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Furthermore, many PSCs are likely capable of providing maximal management to stroke patients and may reserve transfer for those who need additional services available only at a CSC [3, 4].
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Surgery is reserved for those patients who continue to have symptoms despite maximal nonoperative management.
Mechanical hearts are implanted only after maximal medical management has failed.
Despite maximal medical management pruritus often persists and has a detrimental effect on quality of life.
OBJECT: Cerebral vasospasm that is caused by aneurysmal subarachnoid hemorrhage and that is refractory to maximal medical management can be treated with selective intraarterial papaverine infusions.
Despite maximal medical management, such as dehydration and pentobarbital coma, there is still a high risk of morbidity and death in patients with traumatic BS [ 1- 3, 5, 7].
Although CRS is not a life-threatening disease, not all patients are cured or achieve control of their symptoms, even with maximal medical management or surgical intervention.
For the subset of patients with severe HF who are not candidates for HT, DT has been shown to be superior to maximal medical management.
Maximal medical management included three to six weeks of antibiotic therapy, inhaled and/or systemic corticosteroids, decongestants as appropriate, and saline irrigations.
One patient with suprarenal carcinoma developed G3 fatigue, nausea and vomiting on the first day of treatment despite maximal medical management.
Grade 3 hypertension or symptomatic grade 2 hypertension that persisted more than 21 days after holding S despite maximal medical management was also considered a DLT.
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