Controversies in neurosciences critical care.
Perhaps the greatest recent controversy in the medical management of complex neurologic and neurosurgical patients has been the defining of the optimal care arena. Despite some early skepticism and measured recognition by the ICU community, neurosciences critical care has grown into a well-recognized subspecialty. Within this environment, the diverse expertise of surgeons, neurologists, and anesthesiologists come together to define best therapeutic strategies. Two neurologic disease states that, in particular, continue to elicit expansive interdisciplinary debate are spontaneous intracerebral hemorrhage and aneurysmal subarachnoid hemorrhage.
Carhuapoma
J Ricardo
JR
Neurosciences Critical Care Division, Department of Neurology, The Johns Hopkins Hospital, 600 North Wolfe Street, Mayer 8-140, Baltimore, MD 21287, USA.
Naval
Neeraj S
NS
Mirski
Marek A
MA
D002543:Cerebral Hemorrhage / Q000401:mortality / Q000628:therapy*; D003422:Critical Care / Q000458:organization & administration; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D002532:Intracranial Aneurysm / Q000150:complications / Q000401:mortality; D009493:Neurosurgery; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000628:therapy*; D015996:Survival Rate; D016896:Treatment Outcome; D020301:Vasospasm, Intracranial / Q000175:diagnosis* / Q000628:therapy; D000078329:Workforce