Neurocritical care: A distinct discipline?

Current Opinion in Critical Care

Volumn 13, Issue 2, 2007, Pages 115-121

  Rincon, Fred ^a   Mayer, Stephan A ^a,b  

^a NewYork Presbyterian Hospital   (United States)

^b NEUROLOGICAL INSTITUTE   (United States)

Author keywords

Length of stay; Neurocritical care; Outcomes

Indexed keywords

ANTIINFLAMMATORY AGENT; BLOOD CLOTTING FACTOR 7; FIBRINOLYTIC AGENT; NIMODIPINE;

ANGIOPLASTY; BRAIN; BRAIN BLOOD FLOW; BRAIN HEMORRHAGE; BRAIN VASOSPASM; CEREBROVASCULAR ACCIDENT; ELECTROENCEPHALOGRAPHY; HEART ARREST; HUMAN; INDUCED HYPOTHERMIA; INTENSIVE CARE; INTENSIVE CARE UNIT; INTRACRANIAL PRESSURE; LENGTH OF STAY; MEDICAL EDUCATION; MICRODIALYSIS; MONITORING; MORTALITY; NEUROLOGIC DISEASE; POSTOPERATIVE PERIOD; REVIEW; STROKE; SUBARACHNOID HEMORRHAGE; TRAUMATIC BRAIN INJURY;

BRAIN INJURIES; BRAIN ISCHEMIA; CRITICAL CARE; HUMANS; INTRACRANIAL HEMORRHAGES; LENGTH OF STAY; NERVOUS SYSTEM DISEASES; TREATMENT OUTCOME;

EID: 33847312167     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e32808255c6     Document Type: Review

References (33)

1. Ropper AH. Neurological intensive care. Ann Neurol 1992; 32:564-569.
2. Plum F, Posner JB. The diagnosis of stupor and coma. 3rd ed. New York: Oxford University Press; 1982.
3. Pronovost PJ, Angus DC, Dorman T, et al. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 2002; 288:2151-2162.
4. Mirski MA, Chang CW, Cowan R. Impact of a neuroscience intensive care unit on neurosurgical patient outcomes and cost of care: evidence-based support for an intensivist-directed specialty ICU model of care. J Neurosurg Anesthesiol 2001; 13:83-92.
5. Suarez JI. Outcome in neurocritical care: advances in monitoring and treatment and effect of a specialized neurocritical care team. Crit Care Med 2006; 34 (9 Suppl):S232-S238. This is an excellent review of outcomes research evaluating the added value of neurointensivists and dedicated neuro-ICUs.
6. Varelas PN, Eastwood D, Yun HJ, et al. Impact of a neurointensivist on outcomes in patients with head trauma treated in a neurosciences intensive care unit. J Neurosurg 2006; 104:713-719. A reduction in hospital length-of-stay and significant increase in the proportion of patients discharged to home occurred after introduction of a newly appointed neurointensivist, without an appreciable reduction in long-term mortality.
7. Diringer MN, Edwards DF. Admission to a neurologic/neurosurgical intensive care unit is associated with reduced mortality rate after intracerebral hemorrhage. Crit Care Med 2001; 29:635-640.
8. Mayer SA, Kossoff SB. Withdrawal of life support in the neurological intensive care unit. Neurology 1999; 52:1602-1609.
9. Wartenberg KE, Schmidt JM, Claassen J, et al. Impact of medical complications on outcome after subarachnoid hemorrhage. Crit Care Med 2006; 34:617-623. This describes a single-center study of a large patient cohort demonstrating the adverse effects of fever, hyperglycemia, and anemia in patients with subarachnoid hemorrhage.
10. Fakhry SM, Trask AL, Waller MA, Watts DD. Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges. J Trauma 2004; 56:492-499.
11. Patel HC, Menon DK, Tebbs S, et al. Specialist neurocritical care and outcome from head injury. Intensive Care Med 2002; 28:547-553.
12. Elf K, Nilsson P, Enblad P. Outcome after traumatic brain injury improved by an organized secondary insult program and standardized neurointensive care. Crit Care Med 2002; 30:2129-2134.
13. Clayton TJ, Nelson RJ, Manara AR. Reduction in mortality from severe head injury following introduction of a protocol for intensive care management. Br J Anaesth 2004; 93:761-767.
14. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995; 333:1581-1587.
15. Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev 2002; (1):CD000197.
16. Hemphill JC 3rd, Newman J, Zhao S, Johnston SC. Hospital usage of early do-not-resuscitate orders and outcome after intracerebral hemorrhage. Stroke 2004; 35:1130-1134.
17. Becker KJ, Baxter AB, Cohen WA, et al. Withdrawal of support in intracerebral hemorrhage may lead to self-fulfilling prophecies. Neurology 2001; 56:766-772.
18. Qureshi AI, Mohammad YM, Yahia AM, et al. A prospective multicenter study to evaluate the feasibility and safety of aggressive antihypertensive treatment in patients with acute intracerebral hemorrhage. J Intensive Care Med 2005; 20:34-42.
19. Mayer SA, Rincon F. Treatment of intracerebral haemorrhage. Lancet Neurol 2005; 4:662-672.
20. Berman MF, Solomon RA, Mayer SA, et al. Impact of hospital-related factors on outcome after treatment of cerebral aneurysms. Stroke 2003; 34:2200-2207.
21. Solomon RA, Mayer SA, Tarmey JJ. Relationship between the volume of craniotomies for cerebral aneurysm performed at New York state hospitals and in-hospital mortality. Stroke 1996; 27:13-17.
22. Molyneux A, Kerr R, Stratton I, et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 2002; 360:1267-1274.
23. Wilby MJ, Sharp M, Whitfield PC, et al. Cost-effective outcome for treating poor-grade subarachnoid hemorrhage. Stroke 2003; 34:2508-2511.
24. Merchant RM, Soar J, Skrifvars MB, et al. Therapeutic hypothermia utilization among physicians after resuscitation from cardiac arrest. Crit Care Med 2006; 34:1935-1940. This international internet-based survey of 2248 emergency medicine, critical care, and cardiology specialists documents a high rate of unfamiliarity and inexperience with cooling after cardiac arrest.
25. Hypothermia after Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 2002; 346:549-556.
26. Bernard SA, Gray TW, Buist MD, et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 2002; 346:557-563.
27. Eisenburger P, Sterz F, Holzer M, et al. Therapeutic hypothermia after cardiac arrest. Curr Opin Crit Care 2001; 7:184-188.
28. ECC Committee, Subcommittees and Task Forces of the American Heart Association. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112 (24 Suppl):IV1-IV203.
29. Mayer SA, Coplin WM, Chang C, et al. Program requirements for fellowship training in neurological intensive care: United Council for Neurologic Subspecialties guidelines. Neurocritical care 2006; 5:166-171. The authors present formal guidelines for the accreditation of neurocritical care training programs in the United States.
30. Mayer SA, Coplin WM, Chang C, et al. Core curriculum and competencies for advanced training in neurological intensive care: United Council for Neurologic Subspecialties guidelines. Neurocritical care 2006; 5:159-165. This outlines the body of knowledge and procedural competencies required for subspecialist certification in neurocritical care.
31. Mayer SA. Neurological intensive care: emergence of a new specialty. Neurocrit Care 2006; 5:82-84.
32. American College of Critical Care Medicine of the Society of Critical Care Medicine. Guidelines for advanced training for physicians in critical care. Crit Care Med 1997; 25:1601-1607.
33. Kochanek PM, Snyder JV, Sirio CA, et al. Specialty neurointensive care: is it just a name or a way of life? Crit Care Med 2001; 29:692-693.