Protocols

Neurocritical Care

• Precedex Extubation Part I
• Precedex Extubation Part II
• Status Epilepticus
• Mannitol for ICP Management
• Hypothermia after Cardiac Arrest
• Hypothermia Guideline for the Treatment of Refractory ICP
• Normothermia for Neuro-protection
• Normothermia for Neuro-protection After Cardiac Arrest
• Determination of Brain Death
• Neurological Prognosis after Cardiac Arrest
• Enteral Feeding Gastric Residuals

Intracerebral Hemorrhage

• Adult Intracerebral Hemorrhage
• Inflammatory CAA

Subarachnoid Hemorrhage

• Aneurysmal Subarachnoid Hemorrhage
• Magnesium Sulfate Administration
• Nonaneurysmal Subarachnoid Hemorrhage

Acute Ischemic Stroke

• Acute Stroke Care Unit
• In-House Stroke
• Hemicraniectomy for Large MCA Infarction
• Thrombolysis
  • Pre-Thrombolysis(Pages 2-7)
  • IV t-PA Treatment(Pages 7-8)
  • IV t-PA Administration(Pages 8-14)
  • Protocol for use of IV t-PA in the 3-4.5 hour window(Page 8)
  • Intra-arterial Therapy (IAT)(Pages 16-20 )
  • Endovascular Therapy(Page 15)
  • Blood Pressure Management(Pages 21-22)
  • Management of Bleeding Complications After IV t-PA(Pages 23-24)
  • AntiThrombotic Medications
• Antiplatelet Agents
  • Heparin
  • IV Unfractionated Heparin Dosing
  • Warfarin
  • Indications for Therapy
  • Coumadin (Warfarin)
• Echocardiology Utilization
• Embolic Stroke
• Large Vessel Stroke
• Evaluation of Carotid Stenosis
• Lacunar Stroke
• Stroke due to Other Mechanisms

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The medical information contained in this web site is designed to be used only as a medical and educational reference tool. It is not intended to be used as a diagnostic decision-making system and must not be used to replace or overrule a physician's judgment or diagnosis. The responsibility for decisions regarding actual patient care rests solely with the physician treating a patient. While we try to keep the information as accurate as possible, we disclaim any implied warranty or representation about its accuracy, completeness, or appropriateness for a particular purpose. Please note that the stroke protocols are subject to change without notice, and are not intended for use without concurrent consultation with a Mass General Brigham Acute Stroke Neurologist.

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