A5036482905- Traumatic Brain Injury and Neurovascular Disturbances
- Bacterial Infections and Vaccines
- Intracranial Aneurysms: Treatment and Complications
- Nosocomial Infections in ICU
- Data-Driven Disease Surveillance
- Cerebrospinal fluid and hydrocephalus
- Sepsis Diagnosis and Treatment
- Neurosurgical Procedures and Complications
- Head and Neck Surgical Oncology
- Pneumonia and Respiratory Infections
- Intensive Care Unit Cognitive Disorders
- Cerebrovascular and Carotid Artery Diseases
- Vascular Malformations Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Mechanical Circulatory Support Devices
- Emergency and Acute Care Studies
- Antibiotic Resistance in Bacteria
- Pediatric Pain Management Techniques
- Immune Response and Inflammation
- Trauma Management and Diagnosis
- Neonatal and Maternal Infections
- Healthcare Decision-Making and Restraints
- Streptococcal Infections and Treatments
- Neurological Disorders and Treatments
Burdenko Neurosurgery Institute
2013-2023
Abstract Background The impact of infection prevention and control (IPC) programs in limited resource countries such as Russia are largely unknown due to a lack reliable data. aim this study is evaluate the effect an IPC program with respect healthcare associated (HAI) define incidence HAIs Russian ICU. Methods A pioneering was implemented neuro-ICU at Burdenko Neurosurgery Institute 2010 included hand hygiene, surveillance, contact precautions, patient isolation, environmental cleaning...
To determine the incidence rate and risk factors of nosocomial meningitis in patients with complicated postoperative period.We report results prospective observation course bacterial period at neurosurgical intensive care unit 2010-2014.Nosocomial (NM) developed 146 patients, which accounted for 12.6±1.0% (CI, 10.74-14.66). Patients were characterized by longer stay ICU, prolonged mechanical ventilation, need central venous access invasive hemodynamic monitoring, as well antibacterial...
to determine the incidence rate and risk factors for drainage-associated meningitis in neurocritical care patients.The prospective study included 539 patients who spent more than 48 h at Department of Neurocritical Care underwent external ventricular drainage. The were evaluated.Over a 5-year period, 2140 have been hospitalized Critical Intensive (DCIC) h; these, drainage (EVD). Drainage-associated developed 99 patients, which amounted 19.8 (CI 16.3-23.3) per 100 with 18.3 14.3-22.2) 1000...
The study purpose was to analyze the efficacy of intra-arterial administration verapamil (IAV) in treatment angiospasm SAH patients and determine optimal parameters procedure. A number studies demonstrated vasodilators, particular verapamil, after aneurysmal SAH, which served basis for inclusion this method recommended protocol [1-7].We analyzed IAV 35 acute period with 77.2% having a Hunt-Hess score III-V. criteria were as follows: within two weeks SAH; excluded aneurysm; dose per at least...
Treatment of cerebral aneurysms in the acute stage subarachnoid hemorrhage (SRH) especially on background vasospasm continues to be a difficult task.Assessment dynamics surgical treatment results patients with period SRH.A comparative analysis patients' NMRCN Burdenko about aneurysm 1-21 days after was made. The following periods were selected: 2006-2014 (343 patients) and 2015-2018 (356 patients). Most had microsurgical operations both periods. tactics choosing surgery time main difference...
Surgical treatment of patients with cerebral aneurysms still remains one the most important issues cerebrovascular neurosurgery, which is associated both complexity and risks posed by disease. The purpose this publication to discuss recommendations algorithms adopted at Neurosurgical Institute for choosing surgical single multiple intracranial based on clinical course disease anatomical morphological classifications aneurysms. study was a large material: we analyzed outcomes in 1,621...
The first results of intracisternal administration verapamil for the prevention and treatment cerebral vasospasm (CVS) in patients acute period subarachnoid hemorrhage (SAH) after microsurgical clipping aneurysms are presented.Safety assessment method prolonged infusion (PII) verapamil.Over from May 2017 to December 2018, 42 were included study, who underwent aneurysm anterior segments Willis circle. Most (78.6%) operated during 6 days SAH. For each patient, a thin silicone catheter was...
Patients with traumatic brain injury (TBI) are at high risk of infection.To delineate infections in acute period TBI, association between intracranial lesion type and infection, as well to estimate treatment outcomes these patients depending on infection.This study included 104 TBI (80 men 24 women) aged 33.01±14.35 years. All met the inclusion criteria: admission within 72 hours after age 18-75 years, ICU-stay >48 hours, available MRI data. Mild, moderate severe were diagnosed 7%, 11% 82%...
Background. Hyperthermia is a common symptom in ICU patients with brain injury. OBJECTIVE To study the effect of hyperthermia on intracranial pressure (ICP) and cerebral autoregulation (Prx). MATERIAL AND METHODS There were 8 acute injury, signs edema hypertension. Cerebral was assessed by using PRx. ICP, CPP, BP, PRx measured before during hyperthermia. We have analyzed 33 episodes over 38.30 C. Statistica 10.0 (StatSoft) used for statistical analysis. RESULTS Only ICP significantly...
Introduction. Nosocomial meningitis (NM) is one of the leading complications in neurosurgery due to high mortality and disability rates. Objective. The study was aimed determine reference values laboratory parameters diagnose NM neurosurgical patients intensive care unit (ICU). Results. incidence ICU 8.4 (95% CI 6.8–10. 0) per 100 patients. dominant microbial agents were coagulase-negative staphylococci, A. baumannii, K. pneumoniae. We revealed increase leukocytosis, C-reactive protein,...
Nosocomial meningitis (NM) is a serious complication in neurosurgery. Understanding the risk factors of nosocomial important for their prevention.To determine main NM neurological intensive care unit.A prospective study included all patients (n=2140) treated at unit more than 48 hours between October 1, 2010 and 31, 2015. Cases were registered. We analyzed 2 groups (with without NM).The incidence was 8.4% (95% CI 6.8-10.0) (n=180). Relative under external ventricular drainage 3.98 (99 cases...
Nosocomial meningitis (NM) is a life-threatening complication following neurosurgery. Risk factors for NM are subject rigorous investigation.
Bacterial meningitis (BM) is an infectious inflammation of meninges, that may complicate the management neurosurgical patients and should be recognized early.