New NICE guidelines on Mx of aneurysmal SAH:

So far a few things have jumped out - recommedation not to use TCD outwith clinical trials, and a general sense of surprise on the lack of contemporary trial evidence for use of nimodipine for DCI prophylaxis.

WRT nimodipine none of the orig trials included the kind of pts i look after in the ICU, many of whom have multi organ dysfucntion.

https://www.nice.org.uk/guidance/ng228

#neuroICU #MedMastodon #criticalcare