Neurology Critical Care

Neurointensive care is a medical field that is dedicated for the treatment of life-threatening diseases of the nervous system and to identify, prevent/treat secondary brain injury. Critical care neurology is gaining lots of attention because of the importance to understand acute brain injury and interventions which could improve outcomes. Immediate interventions and recognition of the potential cause of deterioration is very crucial. While upgraded monitoring devices offer crucial prognostic indicators, conducting a thorough clinical neurologic investigation is vital in determining the most effective treatment plan. In terms of acute brain injury and in the management of severe Guillain–Barré syndrome monitoring; recent progress has been marked with the use of hypothermia as a therapeutic intervention. Neurocritical care units are a collaborative effort that involves neurosurgeons, neurologists, radiologists, pharmacists, critical care nurses, respiratory therapists, rehabilitation therapists, and social workers who all work together in order to provide coordinated care for the critically ill neurologic patient.

Multimodality monitoring in the neurologic intensive care unit (ICU) involve monitoring of increased intracranial pressure (ICP), microdialysis, brain tissue oxygenation, near infrared spectroscopy, and digital EEG with quantitative analysis or electrocorticography.