Controversies in neurosciences critical care.
Neurocritical care is an evolving subspecialty with many controversial topics. The focus of this review is (1) transfusion thresholds in patients with acute intracranial bleeding, including packed red blood cell transfusion, platelet transfusion, and reversal of coagulopathy; (2) indications for seizure prophylaxis and choice of antiepileptic agent; and (3) the role of specialized neurocritical care units and specialists in the care of critically ill neurology and neurosurgery patients.
Division of Neurosciences Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, The Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Tiffany R
TR
Chang
Neeraj S
NS
Naval
J Ricardo
JR
Carhuapoma
D000740:Anemia / Q000628:therapy; D000927:Anticonvulsants / Q000627:therapeutic use; D001778:Blood Coagulation Disorders / Q000188:drug therapy; D001791:Blood Platelet Disorders / Q000150:complications / Q000628:therapy; D001803:Blood Transfusion; D003422:Critical Care / Q000379:methods*; D017707:Erythrocyte Transfusion; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D020300:Intracranial Hemorrhages / Q000628:therapy*; D009422:Nervous System Diseases / Q000628:therapy*; D009488:Neurosciences; D012640:Seizures / Q000517:prevention & control
D000927:Anticonvulsants