[Intensive care therapy of space-occupying large hemispheric infarction. Summary of the NCS/DGNI guidelines].

{"article_title":"[Intensive care therapy of space-occupying large hemispheric infarction. Summary of the NCS\/DGNI guidelines].","author":"B\u00f6sel J, Sch\u00f6nenberger S, Dohmen C, J\u00fcttler E, Staykov D, Zweckberger K, Hacke W, Schwab S, Torbey MT, Huttner HB","journal_title":"Der Nervenarzt","issn":"1433-0407","isbn":"","publication_date":"2020 Mar 09","volume":"86","issue":"8","first_page":"1018","page_count":"","accession_number":"26108877","doi":"10.1007\/s00115-015-4361-2","publisher":"Springer Verlag","doctype":"English Abstract","subjects":"Germany; Cerebral Infarction diagnosis; Cerebral Infarction therapy; Critical Care standards; Emergency Medical Services standards; Neurology standards; Practice Guidelines as Topic; Germany","interest_area":["Neurology"," Emergency Medicine"],"abstract":"Large hemispheric infarction (LHI), synonymously called malignant middle cerebral artery (MCA) infarction, is a severe neurological disease with a high mortality and morbidity. Treating physicians as well as relatives are often faced with few and low quality data when attempting to apply optimal treatment to these patients and make decisions. While current stroke treatment guidelines focus on risk factors, prevention and acute management, they include only limited recommendations concerning intensive care management of LHI. The Neurocritical Care Society (NCS) and the German Society for Neurocritical and Emergency Medicine (DGNI) organized an interdisciplinary consensus conference on intensive care management of LHI to meet this demand. European and American experts in neurology, neurocritical care, neurosurgery, neuroradiology and neuroanesthesiology were selected based on their expertise and research focus. Subgroups for several main topics elaborated a number of central clinical questions concerning this topic and evaluated the quality of the currently available data according to the grading of recommendation assessment, development and evaluation (GRADE) guideline system. Subsequently, evidence-based recommendations were compiled after weighing the advantages against the disadvantages of certain management options. This is a commented abridged version of the results of the consensus conference.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=26108877&authtype=shib&custid=ns346513&group=main&profile=eds","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"B\u00f6sel J, Sch\u00f6nenberger S, Dohmen C, J\u00fcttler E, Staykov D, Zweckberger K, Hacke W, Schwab S, Torbey MT, Huttner HB","Corporate_Authors":"stellvertretend f\u00fcr die Teilnehmer der \u201eInternational Consensus Conference on Critical Care Management of Patients Following Large Hemispheric Infarct\u201c der NCS und DGNI, Neurocritical Care Society, German Society for Neurocritical and Emergency Medicine","Journal_Info":"Publisher: Springer Verlag Country of Publication: Germany NLM ID: 0400773 Publication Model: Print Cited Medium: Internet ISSN: 1433-0407 (Electronic) Linking ISSN: 00282804 NLM ISO Abbreviation: Nervenarzt Subsets: MEDLINE","Publication_Type":"English Abstract; Journal Article; Practice Guideline","Published_Date":"2015-08-01","Source":"Der Nervenarzt [Nervenarzt] 2015 Aug; Vol. 86 (8), pp. 1018-29.","Languages":"German","Electronic_ISSN":"1433-0407","MeSH_Terms":"Practice Guidelines as Topic*, Cerebral Infarction\/*diagnosis , Cerebral Infarction\/*therapy , Critical Care\/*standards , Emergency Medical Services\/*standards , Neurology\/*standards, Germany","Subjects":"Germany, Cerebral Infarction diagnosis, Cerebral Infarction therapy, Critical Care standards, Emergency Medical Services standards, Neurology standards, Practice Guidelines as Topic","Title_Abbreviations":"Der Nervenarzt","Volume":"86"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"26108877","RelevancyScore":"802","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"802.310363769531"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=26108877&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=26108877&authtype=shib&custid=ns346513&group=main&profile=eds"}