Emergency Neurological Life Support: Intracerebral Hemorrhage

被引:31
作者
Andrews, Charles M. [3 ]
Jauch, Edward C. [2 ,3 ]
Hemphill, J. Claude, III [1 ]
Smith, Wade S. [1 ]
Weingart, Scott D. [4 ]
机构
[1] Univ Calif San Francisco, Dept Neurol, ENLS Course Cochair, San Francisco, CA 94143 USA
[2] Med Univ S Carolina, Div Emergency Med, Charleston, SC USA
[3] Med Univ S Carolina, Dept Neurosci, Charleston, SC USA
[4] Mt Sinai Sch Med, Div ED Crit Care, New York, NY USA
关键词
Hypertensive hemorrhage; Secondary brain injury; Coagulopathy; Protocol; PREDICTS HEMATOMA EXPANSION; ACUTE CEREBRAL-HEMORRHAGE; STEREOTACTIC ASPIRATION; CONTRAST EXTRAVASATION; INTRACRANIAL-PRESSURE; ANTICOAGULANT-THERAPY; ANTIPLATELET THERAPY; VITAMIN-K; GROWTH; MANAGEMENT;
D O I
10.1007/s12028-012-9757-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Intracerebral hemorrhage (ICH) is a subset of stroke resulting from bleeding within the brain parenchyma of the brain. It is potentially lethal, and survival depends on ensuring an adequate airway, reversal of coagulopathy, and proper diagnosis. ICH was chosen as an emergency neurological life support (ENLS) protocol because intervention within the first critical hour may improve outcome, and it is helpful to have a protocol to drive care quickly and efficiently.
引用
收藏
页码:37 / 46
页数:10
相关论文
共 56 条
  • [51] Frameless stereotactic aspiration and thrombolysis of deep intracerebral hemorrhage is associated with reduction of hhemorrhage volume and neurological improvement
    Vespa, P
    McArthur, D
    Miller, C
    O'Phelan, K
    Frazee, J
    Kidwell, C
    Saver, J
    Starkman, S
    Martin, N
    [J]. NEUROCRITICAL CARE, 2005, 2 (03) : 274 - 281
  • [52] Intensive glycemic control in traumatic brain injury: what is the ideal glucose range?
    Vespa, Paul M.
    [J]. CRITICAL CARE, 2008, 12 (05):
  • [53] Acute seizures after intracerebral hemorrhage - A factor in progressive midline shift and outcome
    Vespa, PM
    O'Phelan, K
    Shah, M
    Mirabelli, J
    Starkman, S
    Kidwell, C
    Saver, J
    Nuwer, MR
    Frazee, JG
    McArthur, DA
    Martin, NA
    [J]. NEUROLOGY, 2003, 60 (09) : 1441 - 1446
  • [54] CT angiography "spot sign" predicts hematoma expansion in acute intracerebral hemorrhage
    Wada, Ryan
    Aviv, Richard I.
    Fox, Allan J.
    Sahlas, Demetrios J.
    Gladstone, David J.
    Tomlinson, George
    Symons, Sean P.
    [J]. STROKE, 2007, 38 (04) : 1257 - 1262
  • [55] Hypoperfusion without ischemia surrounding acute intracerebral hemorrhage
    Zazulia, AR
    Diringer, MN
    Videen, TO
    Adams, RE
    Yundt, K
    Aiyagari, V
    Grubb, RL
    Powers, WJ
    [J]. JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2001, 21 (07) : 804 - 810
  • [56] Frequency of Sustained Intracranial Pressure Elevation during Treatment of Severe Intraventricular Hemorrhage
    Ziai, Wendy C.
    Torbey, Michel T.
    Naff, Neal J.
    Williams, Michael A.
    Bullock, Ross
    Marmarou, Anthony
    Tuhrim, Stanley
    Schmutzhard, Eric
    Pfausler, Bettina
    Hanley, Daniel F.
    [J]. CEREBROVASCULAR DISEASES, 2009, 27 (04) : 403 - 410