Actualidad

  • Management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC)

    We provide comprehensive algorithms for ICP-monitor-based adult sTBI management. Consensus established 18 interventions as fundamental and ten treatments not to be used. We provide a three-tier algorithm for treating elevated ICP. Treatments within a tier are considered empirically equivalent. Higher tiers involve higher risk therapies. Tiers 1, 2, and 3 include 10, 4, and 3 interventions, respectively. We include inter-tier considerations, and recommendations for critical neuroworsening to assist the recognition and treatment of declining patients. Novel elements include guidance for autoregulation-based ICP treatment based on MAP Challenge results, and two heatmaps to guide (1) ICP-monitor removal and (2) consideration of sedation holidays for neurological examination.

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  • Special Issue: Diagnosis and Treatment of Normal-Pressure Hydrocephalus Syndrome

    The goal of this Special Issue on Normal pressure hydrocephalus is to review controversial aspects regarding the screening methods, diagnostic tests, and treatment of patients with NPH that are relevant to individualizing treatment and improving outcomes after surgery.

    In addition, we review the different types of available hardware and discuss the advantages and disadvantages of the most frequently-used devices. We remark on the need for the neurosurgeon to be aware of the differences among commercially-available devices and to avoid the common mistake of choosing a one-size-fits-all system for this group of patients. The variables to take into account for selecting the most appropiate CSF device are discussed. Careful selection can reduce the risk of what has been named “shunt–patient mismatch”, which is the most important cause of increased surgical risks after surgery.

    With a more rational approach to shunting, we believe that we can increase the chances of a positive outcome and increase the quality of life of aged patients with this syndrome.

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  • PIC 2021 | Neurotrauma SmartCampus

    Como ya os comunicamos, este año el XIX Simposium de Neuromonitorización y Tratamiento del Paciente Neurocrítico, PIC 2020, ha sido cancelado por la pandemia COVID-19. En los últimos meses hemos recibido numerosas propuestas y sugerencias para pasar este Simposium a un formato online. Hasta la fecha hemos sido reacios a hacer esta transición por el gran esfuerzo que implica y por la dificultad que tiene rediseñar el Simposium para ofrecer contenidos atractivos para los diferentes especialistas que acuden habitualmente a nuestros cursos: neurocirujanos, especialistas en medicina intensiva, neurólogos y graduados en enfermería.

    Después de valorar las dificultades hemos decidido poner en marcha un ‘SmartCampus’ donde las personas interesadas puedan registrarse y seguir un amplio catálogo de cursos de características híbridas (online, webinars y presenciales), que agrupen materias de los dos cursos que por tradición nuestra unidad ha organizado desde hace muchos años: los Simposiums de PIC orientados al manejo del paciente neurocrítico y el de Hidrocefalias, más específico para neurocirujanos.
    Nuestro verdadero desafío es proporcionar un aprendizaje a distancia efectivo aprovechando todas las herramientas que han emergido durante la pandemia. En ambos cursos pretendemos innovar y disponer de aulas virtuales que permitan compartir recursos y facilitar la comunicación entre ponentes y asistentes y seguir con el espíritu de los Simposiums, promoviendo la discusión activa multidisciplinar mediante foros online. Nuestra intención es tener la plataforma ya activa y un catálogo de cursos, con créditos de formación continuada en enero de 2021.

    ¡Esperamos que ésta sea una buena noticia y que genere las mismas expectativas que este desafío suscita en nuestro equipo organizador!

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  • Hydrocephalus 2020 (Gothenburg, Sweden, Sept 11-14, 2020)

    We are pleased to announce the Call for Abstracts of the Thirteenth Meeting of the Hydrocephalus Society , which will be held in Gothenburg, Sweden from 11 to 14 September 2020. Don’t miss the opportunity to present your research and outcomes and have substantive conversations with peers! The International Organizing Committee welcomes the submission of abstracts for oral or e-poster presentation. Consult the Thematic Sessions and submit your abstract until the 1st of May 2020!

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última actualización 14.04.2021