Evidence-Based Guidelines for the Management of Large Hemispheric Infarction

被引：37

作者：

Torbey, Michel T. ^{[1
]}

Boesel, Julian ^{[2
]}

Rhoney, Denise H. ^{[3
]}

Rincon, Fred ^{[4
]}

Staykov, Dimitre ^{[5
]}

Amar, Arun P. ^{[6
]}

Varelas, Panayiotis N. ^{[7
]}

Juettler, Eric ^{[8
]}

Olson, DaiWai ^{[9
]}

Huttner, Hagen B. ^{[5
]}

Zweckberger, Klaus ^{[10
]}

Sheth, Kevin N. ^{[11
,12
,13
]}

Dohmen, Christian ^{[14
]}

Brambrink, Ansgar M. ^{[15
]}

Mayer, Stephan A. ^{[16
]}

Zaidat, Osama O. ^{[17
]}

Hacke, Werner ^{[2
]}

Schwab, Stefan ^{[5
]}

机构：

[1] Ohio State Univ, Cerebrovasc & Neurocrit Care Div, Dept Neurol & Neurosurg, Wexner Med Ctr,Comprehens Stroke Ctr, Columbus, OH 43210 USA

[2] Heidelberg Univ, Dept Neurol, D-69120 Heidelberg, Germany

[3] UNC Eshelman Sch Pharm, Div Practice Adv & Clin Educ, Chapel Hill, NC 27599 USA

[4] Thomas Jefferson Univ, Div Crit Care & Neurotrauma, Dept Neurol Surg, Philadelphia, PA 19107 USA

[5] Univ Erlangen Nurnberg, Dept Neurol, D-91054 Erlangen, Germany

[6] Univ So Calif, Dept Neurosurg, Los Angeles, CA 90033 USA

[7] Henry Ford Hosp, Neurocrit Care Div, Detroit, MI 48202 USA

[8] Ostalb Klinikum Aalen, Dept Neurol, D-73430 Aalen, Germany

[9] Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA

[10] Heidelberg Univ, Dept Neurosurg, D-69120 Heidelberg, Germany

[11] Yale Univ, Div Neurocrit Care & Emergency Neurol, Dept Neurol, Sch Med, New Haven, CT 06520 USA

[12] Yale Univ, Sch Med, Neurosci Intens Care Unit, New Haven, CT 06520 USA

[13] Yale New Haven Med Ctr, New Haven, CT 06520 USA

[14] Univ Cologne, Dept Neurol, D-50937 Cologne, Germany

[15] Oregon Hlth & Sci Univ, Dept Anesthesiol & Perioperat Med Neurol & Neurol, Portland, OR 97239 USA

[16] Icahn Sch Med Mt Sinai, Mt Sinai Hlth Syst, Inst Crit Care Med, New York, NY 10029 USA

[17] Med Coll Wisconsin, Neurointervent Program, Milwaukee, WI 53226 USA

来源：

NEUROCRITICAL CARE | 2015年 / 22卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Large malignant stroke; Large hemispheric infarction; Cerebral edema; Hemicraniectomy; Critical care management; MIDDLE-CEREBRAL-ARTERY; ACUTE ISCHEMIC-STROKE; QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; TRAUMATIC BRAIN-INJURY; SPONTANEOUS INTRACEREBRAL HEMORRHAGE; NEUROCRITICAL CARE PATIENTS; DEEP-VEIN THROMBOSIS; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; SPONTANEOUS BREATHING TRIALS;

D O I：

10.1007/s12028-014-0085-6

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Large hemispheric infarction (LHI), also known as malignant middle cerebral infarction, is a devastating disease associated with significant disability and mortality. Clinicians and family members are often faced with a paucity of high quality clinical data as they attempt to determine the most appropriate course of treatment for patients with LHI, and current stroke guidelines do not provide a detailed approach regarding the day-to-day management of these complicated patients. To address this need, the Neurocritical Care Society organized an international multidisciplinary consensus conference on the critical care management of LHI. Experts from neurocritical care, neurosurgery, neurology, interventional neuroradiology, and neuroanesthesiology from Europe and North America were recruited based on their publications and expertise. The panel devised a series of clinical questions related to LHI, and assessed the quality of data related to these questions using the Grading of Recommendation Assessment, Development and Evaluation guideline system. They then developed recommendations (denoted as strong or weak) based on the quality of the evidence, as well as the balance of benefits and harms of the studied interventions, the values and preferences of patients, and resource considerations.

引用

页码：146 / 164

页数：19

共 172 条

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