SBNS :: Protocol & Guidelines

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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 prUpdateevious guidance released in 2007 (CG 46).

Last Updated: 22 June 2018

Legal Aspects of Medical Manslaughter May 2018

Position Statement

General Surgery of Childhood

Working together to improve the local delivery of the General Surgery of Childhood

April 2018 Update

Low Back Pain

National Back and Radicular Pain Pathway - June 2017

National CJD Guidelines
Managing CJD/vCJD risk in Neurosurgery – Post Consultation draft

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.