Scale was used to evaluate neurological prognosis and functional competence. Conclusions: According to the findings, 8% of the patients were in a chronic vegetative state, 37.93% had severe disability, 33.45% had moderate disability, and the majority (64.3%) were able to return to work with limitations. The remaining 20.6% had mild disability or good functional recovery.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130379747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurocritical Care Perspective of Traumatic Brain Injury During Pregnancy 妊娠期外伤性脑损伤的神经危重症护理展望

Journal of Neurointensive Care Pub Date : 2023-04-30 DOI: 10.32587/jnic.2022.00577

A. Haldar, Bharti Raj, V. Maurya, Mohamad Yunus, Rakesh Mishra, A. Agrawal

引用次数: 0