title: Antioxidant strategies in neurocritical care.
abstract: An increase in oxidative stress and overproduction of oxidizing reactive species plays an important role in the pathophysiology of several conditions encountered in the neurocritical care setting including: ischemic and hemorrhagic strokes, traumatic brain injury, acute respiratory distress syndrome, sepsis, and organ failure. The presence of oxidative stress in these conditions is supported by a large body of pre-clinical and clinical studies, and provides a rationale to support a potential therapeutic role for antioxidants. The purpose of this article is to briefly review the basic mechanisms and molecular biology of oxidative stress, summarize its role in critically ill neurological patients, and review available data regarding the potential role of antioxidant strategies in neurocritical care and future directions.
authors.affiliation: Department of Neurology, Divisions of Neurocritical Care, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
authors.forename: Khalid A
authors.initials: KA
authors.lastname: Hanafy
authors.forename: Magdy H
authors.initials: MH
authors.lastname: Selim
mesh_terms: D000975:Antioxidants / Q000494:pharmacology / Q000627:therapeutic use*; D003422:Critical Care / Q000379:methods*; D006801:Humans; D009422:Nervous System Diseases / Q000188:drug therapy* / Q000503:physiopathology*; D018384:Oxidative Stress / Q000187:drug effects* / Q000235:genetics
chemical_list: D000975:Antioxidants