Evidence-Based Guidelines for the Management of Large Hemispheric Infarction: A Statement for Health Care Professionals from the Neurocritical Care Society and the German Society for Neuro-Intensive Care and Emergency Medicine

被引：45

作者：

Torbey M.T. ^{[1
]}

Bösel J. ^{[2
,16
]}

Rhoney D.H. ^{[3
]}

Rincon F. ^{[4
]}

Staykov D. ^{[5
,9
,17
]}

Amar A.P. ^{[6
]}

Varelas P.N. ^{[7
]}

Jüttler E. ^{[18
]}

Olson D.W. ^{[8
]}

Huttner H.B. ^{[5
,9
,17
]}

Zweckberger K. ^{[10
]}

Sheth K.N. ^{[11
]}

Dohmen C. ^{[12
]}

Brambrink A.M. ^{[13
]}

Mayer S.A. ^{[14
]}

Zaidat O.O. ^{[15
]}

Hacke W. ^{[2
,16
]}

Schwab S. ^{[5
,9
,17
]}

机构：

[1] Cerebrovascular and Neurocritical Care Division, Department of Neurology and Neurosurgery, The Ohio State University Wexner Medical Center Comprehensive Stroke Center, 395 W. 12th Avenue, 7th Floor, Columbus, 43210, OH

[2] Department of Neurology, University of Heidelberg, Im Neuenheimer Feld 400, Heidelberg

[3] Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, 115 Beard Hall, Campus Box 7574, Chapel Hill, 27599-7574, NC

[4] Division of Critical Care and Neurotrauma, Department of Neurological Surgery, Thomas Jefferson University, 909 Walnut Street, 3rd Floor, Philadelphia, 19107, PA

[5] Department of Neurology, University of Erlangen-Nuremberg, Schwabachanlage 6, Erlangen

[6] Department of Neurosurgery, University of Southern California, 1200 North State Street Suite 3300, Los Angeles, 90033, CA

[7] Neurocritical Care Division, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, 48202, MI

[8] University of Texas Southwestern, 5323 Harry Hines Blvd, Dallas, 75390-8897, TX

[9] Department of Neurology, University of Erlangen-Nuremberg, Schwabachanlage 6, Erlangen

[10] Department of Neurosurgery, University of Heidelberg, INF 400, Heidelberg

[11] Division of Neurocritical Care and Emergency Neurology, Department of Neurology, and Neurosciences Intensive Care Unit, Yale School of Medicine & Yale New Haven Hospital, 15 York Street, LLCI 7th floor, Room 710A, P.O. Box 208018, New Haven, 06520, CT

[12] Department of Neurology, University of Cologne, Cologne

[13] Department of Anesthesiology and Perioperative Medicine, Neurology and Neurological Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Parkway, Portland, 97239, OR

[14] Institute for Critical Care Medicine, Mount Sinai Health System, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1522, New York, 10029-6574, NY

[15] Neurointerventional Program, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, 53226, WI

[16] Department of Neurology, University of Heidelberg, Im Neuenheimer Feld 400, Heidelberg

[17] Department of Neurology, University of Erlangen-Nuremberg, Schwabachanlage 6, Erlangen

[18] Department of Neurology, Ostalb-Klinikum Aalen, Im Kalblesrain 1, Aalen

来源：

Neurocritical Care | 2015年 / 22卷 / 1期

基金：

美国国家卫生研究院;

关键词：

Cerebral edema; Critical care management; Hemicraniectomy; Large hemispheric infarction; Large malignant stroke;

D O I：

10.1007/s12028-014-0085-6

中图分类号：

学科分类号：

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. © 2015, All content, design text and other materials are copyrighted by the Neurocritical Care Society (NCS).

引用

页码：146 / 164

页数：18

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