Latest Updates

Severe Traumatic Brain Injury

Ryan Martin, MD
    • A multidisciplinary, evidence-based, protocol-directed approach continues to be recommended for the treatment of severe traumatic brain injury.
    • Treatment of severe traumatic brain injury is performed through a systematic, tiered approach, with escalation of therapy in the setting of refractory elevated intracranial pressure.
    • Role of decompressive craniectomy for the control of refractory elevated intracranial pressure remains controversial and is not clearly associated with improved outcomes.
    • Early use of hypothermia to control intracranial pressure is associated with higher rates of mortality.

Cerebral Metabolism and Blood Flow Following Traumatic Brain Injury

Kee D. Kim, MD, Ryan Martin, MD, Kiarash Shahlaie, MD, PhD, Lara Zimmermann, MD, Marike Zwienenberg, MD
    • Following brain injury, mechanisms that match nutrient supply to the cerebral metabolic demand are disrupted, leading to changes in the intracranial pressure, cerebral blood flow, and ischemia.
    • Understanding the concept of cerebral autoregulation and what it means when it is disrupted can help the clinician prevent secondary brain injury and improve patient outcome.

Traumatic Spinal Cord Injury

Kee D. Kim, MD, Ryan Martin, MD, Kiarash Shahlaie, MD, PhD, Lara Zimmermann, MD, Marike Zwienenberg, MD
    • Maintain a mean arterial blood pressure 85-90 mmHg for 7 days following injury.
    • Methylprednisolone is not recommended for treatment of traumatic spinal cord injury.
    • Obtain MRI if incomplete neurologic deficit or findings that do not correlate with CT.

Endovascular Procedures for Lower-extremity Vascular Disease:Basics of Endovascular Intervention

Mark Davies, MD, PhD, MBA, FACS, Lalithapriya Jayakumar, MD
    • Adjuncts to angioplasty and stenting
    • Alternative access for lower extremity angiograms (transpopliteal, pedal, transcollateral)
    • Alternative contrast agents

Endovascular Procedures for Lower-extremity Vascular Disease: Specifics of Endovascular Treatment 

Mark Davies, MD, PhD, MBA, FACS, Lalithapriya Jayakumar, MD
    • Enhanced understanding of pseudoaneurysm and aneurysm endovascular treatment
    • Enhanced technique for accessing occluded bypass grafts

Endovascular Procedures for Lower-extremity Vascular Disease: Specifics of Endovascular Treatment 

Mark Davies, MD, PhD, MBA, FACS, Lalithapriya Jayakumar, MD
    • Enhanced understanding of pseudoaneurysm and aneurysm endovascular treatment
    • Enhanced technique for accessing occluded bypass grafts

Endovascular Procedures for Lower-extremity Vascular Disease:Basics of Endovascular Intervention

Mark Davies, MD, PhD, MBA, FACS, Lalithapriya Jayakumar, MD
    • Adjuncts to angioplasty and stenting
    • Alternative access for lower extremity angiograms (transpopliteal, pedal, transcollateral)
    • Alternative contrast agents

Depressive Disorders: Update on Diagnosis, Etiology, and Treatment

Isabelle E. Bauer, PhD, Marsal Sanches, MD, PhD, Jair C. Soares, MD, Antonio L Teixeira, MD, PhD
    • 2017 Japan Society for Equilibrium Research guideline on classification, diagnostic criteria, and management of benign paroxysmal positional vertigo
    • Latest American Physical Therapy Association guideline on vestibular rehabilitation for peripheral vestibular hypofunction
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