神经科学重症监护中的争议

Controversies in neurosciences critical care.

作者信息

Chang Tiffany R, Naval Neeraj S, Carhuapoma J Ricardo

机构信息

Division of Neurosciences Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, The Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA.

出版信息

Anesthesiol Clin. 2012 Jun;30(2):369-83. doi: 10.1016/j.anclin.2012.05.006. Epub 2012 Jun 26.

DOI:10.1016/j.anclin.2012.05.006

PMID:22901615

Abstract

Neurocritical care is an evolving subspecialty with many controversial topics. The focus of this review is (1) transfusion thresholds in patients with acute intracranial bleeding, including packed red blood cell transfusion, platelet transfusion, and reversal of coagulopathy; (2) indications for seizure prophylaxis and choice of antiepileptic agent; and (3) the role of specialized neurocritical care units and specialists in the care of critically ill neurology and neurosurgery patients.

摘要

神经重症监护是一个不断发展的亚专业，有许多有争议的话题。本综述的重点是：（1）急性颅内出血患者的输血阈值，包括浓缩红细胞输血、血小板输血和凝血障碍的逆转；（2）癫痫预防的指征和抗癫痫药物的选择；以及（3）专业神经重症监护病房和专科医生在重症神经病学和神经外科患者护理中的作用。