大面积脑梗死诊疗指南.pptxVIP

Evidence-Based Guidelines for the Management of LargeHemispheric Infarction;;Airway Management;What are the indications for intubation and extubation in LHI?;What is the best timing for tracheostomy in LHI?;Hyperventilation;Does hyperventilation effectively treat increased ICP in LHI?;Analgesia and Sedation;Should analgesia and/or sedation be administered in LHI patients? If so, which pharmacologic agents should be used?;Are daily wake-up trials recommended?;Gastrointestinal Tract;How should dysphagia be assessed in LHI patients?;When should LHI patients receive a nasogastric tube?;When should LHI patients receive a percutaneous enterogastric tube?;Glucose Control;How should glucose be controlled in LHI patients?;Hemoglobin Control;What is the optimal hemoglobin level in LHI patients?;Deep Venous Thrombosis Prophylaxis;How should deep venous thrombosis (DVT) prophylaxis be administered to LHI patients?;Anticoagulation;If LHI is due to a cardioembolic mechanism or if the patient has high thromboembolic risk, when should anticoagulation be initiated after LHI?;Blood Pressure Management;What is the optimal blood pressure in LHI patients?;Steroid Therapy;Do steroids effectively reduce brain edema in LHI?;Barbiturate Therapy;Do barbiturates effectively treat brain edema in LHI?;Temperature Control;Does hypothermia or normothermia have any role in the management of brain edema after LHI?;Head Position;What is the optimal head position in patients with LHI?;Osmotic Therapy;Does osmotic therapy effectively treat brain edema and improve outcome in LHI?;What are the potential complications associated with the use of these agents?;Neuroimaging by CT and MRI;Can neuroimaging by CT or MRI predict neurological deterioration and ‘‘malignant’’ course after LHI?;Ultrasound;What is the value of transcranial Doppler (TCD) and transcranial color-coded duplex (TCCS) sonography for the prediction of malignant course after LHI?;Evoked Potentials ;Can Evoked Potentials be used to predi