Intensive and Postoperative Care of Intracranial Tumors Although patients who have just been operated on for tumor occupy a large proportion of beds in many neurological intensive care units (neuro-ICUs),…
Subarachnoid Hemorrhage Subarachnoid hemorrhage (SAH) represents a small portion of cerebrovascular disease, but accounts for a significant amount of stroke morbidity and mortality. The annual incidence of nontraumatic SAH is…
Management of Nontraumatic Brain Hemorrhage The third most common cause of death in the United States is cerebrovascular disease, and 10% to 15% of strokes are intracerebral hemorrhages (ICH). There…
Critical Care of Acute Stroke The intensivist is in a position to make substantial contributions to the care of stroke patients. The problem of clinically serious and anatomically large stroke…
Head Injury Head trauma remains a major health predicament despite extensive preventive efforts. The magnitude of the problem can be appreciated by pointing out that approximately 2 million people suffer…
Neurological Complications of Critical Medical Illnesses There are numerous conditions encountered in intensive care that cause serious neurological dysfunction. Most are somewhat predictably associated with critical illness, or at least…
Postoperative Neurosurgical Care Postoperative cases account for a large number of neurological intensive care unit (neuro-ICU) admissions and in many centers there is a flexible relationship between neurosurgery recovery or…
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…
