Title |
Milrinone and Homeostasis to Treat Cerebral Vasospasm Associated with Subarachnoid Hemorrhage: The Montreal Neurological Hospital Protocol
|
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Published in |
Neurocritical Care, April 2012
|
DOI | 10.1007/s12028-012-9701-5 |
Pubmed ID | |
Authors |
Marcelo Lannes, Jeanne Teitelbaum, Maria del Pilar Cortés, Mauro Cardoso, Mark Angle |
Abstract |
For the treatment of cerebral vasospasm, current therapies have focused on increasing blood flow through blood pressure augmentation, hypervolemia, the use of intra-arterial vasodilators, and angioplasty of proximal cerebral vessels. Through a large case series, we present our experience of treating cerebral vasospasm with a protocol based on maintenance of homeostasis (correction of electrolyte and glucose disturbances, prevention and treatment of hyperthermia, replacement of fluid losses), and the use of intravenous milrinone to improve microcirculation (the Montreal Neurological Hospital protocol). Our objective is to describe the use milrinone in our practice and the neurological outcomes associated with this approach. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 67% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Portugal | 2 | 1% |
Brazil | 2 | 1% |
Netherlands | 1 | <1% |
Iran, Islamic Republic of | 1 | <1% |
Spain | 1 | <1% |
Unknown | 171 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 29 | 16% |
Researcher | 23 | 13% |
Student > Postgraduate | 23 | 13% |
Professor > Associate Professor | 14 | 8% |
Student > Master | 14 | 8% |
Other | 44 | 25% |
Unknown | 31 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 109 | 61% |
Neuroscience | 11 | 6% |
Pharmacology, Toxicology and Pharmaceutical Science | 5 | 3% |
Nursing and Health Professions | 3 | 2% |
Agricultural and Biological Sciences | 3 | 2% |
Other | 9 | 5% |
Unknown | 38 | 21% |