Anesthesia Key

Electrophysiologic Monitoring in the Neurological Intensive Care Unit Monitoring neurological functioning is of paramount importance in the neurological intensive care unit (neuro-ICU). However, even when performed conscientiously, serial neurological examinations…

Persistent Vegetative State and Brain Death The neurointensivist is called on to deal with patients in coma and varying degrees of unresponsiveness perhaps more than any other specialist. These issues…

Fluid and Metabolic Derangements Metabolic derangements are frequent in patients with severe central and peripheral neurological illnesses. These alterations may occur as part of the critical illness itself or as…

Fever and Infections in the Neurological Intensive Care Unit Fever and infection are major concerns in the daily practice of neurocritical care. Recognition of the importance of fever and its…

Cardiovascular Aspects of Neurological Intensive Care A number of interesting cardiovascular problems arise in relation to acute cerebral lesions. Although infrequent, they are unique to this setting and expose the…

Pulmonary Aspects of Neurological Intensive Care Pulmonary disorders are a central feature of the practice of intensive care medicine. Furthermore, they are particularly pertinent because certain types of respiratory failure…

Management of Intracranial Hypertension and Mass Effect For several decades, the management of intracranial hypertension has been a major focus of neurological and neurosurgical critical care. The concepts of intracranial…

Intracranial Physiology and Elevated Intracranial Pressure An understanding of the physiologic changes that result from the addition of a mass to the intracranial vault is essential to the treatment of…

Introduction to Critical Care in Neurology and Neurosurgery THE NATURE OF NEUROLOGICAL-NEUROSURGICAL INTENSIVE CARE The specialized care of neurosurgical and neurological patients, which was virtually nonexistent as a specialty 20…