title: Prognosis of neurologic complications in critical illness.
abstract: Neurologic complications of critical illness require extensive clinical and neurophysiologic evaluation to establish a reliable prognosis. Many sequelae of intensive care unit (ICU) treatment, such as delirium and ICU-acquired weakness, although highly associated with adverse outcomes, are less suitable for prognostication, but should rather prompt clinicians to seek previously unnoticed persisting underlying illnesses. Prognostication can be confounded by drug administration particularly because its clearance is abnormal in critical illness. Some neurological complications are severe, and can last for months or years after discharge from ICU. The most important ethical aspects regarding neurologic complications in critically ill patients are prevention, recognition, and identification, and prevention of self-fulfilling prophecies. This chapter summarizes the tool of prognostication of major neurological complications of critical illness.
authors.affiliation: Department of Intensive Care, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Van Der Jagt
authors.affiliation: Department of Intensive Care, Erasmus MC University Medical Center, Rotterdam, The Netherlands. Electronic address: erwinkompanje@me.com.
authors.forename: E J O
authors.initials: EJ
authors.lastname: Kompanje
mesh_terms: D016638:Critical Illness; D006801:Humans; D007362:Intensive Care Units; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000209:etiology*; D011379:Prognosis
keywords: ICU-acquired weakness; PRES; cardiac arrest; coma; delirium; encephalopathy; ethics; liver transplantation; prognosis