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- W2022930146 abstract "Purpose of review Large hemispheric infarction is a devastating disease that continues to be associated with significant mortality and morbidity. Most often these patients are admitted to the ICU requiring significant physician and nursing resources. This review will address some of the ICU management issues and review the evidence supporting medical and surgical management of malignant cerebral edema. Recent findings The most recent changes in management of large hemispheric infarct include the American Heart Association and Neurocritical Care Guidelines. These guidelines address airway management and mechanical ventilation, blood pressure control, fluid management, and glucose and temperature control. In addition, they addressed the indication for surgical management of cerebral edema. We review the recent guidelines updates and trials of surgical management of large hemispheric infarcts. Summary Large hemispheric infarcts continue to have significant morbidity and mortality. Recent guidelines have provided an excellent framework to help intensivists manage these complicated patients. Recent surgical data continue to support early hemicraniectomy even in elderly patients." @default.
- W2022930146 created "2016-06-24" @default.
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- W2022930146 creator A5066321093 @default.
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- W2022930146 date "2015-04-01" @default.
- W2022930146 modified "2023-10-18" @default.
- W2022930146 title "Recommendations for management of large hemispheric infarction" @default.
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- W2022930146 doi "https://doi.org/10.1097/mcc.0000000000000184" @default.
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