Neurocritical Care in Neurosurgery
Neurosurgery Clinics of North America
Neurosurgery is a technologically sophisticated interdisciplinary specialty. Neurologic centers of excellence incorporate multidisciplinary approaches, including physicians and medical professionals having diverse expertise. In response, the neurocritical care unit (NCCU) has quickly become the point of care for all patients with severe neurologic injury in the tertiary Neuroscience center. Patients treated in the NCCU include not only ventilated patients but also neurologic patients requiring specific neurologic interventions such as ICP monitoring and hypothermia. This has resulted in a body of knowledge that distinguishes Neurocritical care as a distinct field within critical care, with specialty-trained, neuroscience-focused physicians operating in multidisciplinary teams. As the terrain in clinical neurosciences becomes more complex, the issues surrounding the care of neurosurgical patients becomes more challenging. The proliferation of NCCUs and a still-palpable lack of detailed understanding of the medical management concerns of these patients have fueled the need for a variety of educational forums on this topic.
Original Article: http://www.neurosurgery.theclinics.com/article/PIIS1042368013000089/abstract?rss=yes
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