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Evidence-Based Practice of Neuroanesthesia and Neurointensive Care

  • Sriganesh Kamath
  • Suparna Bharadwaj
Chapter

Abstract

Clinicians often face difficulties in decision-making at multiple levels during care of patients in the setting of neuroanesthesia and neurocritical care. The usual questions include “what,” “when,” “how,” “why,” and “who” for any diagnostic or therapeutic interventions in a given patient. The challenges in finding answers to these questions include asking the right question, searching for the right evidence, assessing quality of available evidence, and integrating the best current evidence into clinical practice. These challenges can be overcome by implementing pre-appraised evidence, such as the guidelines, and managing patients in accordance with them where these are available. When these are not available, a structured approach to finding best current evidence and integrating this evidence with clinician experience and patient values is appropriate. In this chapter, we provide a brief overview of evidence-based clinical practice at the beginning and then we inform the current recommendations for common clinical conditions such as traumatic brain injury, stroke, subarachnoid hemorrhage, coma, neuroinfection, epilepsy, acute weakness, and cervical spine injury, at one single place for the benefit of the readers. The topics selected and the guidelines provided are not comprehensive; readers are guided to the references for obtaining more details on each topic.

Keywords

Evidence-based clinical practice Guidelines Traumatic brain injury Stroke Subarachnoid hemorrhage Coma Neuroinfection Status epilepticus Acute weakness Cervical spine injury 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Sriganesh Kamath
    • 1
  • Suparna Bharadwaj
    • 1
  1. 1.National Institute of Mental Health and NeurosciencesBengaluruIndia

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