Evidence-based guidelines for the management of large hemispheric infarction : a statement for health care professionals from the Neurocritical Care Society and the German Society for Neuro-intensive Care and Emergency Medicine

Torbey MT, Boesel J, Rhoney DH, Rincon F, Staykov D, Amar AP, Varelas PN, Juettler E, Olson D, Huttner H, Zweckberger K, Sheth KN, Dohmen C, Brambrink AM, Mayer SA, Zaidat OO, Hacke W, Schwab S (2015)

Publication Type: Journal article, Review article

Publication year: 2015

Journal

Neurocritical Care Humana Press

Book Volume: 22

Pages Range: 146-64

Journal Issue: 1

DOI: 10.1007/s12028-014-0085-6

Abstract

Large hemispheric infarction (LHI), also known as malignant middle cerebral infarction, is a devastating disease associated with significant disability and mortality. Clinicians and family members are often faced with a paucity of high quality clinical data as they attempt to determine the most appropriate course of treatment for patients with LHI, and current stroke guidelines do not provide a detailed approach regarding the day-to-day management of these complicated patients. To address this need, the Neurocritical Care Society organized an international multidisciplinary consensus conference on the critical care management of LHI. Experts from neurocritical care, neurosurgery, neurology, interventional neuroradiology, and neuroanesthesiology from Europe and North America were recruited based on their publications and expertise. The panel devised a series of clinical questions related to LHI, and assessed the quality of data related to these questions using the Grading of Recommendation Assessment, Development and Evaluation guideline system. They then developed recommendations (denoted as strong or weak) based on the quality of the evidence, as well as the balance of benefits and harms of the studied interventions, the values and preferences of patients, and resource considerations.

Authors with CRIS profile

Dimitre Staykov Medizinische Fakultät Hagen Huttner Medizinische Fakultät Stefan Schwab Lehrstuhl für Neurologie

Involved external institutions

Thomas Jefferson University US United States (USA) (US) Ohio State University US United States (USA) (US) Ruprecht-Karls-Universität Heidelberg DE Germany (DE) University of North Carolina at Chapel Hill US United States (USA) (US) University of Southern California (USC) US United States (USA) (US) Henry Ford Health System (HFHS) US United States (USA) (US) Ostalb-Klinikum Aalen DE Germany (DE) University of Texas Southwestern Medical Center (UT Southwestern) US United States (USA) (US) Yale University US United States (USA) (US) Universität zu Köln DE Germany (DE) Oregon Health and Science University (OSHU) US United States (USA) (US) Icahn School of Medicine at Mount Sinai US United States (USA) (US) Medical College of Wisconsin (MCW) US United States (USA) (US)

How to cite

APA:

Torbey, M.T., Boesel, J., Rhoney, D.H., Rincon, F., Staykov, D., Amar, A.P.,... Schwab, S. (2015). Evidence-based guidelines for the management of large hemispheric infarction : a statement for health care professionals from the Neurocritical Care Society and the German Society for Neuro-intensive Care and Emergency Medicine. Neurocritical Care, 22(1), 146-64. https://dx.doi.org/10.1007/s12028-014-0085-6

MLA:

Torbey, Michel T., et al. "Evidence-based guidelines for the management of large hemispheric infarction : a statement for health care professionals from the Neurocritical Care Society and the German Society for Neuro-intensive Care and Emergency Medicine." Neurocritical Care 22.1 (2015): 146-64.

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