Current concepts in neurocritical care.
The current concepts in neurocritical care including advancement in therapeutic interventions and monitoring modalities are covered for four entities: stroke, subarachnoid hemorrhage, traumatic brain injury and spinal cord injury. Although therapies were mainly supportive in the past, acute ischemic stroke may now be treated with tissue plasminogen activator if inclusion and exclusion criteria are met. The management of subarachnoid hemorrhage including cerebral vasospasm is discussed in detail. Traumatic brain injury and spinal cord injury with prevention of secondary injury to limit further sequelae are also covered. Medical complications which increase morbidity and mortality are also presented.
Fahy
Brenda G
BG
Department of Anesthesiology, University of Maryland Medical System, 22 S. Greene Street, Suite S11C00, Baltimore, MD 21201, USA. bfahy@anesthesia.ummc.umaryland.edu
Sivaraman
Vadivelu
V
D001930:Brain Injuries / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004630:Emergencies; D006801:Humans; D013119:Spinal Cord Injuries / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D020521:Stroke / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis / Q000628:therapy*