Critical care management of acute XXXX .

@entity1 @entity64 @entity548 @entity1410 @entity1031 @entity1779 @entity413
OPINION STATEMENT: @entity1779 is a medical emergency. It is the most deadly and disabling form of @entity64 , and no individual therapy has been demonstrated to improve outcome. However, it appears that aggressive medical care in general, and management by neuroscience specialists in particular, offers substantial benefit. Therefore, providing the best supportive care based on currently available evidence may well improve outcomes. Airway management and management of blood pressure aimed at maximizing cerebral perfusion while minimizing ongoing @entity548 , as well as rapid reversal of anticoagulation, are likely to be important in the early phase. Additionally, efforts should be undertaken to provide careful @entity413 management and temperature management and to maximize cerebral perfusion pressure. Selected @entity1 are likely to benefit from external ventricular drainage or even @entity1410 evacuation. Except in rare circumstances, most @entity1 should be managed in a neuroscience intensive care unit during the acute phase. Some @entity1 appear to have no reasonable likelihood of recovery and can be considered for limitations of care such as Do Not Resuscitate orders or Comfort Measures Only orders. However, it can be difficult to accurately predict long-term outcome in the acute phase; formal prognostic tools should be used to offer information to @entity1 and their families. After the @entity548 has stabilized, efforts to minimize complications include @entity1031 prophylaxis, physical therapy, and acute rehabilitation.
