A5106033742- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebrovascular and Carotid Artery Diseases
- Cerebrospinal fluid and hydrocephalus
- Respiratory Support and Mechanisms
- Venous Thromboembolism Diagnosis and Management
- Stroke Rehabilitation and Recovery
- Cardiac Arrest and Resuscitation
- Peripheral Artery Disease Management
- Healthcare Decision-Making and Restraints
- Psychiatric care and mental health services
- Intensive Care Unit Cognitive Disorders
- Emergency and Acute Care Studies
- Delphi Technique in Research
- Palliative Care and End-of-Life Issues
- Employment and Welfare Studies
- Intracranial Aneurysms: Treatment and Complications
- Health and Medical Research Impacts
- Birth, Development, and Health
- Intelligent Tutoring Systems and Adaptive Learning
- Circadian rhythm and melatonin
- Migration, Health and Trauma
- Workplace Health and Well-being
- Semantic Web and Ontologies
- Grief, Bereavement, and Mental Health
Riverside Methodist Hospital
2012-2025
OhioHealth
2018-2025
E Ink (South Korea)
2018-2020
Translational Research Institute
2019
The University of Queensland
2019
St. Vincent's University Hospital
2009-2011
Abstract The pupillary light reflex (PLR) describes the response when hits retina and sends a signal (cranial nerve II) to Edinger-Westphal Nucleus which via cranial III results in constriction. Neurological Pupil index TM (NPi) pupil constriction velocity (CV) are two distinct variables that can be observed measured using pupillometer. We examine NPi CV 27,462 readings (1,617 subjects). values <3.0 < 0.8 mm/sec were considered abnormal. Regression was used clarify effect of size...
IntroductionDuring a cerebrovascular procedure, diligent care is made to ensure no air present in lines and connectors. Should enter the cerebral vasculature, emboli can cause worsening neurological outcome or death. This communication outlines how process change of refrigerating mixed heparin for storage lead presence unintentional air, off-gassing fluid.Material & methodThe phenomenon was noted during procedure. Various hypotheses were considered, including manufacturing defect lines,...
External ventricular drain (EVD) placement is a common practice in neurocritical care units. The EVDs are the "gold" standard and most cost-effective treatment for intracranial hypertension hydrocephalus caused by variety of neurological conditions. EVD drains excess cerebrospinal fluid an attempt to maintain balance within cranial vault provides intermittent monitoring pressure. This invasive procedure, as with any other procedures, carries increased risk device-related infection that can...
ABSTRACT BACKGROUND: A change in the pupillary light reflex (PLR) is a sensitive indicator for detecting expanding intracranial lesions. Changes PLR may be prognostic marker patients with The purpose of this analysis was to explore how readings, size, constriction velocity (CV), dilation (DV), Neurologic Pupil Index (NPi), and latency predict clinical outcome subarachnoid hemorrhage. METHODS: This secondary prospectively collected multicenter registry data. within-subject standard deviation...
ABSTRACT BACKGROUND: Automated infrared pupillometry (AIP) has been shown to be helpful in the setting of aneurysmal subarachnoid hemorrhage and stroke as an indicator imminent irreversible brain injury. We postulated that early detection pupillary dysfunction after light stimulation using AIP may useful patients with traumatic injury (TBI). METHODS: performed a retrospective review Establishing Normative Data for Pupillometer Assessment Neuroscience Intensive Care database, prospectively...
The purpose of this paper is to examine an audit that was performed all patients referred a liaison psychiatry inpatient consultation service which sought establish baseline for demographics, type referral, and management referrals, with view introducing improved evidence-based treatments. It also aims timeliness response referrals benchmarked against published standards.All were recorded over six-month period, including diagnosis, referrals. data retrospectively analysed compared...
ABSTRACT BACKGROUND AND PURPOSE: Our organization was experiencing a delay in treatment of large vessel occlusions. With goal door-to-groin puncture less than 90 minutes, our averaging time greater 100 minutes and identified the need for process change. METHODS: A multidisciplinary group formed to map current state define future state. Lean methodology used implement rapid cycle change create standard work. Because this an improvement on process, institutional review board approval not...
The field of neurointerventional radiology (NIR) therapy, including acute ischemic stroke intervention, endovascular intracranial aneurysm management, and treatment intra- extracranial large-vessel disease, has evolved over the past 18 years. To support this specialized advanced care requires nursing standards for staff to provide direct patient in NIR suites intensive management high-risk population. intent paper is a complementary document Stroke Interventional Laboratory Consensus (SILC)...
To enhance nursing staff retention and ensure a consistently high standard of care, study was conducted to determine an appropriate nurse staffing model for neurocritical care unit. In addition being critically ill, these patients often require extensive diagnostic testing treatment. Nurses traveling with leave higher nurse-patient ratios remaining on the unit.Prospective observation used assess relationships between neurologic assessment, documentation, amount time spent patients. Patient...
Patients with alterations in level of consciousness are among the most difficult to assess, so knowledge how assess these patients is important for tracking trends and identifying changes. This article discusses methods used admitted an altered describes neurological assessment potential causes consciousness. Identifying understanding certain examination findings enable faster recognition intervention life-threatening events, directly impacting outcomes neurologically compromised individuals.
Introduction: Many patients are taking antiplatelet medications when an acute stroke occurs. We evaluated the risk of hemorrhage associated with newer, more potent and dual regimens among treated intravenous tissue plasminogen activator (IV-tPA). Methods: Using American Heart Association Get With The Guidelines-Stroke Registry from January 1, 2013 to December, 31 2021, we analyzed data on all ischemic hospitalized IV-tPA. exposure interest was pre-stroke use categorized as none, single...
Steve Potkrajac, BSN RN, is Administrative Nurse Manager, OhioHealth-Riverside Methodist Hospital, Columbus, OH. Keesha Cunningham, MSN-NE Director of Nursing, Questions or comments about this article may be directed to Michelle Hill, MS RN AGCNS-BC CNRN SCRN, at [email protected]. M.H. Stroke Coordinator, The authors declare no conflicts interest.
Background: We sought to determine and validate a pre-reperfusion blood pressure threshold for MCA occlusions patients with better thrombectomy outcomes. Methods: reviewed from 2013 2015 treated M1 occlusion at our center. Blood measurements available records the time of EMS activation reperfusion were used calculate an averaged mean arterial (MAP). All in analysis had successful reperfusion. Our endpoint was mRS ≤2 90 days. The MAP grouped as follows: ≥85mmHg, ≥90mmHg, ≥95mmHg, ≥100mmHg,...
Introduction Medical device health technology assessment (HTA) in Australia is largely coordinated by the Services Advisory Committee (MSAC). Its remit to improve public’s deciding where allocate public healthcare funding, can be enhanced considering real world evidence (RWE). Existing data sources have limitations that addressed through RWE, including coverage of Australian patient populations who may not meet trial eligibility criteria, and long-term follow-up linkage datasets. We...
Introduction In Australia, approximately 200,000 patients have a cardiac implantable electronic device (CIED), and in an aging population that number is rising. CIED-related infections are also increasing, causing considerable morbidity mortality, substantial healthcare costs. Internationally, the rate of CIED infection ranges from 1.0 percent to 1.6 percent, while reported range less than 1 7.0 percent. The average hospital cost treat US between USD48,000–USD83,000. To date, few...