Neurocritical care: a distinct discipline?

Rincón, Fred; Mayer, Stephan A.

doi:10.1097/mcc.0b013e32808255c6

Cited by 87 publications

(54 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The relation between ICP and PI was estimated by the linear regression equation: ICP = 15.067 + 5.619 x PI, (the increase of (10,16,18,20). It has been demonstrated that waveforms obtained with TCD are affected by both increases of ICP or decreases of CPP.…”

Section: Gura M Et Al: Correlation Of Pulsatility Index With Intracrmentioning

confidence: 99%

Correlation of pulsatility index with intracranial pressure in traumatic brain injury

Güra¹,

Elmacı²,

Sarı³

et al. 2010

Turkish Neurosurgery

View full text Add to dashboard Cite

AIm:In traumatic brain injury (TBI) patients, it is desired to monitor the intracranial pressure (ICP) to assess the cerebral haemodynamics and guide the therapy. The study was designed to see if the pulsatility index (PI) measured by transcranial Doppler ultrasonography (TCD) predicts information about ICP values. mAterIAl and methOds:In 52 TBI patients with Glasgow Coma Scale (GCS) score < 9, invasive intracranial monitoring and TCD ultrasonography for PI were performed through five days. ICP, cerebral perfusion pressure (CPP), PI values were recorded and calculated. The correlation and regression analysis between ICP, PI and CPP were investigated in the whole group and in patients with a Glasgow Outcome Score (GOS) of 3-5. results:The decline in ICP and PI values was significant through five days. The correlation between ICP and PI was strongly significant (p < 0.0001) on days 1, 3 and 5. In patients with a GOS of 3-5, correlation of ICP and PI was also observed. The only significant correlation observed between CPP and PI was on day 5. COnClusIOn:The strong correlation observed between ICP and PI through the management period of TBI patients can lead us to use TCD ultrasonography-derived PI as a guide if invasive monitoring is not available. BulGulAr: ICP ve PI değerlerindeki 5 gün boyunca olan azalma anlamlıdır. ICP ve PI arasındaki korelasyon 1, 3 ve 5. günlerde kuvvetli bir şekilde anlamlı bulunmuştur (p < 0,0001). Glasgow Outcome Skoru (GOS) 3-5 olan hastalarda da ICP ve PI değerlendirilmiştir. CPP ve PI arasındaki tek önemli korelasyon 5. günde tespit edilmiştir. sOnuÇ: ICP ve PI arasında bulunan güçlü korelasyon, tedavinin yönetilmesi için invaziv monitörizasyon yapmanın mümkün olmadığı hastalarda PI değerlerinin kullanılmasına yönlendirebilir.

show abstract

Section: Gura M Et Al: Correlation Of Pulsatility Index With Intracrmentioning

confidence: 99%

Correlation of pulsatility index with intracranial pressure in traumatic brain injury

Güra¹,

Elmacı²,

Sarı³

et al. 2010

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…3 care. The "golden hour" after newborn delivery-a concept that is borrowed from trauma and emergency medicinerefers to the period during which prompt and appropriate supportive care, as well as transfer to a center where definitive care can be provided, will be most likely to prevent death or permanent disability.…”

Section: Resuscitation and Supportive Carementioning

confidence: 99%

“…3 Centers of excellence in the United States and abroad have adapted the principles of neurocritical care (Table 2) to reflect the needs of the developing newborn brain.…”

Section: Introductionmentioning

confidence: 99%

Interdisciplinary Approach to Neurocritical Care in the Intensive Care Nursery

Glass

Rogers

Peloquin

et al. 2014

Seminars in Pediatric Neurology

View full text Add to dashboard Cite

Neurocritical care is a multidisciplinary subspecialty that combines expertise in critical care medicine, neurology, and neurosurgery, and has led to improved outcomes in adults who have critical illnesses. Advances in resuscitation and critical care have led to high rates of survival among neonates with life-threatening conditions such as perinatal asphyxia, extreme prematurity, and congenital malformations. The sequelae of neurologic conditions arising in the neonatal period include lifelong disabilities such as cerebral palsy and epilepsy, as well as intellectual and behavioral disabilities. Centers of excellence have adapted the principles of neurocritical care to reflect the needs of the developing newborn brain, including early involvement of a neurologist for recognition and treatment of neurologic conditions, attention to physiology to help prevent secondary brain injury, a protocol-driven approach for common conditions like seizures and hypoxic-ischemic encephalopathy, and education of specialized teams that use brain monitoring and imaging to evaluate the effect of critical illness on brain function and development. Semin Pediatr Neurol 21:241-247 C 2014 Published by Elsevier Inc.

show abstract

“…These developments have led to improved outcomes in many types of neurological injury and illness and fueled basic science and clinical research that advances patient care [187,188]. The field of pediatric neurocritical care has no doubt been stimulated by these developments.…”

Section: Pediatric Neurocritical Carementioning

confidence: 99%

Pediatric Neurocritical Care

Murphy

2012

Neurotherapeutics

View full text Add to dashboard Cite

Pediatric neurocritical care is an emerging multidisciplinary field of medicine and a new frontier in pediatric critical care and pediatric neurology. Central to pediatric neurocritical care is the goal of improving outcomes in critically ill pediatric patients with neurological illness or injury and limiting secondary brain injury through optimal critical care delivery and the support of brain function. There is a pressing need for evidence based guidelines in pediatric neurocritical care, notably in pediatric traumatic brain injury and pediatric stroke. These diseases have distinct clinical and pathophysiological features that distinguish them from their adult counterparts and prevent the direct translation of the adult experience to pediatric patients. Increased attention is also being paid to the broader application of neuromonitoring and neuroprotective strategies in the pediatric intensive care unit, in both primary neurological and primary non-neurological disease states. Although much can be learned from the adult experience, there are important differences in the critically ill pediatric population and in the circumstances that surround the emergence of neurocritical care in pediatrics.

show abstract

Neurocritical care: a distinct discipline?

Abstract: Neurocritical care is one of the newest subspecialties of medicine and is at the forefront of bringing effective new therapies to patients with life-threatening neurological diseases.

Cited by 87 publications

References 30 publications

Correlation of pulsatility index with intracranial pressure in traumatic brain injury

Correlation of pulsatility index with intracranial pressure in traumatic brain injury

Interdisciplinary Approach to Neurocritical Care in the Intensive Care Nursery

Pediatric Neurocritical Care

Contact Info

Product

Resources

About