Neurological consultations in the medical intensive care unit

Neurology in Practice

Volumn 74, Issue 3, 2003, Pages

  Razvi, Saif S M ^a   Bone, Ian ^a  

^a SOUTHERN GENERAL HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AMINOGLYCOSIDE ANTIBIOTIC AGENT; AMINOPHYLLINE; ANTIARRHYTHMIC AGENT; ANTIBIOTIC AGENT; ATRACURIUM; BRONCHODILATING AGENT; CIPROFLOXACIN; CYCLOSPORIN; DIAZEPAM; DOXACURIUM; FLECAINIDE; HALOPERIDOL; IMIPENEM; ISONIAZID; LIDOCAINE; LORAZEPAM; METRONIDAZOLE; MIDAZOLAM; OKT 3; PANCURONIUM; PENICILLIN DERIVATIVE; PROPOFOL; QUINOLINE DERIVED ANTIINFECTIVE AGENT; SEDATIVE AGENT; SUXAMETHONIUM; TACROLIMUS; TERBUTALINE; THEOPHYLLINE DERIVATIVE; UNINDEXED DRUG; VECURONIUM; AUTACOID; INFUSION FLUID; INOTROPIC AGENT; VASOACTIVE AGENT;

ADULT RESPIRATORY DISTRESS SYNDROME; ARTIFICIAL EMBOLISM; ASSISTED VENTILATION; BRAIN DEATH; BRAIN DISEASE; CAUSE OF DEATH; CENTRAL PONTINE MYELINOLYSIS; CLINICAL FEATURE; CONSCIOUSNESS DISORDER; CONSULTATION; DISEASE ASSOCIATION; DISEASE CLASSIFICATION; DRUG HALF LIFE; DRUG MECHANISM; ENDOTRACHEAL TUBE; EYE MOVEMENT; HEPATIC ENCEPHALOPATHY; HOSPITAL ADMISSION; HUMAN; INTENSIVE CARE; MENTAL HEALTH; MORTALITY; MOTOR ACTIVITY; MULTIPLE ORGAN FAILURE; MUSCLE WEAKNESS; MYOPATHY; NEUROLOGIC EXAMINATION; NEUROLOGICAL COMPLICATION; NEUROMUSCULAR BLOCKING; NEUROPATHY; NUCLEAR MAGNETIC RESONANCE IMAGING; POLYNEUROPATHY; PRIORITY JOURNAL; PROGNOSIS; REVIEW; RISK FACTOR; SEDATION; SEIZURE; SENSORY EVALUATION; SEPSIS; SEPTIC SHOCK; SURVIVAL; TREATMENT OUTCOME; UREMIA; ACUTE LUNG INJURY; BRAIN DYSFUNCTION; IMMUNE RESPONSE; INTENSIVE CARE UNIT; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME;

BRAIN DEATH; CONSCIOUSNESS; CRITICAL CARE; HUMANS; INTENSIVE CARE UNITS; NERVOUS SYSTEM DISEASES; NEUROLOGIC EXAMINATION; NEUROLOGY; PATIENT CARE PLANNING; PROGNOSIS; REFERRAL AND CONSULTATION; TERMINOLOGY;

EID: 0141763487     PISSN: 14737086     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (20)

1. Isensee LM, Weiner LJ, Hart RG. Neurologic disorders in a medical intensive care unit: a prospective survey. J Crit Care 1989;4:208-10.
2. Wijdicks EF, Kokmen E, O'Brien PC. Measurement of impaired consciousness in the neurological intensive care unit: a new test. J Neural Neurosurg Psychiatry 1998;64:117-9.
3. Bleck TP, Smith MC, Pierre-Louis SJ, et al. Neurologic complications of critical medical illnesses. Crit Care Med 1993;21:98-103.
4. Towne AR, Waterhouse EJ, Boggs JG, et al. Prevalence of nonconvulsive status epilepticus in comatose patients. Neurology 2000;54:340-5.
5. Shorvan S. The management of status epilepticus. J Neural Neurosurg Psychiatry 2001;70(suppl II):ii22-7.
6. Worthley LJG. Does myoclonus following cardiac arrest indicate a poor prognosis? Critical Care and Resuscitation 2002;4:81-2.
7. Larin S, Nierman DM. Critical illness neuromuscular abnormalities. Crit Care Clin 2002;18:553-68.
8. Leijten FS, Harinck-de Weerd JE, Poortvliet DC, et al. The role of polyneuropathy in motor convalescence after prolonged mechanical ventilation. JAMA 1995;274:1221-5.
9. Zandbergen EG, de Haan RJ, Stoutenbeek CP, et al. Systematic review of early prediction of poor outcome in anoxioischaemic coma. Lancet 1998;352:1808-12.
10. Wijdicks EF. Brain death worldwide: accepted fact but no global consensus in diagnostic criteria. Neurology 2002;58:20-5.
11. Working Party of the Royal College of Physicians, United Kingdom. A code of practice for the diagnosis of brain stem death including guidelines for the identification and management of potential organ and tissue donors. London: Department of Health, 1998. Available online at: www.doh.gov.uk/pdfs/brainstemdeath.pdf
12. Wijdicks EF. Determining brain death in adults. Neurology 1995;45:1003-11. Available online at the American Academy of Neurology: www.aan.com/professionals/practice/pdfs/g10065.pdf
13. Bolton CF, Young GB. The neurological consultation and neurological syndromes in the intensive care unit. Baillieres Clin Neural 1996;5:447-75. Reviews the neurological scenarios encountered on the MICU and provides a useful algorithm for the evaluation of weakness in an MICU patient.
14. Wijdicks EF. Neurologic complications in critically ill patients. Anesth Analg 1996;83:411-19. Enumerates the different disorders leading to depressed consciousness and failure to waken following general anaesthesia.
15. Bolton CF, Young GB, Zochodne DW. The neurological complications of sepsis. Ann Neural 1993;33:94-100. A useful review of the neurological manifestations of sepsis with emphasis on their prevalence, presentation, and management.
16. Edgren E, Hedstrand U, Kelsey S, et al. Assessment of neurological prognosis in comatose survivors of cardiac arrest. BRCT 1 study group. Lancet 1994;342:1055-9. An important study evaluating the usefulness of Glasgow and Glasgow-Pittsburgh coma scores, in predicting outcome in coma following cardiac arrest.
17. Bolton CF. Polyneuropathy and other neuromuscular complications of critical illness.
18. Anzueto A. Muscle dysfunction in the intensive care unit. Clin Chest Med 1999;20:435-52. Discusses the various abnormalities causing muscular weakness on the intensive care unit and provides a thorough account of respiratory muscle assessment.
19. Lacomis D, Giuliani MJ, Van Cott A, et al. Acute myopathy of intensive care: clinical, electromyographic, and pathological aspects. Ann Neural 1996;40:645-54. A study evaluating the clinical, electrodiagnostic, and histopathological features, and the relation to therapeutic agents, in 14 patients with acute myopathic illness on the intensive care unit.
20. Rafanan AL, Kakulavar P, Perl J 2nd, et al. Head computed tomography in medical intensive care unit patients: clinical indications. Crit Care Med 2000;28:1306-9. A study of 297 CT scans in 230 MICU patients demonstrating that the presence of either a neurological deficit or seizures predicts an abnormality on CT scan (sensitivity 0.81).