Publications by authors named "J Pudil"
Background: Critical care of patients on extracorporeal membrane oxygenation (ECMO) with acute brain injury (ABI) is notable for a lack of high-quality clinical evidence. Here, we offer guidelines for neurological care (neurological monitoring and management) of adults during and after ECMO support.
Methods: These guidelines are based on clinical practice consensus recommendations and scientific statements.
Background: The initial rhythm is a known predictor of survival in extracorporeal cardiopulmonary resuscitation (ECPR) patients. However, the effect of the rhythm at hospital admission on outcomes in these patients is less clear.
Methods: This observational, single-center study assessed the influence of the rhythm at hospital admission on 30-day survival and neurological outcomes at discharge in patients who underwent ECPR for out-of-hospital cardiac arrest (OHCA).
Article Synopsis
- Conservative treatments for chronic pancreatitis are often ineffective, while surgery has better long-term outcomes even in early disease stages.
- A study analyzed the safety and outcomes of two surgical options: pancreaticoduodenectomy and duodenum-preserving pancreatic head resection, using patient data from 2014 to 2022.
- Results showed low overall mortality (3%) for both procedures, but duodenum-preserving surgery had faster operation times and no mortality, making it a potentially preferable option for patients.
Article Synopsis
- - The text discusses the lack of strong clinical evidence in the critical care of ECMO patients with acute brain injury (ABI) and presents guidelines for their neurological care.
- - Guidelines were developed using input from an international panel of 30 ECMO experts through a structured voting process, focusing on five key clinical areas.
- - The consensus emphasizes the importance of early detection and intervention for ABI in ECMO patients to improve health outcomes and outlines multiple recommendations to guide clinical practice and highlight research needs.