Head Injury
Head Injury Head trauma remains a major health predicament despite extensive preventive efforts. The magnitude of the problem can be appreciated by pointing out that approximately 2 million people suffer…
CRITICAL CARE
Neurological Complications of Critical Medical Illnesses
Neurological Complications of Critical Medical Illnesses There are numerous conditions encountered in intensive care that cause serious neurological dysfunction. Most are somewhat predictably associated with critical illness, or at least…
Postoperative Neurosurgical Care
Postoperative Neurosurgical Care Postoperative cases account for a large number of neurological intensive care unit (neuro-ICU) admissions and in many centers there is a flexible relationship between neurosurgery recovery or…
Persistent Vegetative State and Brain Death
Persistent Vegetative State and Brain Death The neurointensivist is called on to deal with patients in coma and varying degrees of unresponsiveness perhaps more than any other specialist. These issues…
Electrophysiologic Monitoring in the Neurological Intensive Care Unit
Electrophysiologic Monitoring in the Neurological Intensive Care Unit Monitoring neurological functioning is of paramount importance in the neurological intensive care unit (neuro-ICU). However, even when performed conscientiously, serial neurological examinations…
Fluid and Metabolic Derangements
Fluid and Metabolic Derangements Metabolic derangements are frequent in patients with severe central and peripheral neurological illnesses. These alterations may occur as part of the critical illness itself or as…
Fever and Infections in the Neurological Intensive Care Unit
Fever and Infections in the Neurological Intensive Care Unit Fever and infection are major concerns in the daily practice of neurocritical care. Recognition of the importance of fever and its…
Cardiovascular Aspects of Neurological Intensive Care
Cardiovascular Aspects of Neurological Intensive Care A number of interesting cardiovascular problems arise in relation to acute cerebral lesions. Although infrequent, they are unique to this setting and expose the…
Pulmonary Aspects of Neurological Intensive Care
Pulmonary Aspects of Neurological Intensive Care Pulmonary disorders are a central feature of the practice of intensive care medicine. Furthermore, they are particularly pertinent because certain types of respiratory failure…
Management of Intracranial Hypertension and Mass Effect
Management of Intracranial Hypertension and Mass Effect For several decades, the management of intracranial hypertension has been a major focus of neurological and neurosurgical critical care. The concepts of intracranial…
