Update in Neurocritical Care: a summary of the 2018 Paris international conference of the French Society of Intensive Care

Annals of Intensive Care

卷:9

Gérald Chanques¹  Samir Jaber¹  Louis Puybasset²  Mikael Mazighi³  Serge Bracard⁴  Romain Sonneville⁵  Mauro Oddo⁶  Béatrix Clerckx⁷  Janneke Horn⁸  Fabio Silvio Taccone⁹  Bruno Mégarbane¹⁰  Alexandra Mailles¹¹  Anne Godier¹²  Claudio Sandroni¹³  Alain Cariou¹⁴  Boris Jung¹⁵  Tarek Sharshar¹⁶  Nicolas Weiss¹⁷  Giuseppe Citerio¹⁸  Bertrand Godeau¹⁹  Khaldoun Kuteifan²⁰  Hervé Outin²¹  Marc Leone²² 

[1] Department of Anaesthesia and Intensive Care, Montpellier Saint Eloi University Hospital, and PhyMedExp, University of Montpellier, INSERM, CNRS;

[2] Department of Anesthesia and Intensive Care, Pitié-Salpetrière Hospital;

[3] Department of Diagnostic and Interventional Neuroradiology, Rothschild Foundation;

[4] Department of Diagnostic and Interventional Neuroradiology, University of Lorraine and University Hospital of Nancy;

[5] Department of Intensive Care Medicine and Infectious Diseases, Hôpital Bichat-Claude, Université Paris Diderot;

[6] Department of Intensive Care Medicine, CHUV-Lausanne University Hospital;

[7] Department of Intensive Care Medicine, University Hospitals Leuven;

[8] Department of Intensive Care, Academic Medical Center, University of Amsterdam;

[9] Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles (ULB);

[10] Department of Medical and Toxicological Critical Care, Lariboisière Hospital;

[11] ESGIB, ESCMID Study Group for Infectious Diseases of the Brain, Santé Publique France;

[12] Fondation Adolphe de Rothschild, Department of Anesthesiology and Intensive Care, Paris Descartes University;

[13] Istituto Anestesiologia e Rianimazione Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCCS;

[14] Medical Intensive Care Unit, Cochin Hospital, Université Paris Descartes;

[15] Medical Intensive Care Unit, Montpellier Teaching Hospital, PhyMedex, University of Montpellier;

[16] Medical and Surgical Neurointensive Care Centre, Hospital Sainte Anne;

[17] Neurocritical Care Unit, Department of Neurology, Assistance Publique – Hôpitaux de Paris, La Pitié-Salpêtrière University Hospital, Sorbonne Université;

[18] School of Medicine and Surgery, University of Milan-Bicocca;

[19] Service de Médecine Interne, Centre de Référence des Cytopénies Auto-Immunes de l’Adulte, Hôpital Henri-Mondor;

[20] Service de Réanimation Médicale, GHRSMA;

[21] Service de Réanimation Médico-Chirurgicale, CHI de Poissy-Saint Germain en Laye;

[22] Service d’Anesthésie et de Réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université;

关键词: Neurocritical care;    Neurointensive care;    Expert review;    Update;    Brain injury;    Delirium;   

DOI  :  10.1186/s13613-019-0523-x

来源: DOAJ

【 摘 要 】

Abstract The 2018 Paris Intensive Care symposium entitled “Update in Neurocritical Care” was organized in Paris, June 21–22, 2018, under the auspices of the French Intensive Care Society. This 2-day post-graduate educational symposium comprised several chapters, aiming first to provide all-board intensivists with current standards for the clinical assessment of altered consciousness states (including coma and delirium) and peripheral nervous system in critically ill patients, monitoring of brain function (specifically, electro-encephalography) and best practices for sedation—analgesia—delirium management. An update on the treatment of specific severe brain pathologies—including ischaemic/haemorrhagic stroke, cerebral venous thrombosis, hypoxic-ischaemic brain injury, immune-mediated and infectious encephalitis and refractory status epilepticus—was also provided. Finally, we discuss how to approach some difficult decisions, namely the role of decompressive craniectomy and prognostication models in patients with head injury. For each chapter, the scope of the present review was to provide important issues and key messages, provide most recent and relevant literature in the field, and briefly describe new developments in the field.

【 授权许可】

Unknown