Rebleeding and vasospasm after subarachnoid hemorrhage: a critical care challenge.
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Biomedical subjects
Publications and source records attributed to K L Rusy.
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Recent advances in the neurosciences have made temporal lobectomy a promising alternative for refractory seizures. Reportedly, postoperative seizure frequency decreases 95%. Specific criteria are used to determine a patient's suitability for surgery. Localization of the epileptogenic focus progresses from a series of noninvasive to gradually more invasive procedures. Pre- and postoperative management requires skilled nursing care. The nurse plays a vital role in patient and family education, observation and documentation of clinical events, physical care and psychological support.
Transcranial Doppler (TCD) is an expanding noninvasive technology used in a wide array of patients with altered neurological states for assessing cerebral hemodynamic status. The critical care nurse who is familiar with the principles of TCD can assist with the procedure and assessment of results. Including the TCD results with her or his other neurological assessment data will identify the first signs of cranial circulatory changes and improve patient outcome.