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To apply for SBNS membership click the link below and visit our application page.

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Patient Information

SBNS is unable to give medical advice or recommend neurosurgeons. Please use an appropriate support group or your GP.

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Become a Neurosurgeon

The management of neurosurgical patients requires excellent medical and surgical skills, a career in Neurosurgery offers many challenges and rewards.

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NICE GUIDELINES 

Nice Guidelines

Head Injury Jan 2014

Changes from the previous guideline are sumnmarised as follows:
1. All adults and children on warfarin with head injury should now have a CT head scan within 8 hours of injury – even where no LOC / amnesia have occurred.
2. There is a reduction in the indications for CT head scan in children, replaced  with a period of observation for single medium risk features in otherwise well children (hx of vomiting, loc > 5 minutes, amnesia, abnormal drowsiness, dangerous MOI). 
3. CT of the cervical spine has replaced plain films as the primary investigation in: (i)alert and stable  adults and children with head injury and suspicion of C spine injury where there is focal neurology or paraesthesia in extremities, (ii) and for  alert and stable adults with head injury and  suspicion of C spine injury who are over 65 or who have a dangerous MOI

Head Injury Nov 2007
Head Injury June 2003

Preoperative tests June 2003
Percutaneous vertebroplasty Sept 2003
Deep brain stimulation for Parkinson's disease Nov 2003
Endoscopic transphenoidal pituitary adenoma resection Dec 2003
Vagal nerve stimulator for epilepsy in children Mar 2004
Auditory brainstem implants Jan 2005
Coil embolisation of ruptured intracranial aneurysms Jan 2005
Lumbar subcutaneous shunt July 2004
Selective peripheral denervation of cervical dystonia Aug 2004
Stereotactic radiosurgery for trigeminal neuralgia Aug 2004
Subthalamotomy for Parkinson's disease June 2004
Supraorbital minicraniotomy for cerebral aneurysms Aug 2004
Temozolomide Nov 2002
Direct C1 lateral mass screw Dec 2005                                                      
Preoperative tests June 2003
Percutaneous vertebroplasty Sept 2003
Deep brain stimulation for Parkinson's disease Nov 2003
Endoscopic transphenoidal pituitary adenoma resection Dec 2003
Vagal nerve stimulator for epilepsy in children Mar 2004
Auditory brainstem implants Jan 2005
Coil embolisation of ruptured intracranial aneurysms Jan 2005
Lumbar subcutaneous shunt July 2004
Selective peripheral denervation of cervical dystonia Aug 2004
Stereotactic radiosurgery for trigeminal neuralgia Aug 2004
Subthalamotomy for Parkinson's disease June 2004
Supraorbital minicraniotomy for cerebral aneurysms Aug 2004
Temozolomide Nov 2002
Direct C1 lateral mass screw Dec 2005                                                         

National clinical guideline for stroke, 3rd edition
Prepared by the Royal College of Physicians Intercollegiate Stroke Working Party

This much-anticipated third edition of the stroke guideline provides readers with the most comprehensive coverage of stroke care to date, encompassing the whole stroke pathway from acute care through to longer-term rehabilitation and secondary prevention. It informs health professionals about what kind of care should be delivered to stroke patients and how this should be organised, with the aim of improving the quality of care for anyone who suffers a stroke, regardless of age, gender, type of stroke or location. http://www.rcplondon.ac.uk/pubs/brochure.aspx?e=250

Stroke: National clinical guideline for diagnosis and
initial management of acute stroke and transient ischaemic attack
(TIA) Prepared by the NCC-CC

 This guideline covers interventions in the acute stage of a stroke (acute stroke) or TIA. Most of the evidence considered relates to interventions in the first 48 hours after onset of symptoms, although some interventions of up to 2 weeks are covered as well. The guideline is a stand-alone document, but is designed to be read alongside the Intercollegiate Stroke Working Party guideline, which incorporates all the recommendations made in this guideline. http://www.rcplondon.ac.uk/pubs/brochure.aspx?e=254

Venous Thromboembolism - New NICE Guideline
(CG 92) - January 2010 

This Guidance was released by NICE at the end of January 2010 and deals with prevention of VTE and PE in patients admitted to hospital (http://www.nice.org.uk/nicemedia/pdf/CG92FullGuideline.pdf). 

The section relating to Neurosurgical patients are on pages 278 to 289 and Spinal injuries on Pages 324 to 332.  This guidance replaces the previous guidance released in 2007 (CG 46). 

Last Updated: 27 March 2017

National CJD Guidelines
Managing CJD/vCJD risk in Neurosurgery – Post Consultation draft pdf_icon.gif  March 2017

A review of the NICE CJD guidance 2006 (IPG 196 ) - Minimise transmission risk of CJD and vCJD in healthcare settings is scheduled. Until the outcome of this review is known, the advice set in the 2006 guidance remains current and is reflected throughout  the joint DH/SBNS/NICE document above. There is an algorithm on page 15.

Surgical Forum of Great Britain and Ireland held on the 25th January 2016

pdf_icon.gif Choosing Wisely in Surgery

 


Position Satements

NASGBI & SBNS August  2014

pdf_icon.gif Joint position statement by the Councils of the Neuroanaesthesia Society of Great Britain and Ireland (NASGBI) and the Society of British Neurological Surgeons (SBNS) with regards to the calculation of cerebral perfusion pressure in the management of traumatic brain injury 

Published by British Journal of Anaesthesia, 2015

http://bja.oxfordjournals.org/cgi/content/full/aev233?
ijkey=oJ42lVhfDkzz938&keytype=ref 

 

webpage_icon.gif Antibiotics and Low Back Pain July 2012

Professor C Greenough MD MChir FRCS
National Clinic Director – Spinal Disorders

webpage_icon.gif Complex regional pain syndrome guidelines  Launched in June 2012 on the RCP website and endorsed by the SBNS

webpage_icon.gif Joint Statement regarding the provision of emergency paediatric neurosurgery Aug 2010

NCEPOD

webpage_icon.gif NCEPOD - Trauma: Who Cares? Nov 2007

webpage_icon.gif NCEPOD - Trauma - Who Cares? Executive Summary - Nov 2007

webpage_icon.gif NCEPOD - Trauma Who Cares? Self Assessment tool

Spinal cord stimulator for pain

webpage_icon.gif Surgeon's Information
webpage_icon.gif Patient Information

webpage_icon.gif The initial care and transfer of patients with spinal cord injuries


GUIDELINES 

Acoustic Neuroma

webpage_icon.gif Clinical Effectiveness Guidelines

Concussion

pdf_icon.gif Concussion Guidelines for the Education Sector June 2015

Management of cardiac arrest during neurosurgery in adults
March 2015 

pdf_icon.gif  Guidelines for Healthcare Providers

Prolonged Disorders of Consciousness Report
12 December 2013

pdf_icon.gifProlonged_Disorders_of_Consciousness_Report_12_December_2013.pdf

You can download the guidelines and associated material free from the RCP website:
webpage_icon.gif http://www.rcplondon.ac.uk/resources/prolonged-disorders-consciousness-national-clinical-guidelines

National Service Framework for Long Term Conditions

webpage_icon.gif National service framework for long term conditions 
March 2005 

Mental Act

 Mental Capacity Act  
Professor Paul Marks, BA,LLM,MD,FRCS 
Leeds General Infirmary and Leeds Metropolitan University Law School