Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, August 18, 2017

Does Intracranial Pressure Monitoring Improve Outcomes in Severe Traumatic Brain Injury?

Followup needed for hemorrhage stroke patients. Better interventions are needed.
http://dgnews.docguide.com/does-intracranial-pressure-monitoring-improve-outcomes-severe-traumatic-brain-injury?overlay=2&
NEW ROCHELLE, NY -- August 15, 2017 -- Use of intracranial pressure (ICP) monitoring in patients with severe traumatic brain injury (TBI) was associated with a significant decrease in mortality, but it did not improve the rate of favourable outcomes, according to a study published in the Journal of Neurotrauma.
Although ICP monitoring was linked to more aggressive therapy, the researchers concluded that current therapies cannot adequately control increased ICP.
For the study, the researchers retrospectively investigated the effects of ICP monitoring in the treatment of severe TBI using data from the Japan Neurotrauma Data Bank (JNTDB). The study was conducted in 1,091 subjects enrolled in the JNTDB (Project 2009) from July 2009 to June 2011. The subjects were divided into those treated with and treated without ICP monitoring in intensive care for severe TBI.
The rate of ICP monitoring in the treatment of severe TBI was only 28%, suggesting that use of this method has declined compared with previous studies.
The patients who received ICP monitoring had significantly higher rates of therapy with hyperventilation, hyperosmolar diuretics, sedatives, anticonvulsants, and surgery, and more intensive body temperature management. Yet there was no significant difference in the favourable outcome rate between the ICP and non-ICP monitoring groups of patients.
“We conclude that ICP monitoring and management of ICP are both important for management and care of severe TBI,” the authors wrote. “However, current therapies do not control ICP sufficiently, and more effective therapies are needed.”
“This well-reasoned retrospective analysis focuses on an issue that continues to generate controversy in relation to the care and management of traumatically brain injured patients,” wrote John T. Povlishock, PhD, Medical College of Virginia Campus of Virginia Commonwealth University, Richmond, Virginia, in an accompanying editorial. “What is of note in this communication is the fact that although those patients were aggressively managed, with concomitant ICP monitoring revealing a significant reduction in mortality, this occurred without any improvement in outcome, a finding that further highlights the continued controversy surrounding routine ICP monitoring.”
Reference: DOI: 10.1089/neu.2016.4948
SOURCE: Mary Ann Liebert, Inc.

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