{"id":13912,"date":"2021-07-06T04:50:08","date_gmt":"2021-07-06T02:50:08","guid":{"rendered":"http:\/\/news-papers.eu\/?p=13912"},"modified":"2021-07-03T16:00:46","modified_gmt":"2021-07-03T14:00:46","slug":"13912","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=13912","title":{"rendered":"Fokus auf die neurologische Intensivmedizin"},"content":{"rendered":"

Ein Blick \u00fcber den Tellerrand liefern uns Professor Dominik Michalski<\/strong> und Kollegen zum Thema neurologische Intensivmedizin<\/strong>.<\/p>\n

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Michalski D et al. Fokus neurologische Intensivmedizin. Intensive Care Studies from 2020\/2021. Anaesthesist 2021\u00a0(PDF<\/a>) Open Access<\/strong><\/p>\n<\/blockquote>\n

Hier die Kurzzusammenfassung:<\/p>\n

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Benvegnu F, et al. Local anesthesia without sedation during thrombectomy for anterior circulation stroke is associated with worse outcome.\u00a0Stroke 2020; 51:2951\u20132959<\/strong><\/p>\n<\/blockquote>\n

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Die prospektive, registerbasierte, multizentrische Studie konnte theoretische Vorteile einer Lokalana\u0308sthesie als periprozedurales Verfahren bei der mechanischen Thrombektomie gegenu\u0308ber einer Analgosedierung im Hinblick auf das Behandlungsergebnis nach 3 Monaten nicht<\/strong><\/em> besta\u0308tigen.<\/p>\n<\/div>\n

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Fandler-Ho\u0308fler S, et al. Single mean arterial blood pressure drops during stroke thrombectomy under general anaesthesia are associated with poor outcome. J Neurol 2020; 267:1331\u20131339<\/strong><\/p>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

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In der retrospektiven, monozentrischen Kohortenstudie war ein periprozeduraler Blutdruckabfall auf einen mittleren arteriellen Druck von weniger als 60 mmHg mit einem ungu\u0308nstigen Behandlungsergebnis der mechanischen Thrombektomie nach 3 Monaten assoziiert.<\/p>\n

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Mazighi M, et al. Safety and efficacy of intensive blood pressure lowering after successful endovascular therapy in acute ischaemic stroke (BP-TARGET): a multicentre, open-label, randomised controlled trial. Lancet Neurol, 2021: online<\/strong><\/p>\n<\/blockquote>\n

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In der randomisierten, multizentrischen Studie zum optimalen systolischen Blutdruckbereich nach einer mechanischen Thrombektomie ergaben sich unter Anwendung der Zielbereiche 100\u2013129 und 130\u2013185 mmHg keine<\/strong><\/em> signifikanten Unterschiede hinsichtlich der Raten an intrazerebralen Blu- tungskomplikationen und kritischer Hypotensionen.<\/p>\n

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Alzayiani M, et al. Risk profile of decompressive hemicraniectomy for malignant stroke after revascularization treatment. J Neurol Sci 2021; 420:117275<\/strong><\/p>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

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Die retrospektive, monozentrische Studie erbrachte fu\u0308r die Behandlungssequenz einer mechanischen Thrombektomie mit nachfolgend notwendig werdender dekompressiver Hemikraniektomie kein<\/strong> <\/em>vermehrtes Auftreten perioperativer Komplikationen im Vergleich zu operativen Eingriffen, bei denen vorab keine rekanalisierenden Therapien erfolgten.<\/p>\n<\/div>\n

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Tubiana S, et al. Community-acquired bacterial meningitis in adults: in-hospital prognosis, long-term disability and determinants of outcome in a multicentre prospective cohort. Clin Microbiol Infect 2020; 26:1192\u20131200<\/strong><\/p>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

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In der prospektiven, registerbasierten, multizentrischen Studie konnten als ha\u0308ufigster Erreger der ambulant erworbenen bakteriellen Meningitis Streptococcus pneumoniae<\/strong> identifiziert und als Risikofaktoren fu\u0308r einen ungu\u0308nstigen Verlauf u. a. das Patientenalter (>70 Jahre), fokale neurologische Symptome und eine erst verzo\u0308gert stattfindende Liquoruntersuchung eingegrenzt werden.<\/p>\n

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Qureshi AI, et al. Acute ischemic stroke and COVID-19: an analysis of 27,676 patients. Stroke 2021; 52:905\u2013912<\/strong><\/p>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

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Unter Nutzung einer sehr gro\u00dfen Stichprobe lieferte die retrospektive Untersuchung keinen<\/strong><\/em> Unterschied im Auftreten von Schlaganfa\u0308llen bei Patienten mit COVID-19 gegenu\u0308ber nichtbesta\u0308tigten Verdachtsfa\u0308llen, jedoch waren Schlaganfa\u0308lle, die im Zusammenhang mit COVID-19 auftreten, mit einer erho\u0308hten Sterblichkeit assoziiert.<\/p>\n

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Smit L, et al. Haloperidol, clonidine and resolution of delirium in critically ill patients: a prospective cohort study. Intensive Care Med 2021; 47:316\u2013324<\/strong><\/p>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

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In der prospektiven, monozentrischen Kohortenstudie war die Anwendung von Haloperidol und Clonidin im Rahmen einer Delirbehandlung nicht<\/strong><\/em> mit einer Regredienz der deliranten Symptomatik im kurzfristigen Verlauf assoziiert.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Ein Blick \u00fcber den Tellerrand liefern uns Professor Dominik Michalski und Kollegen zum Thema neurologische Intensivmedizin. Michalski D et al. Fokus neurologische Intensivmedizin. Intensive Care Studies from 2020\/2021. Anaesthesist 2021\u00a0(PDF) […]<\/p>\n","protected":false},"author":2,"featured_media":13917,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[7],"tags":[2117,1745],"class_list":["post-13912","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie","tag-journal-club","tag-neurologische-intensivmedizin"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/Bildschirmfoto-2021-07-03-um-10.07.39.png?fit=1620%2C890&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/s7fR2g-13912","jetpack-related-posts":[{"id":10295,"url":"https:\/\/news-papers.eu\/?p=10295","url_meta":{"origin":13912,"position":0},"title":"Neurologische Intensivmedizin 2018\/2019","author":"Michael Bernhard","date":"Oktober 20, 2019","format":false,"excerpt":"Professor Michalski aus Leipzig hat mit einigen Kollegen die aktuelle Studienlage f\u00fcr die Neurologische Intensivmedizin aus 2018\/2019 zusammengefasst: Michaelski D, et al. Neurologische Intensivmedizin.\u00a0Intensivmedizinische Studien aus 2018\/2019. Der An\u00e4sthesist 2019,\u00a0(PDF) Dabei geht es um: Intracerebrale Blutungen: Al-Shahi Salman R, Frantzias J, Lee RJ et al (2018) Absolute risk and predictors\u2026","rel":"","context":"In "Neurologischer Notfall"","block_context":{"text":"Neurologischer Notfall","link":"https:\/\/news-papers.eu\/?cat=7"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/05\/Kopfschmerz1-300x180.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":14050,"url":"https:\/\/news-papers.eu\/?p=14050","url_meta":{"origin":13912,"position":1},"title":"Intensivmedizinische Studien 2020\/2021","author":"Michael Bernhard","date":"August 30, 2021","format":false,"excerpt":"Ein Team um Dr. M. Dietrich, Dr. C.J. Reu\u00df und Professor Markus Weigand hat wieder wichtige intensivmedizinische Studien zusammengestellt. 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