Continuum : lifelong learning in neurology
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Continuum (Minneap Minn) · Oct 2015
ReviewDiagnosis and Management of Spontaneous Intracerebral Hemorrhage.
This article updates neurologists on recent insights and management strategies of intracerebral hemorrhage (ICH). ⋯ Measurable progress continues toward establishing effective therapies to improve outcomes in patients with ICH. Blood pressure reduction and reversal of medications that exacerbate bleeding are likely to improve outcomes. Recommendations for neuromonitoring will help clinicians at the bedside attend to the most important abnormalities and optimize later quality of life. This article reviews standards for diagnosis and severity of ICH, monitoring and treatment of complications in the hospital, available interventions, and the measurement of outcomes.
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Continuum (Minneap Minn) · Oct 2015
Case ReportsEthical Aspects of Organ Donation After Circulatory Death.
Neurologists should be familiar with the process and ethical aspects of organ donation. While most neurologists understand the steps involved in organ procurement following brain death, the controversial practice of organ donation after circulatory death (also referred to as non-heart-beating organ donation) is less familiar but increasingly frequent. This article presents a hypothetical case of a patient with a devastating neurologic injury and a poor prognosis for meaningful recovery and discusses the ethical considerations underlying donation after circulatory death, the general procedure of donation after circulatory death, and ethical controversies associated with this practice.