6533b824fe1ef96bd128000d

RESEARCH PRODUCT

Neuro-ICU patient disposition

Fabio Silvio TacconeRafael BadenesFederico BilottaChiara Robba

subject

Traumaticmedicine.medical_specialtyTraumatic brain injuryMEDLINEBrain Injuries; Brain Injuries Traumatic; Clinical Protocols; Humans; Length of Stay; Neurosurgical Procedures; Patient Admission; Postoperative Care; Intensive Care Units; NeurologyCritical Care and Intensive Care MedicineNeurosurgical Procedures03 medical and health sciencesPatient Admission0302 clinical medicineClinical ProtocolsPatient dispositionBrain Injuries TraumaticHumansMedicineStrokeNeuro icuPostoperative Carebusiness.industry030208 emergency & critical care medicineLength of Staymedicine.diseaseIcu admissionIntensive Care UnitsNeurologyBrain InjuriesEmergency medicinebusiness030217 neurology & neurosurgery

description

This article revises the recent evidence on ICU admission criteria for acute neurological patients [traumatic brain injury (TBI) patients, postoperative neurosurgical procedures and stroke].The appropriate utilization of ICU beds is essential, but it is complex and a challenge to attain. To date there are no widely accepted international guidelines for managing these acute brain-injured patients (stroke, TBI, postneurosurgery) in the ICU. The criteria for ICU admission after neurological acute injury, high-dependency unit or a specialized neurosurgical ward vary from institution to institution depending on local structures and characteristics of the available resources. Better evidence to standardize the treatment and the degree of monitoring is needed during neurological acute injury. It is highly recommended to implement clinical vigilance in these patients regardless of their destination (ICU, stroke unit or ward).Currently evidence do not allow to define standardized protocol to guide ICU admission for acute neurological patients (TBI patients, postoperative neurosurgical procedures and stroke).

yearjournalcountryeditionlanguage
2018-01-26Current Opinion in Critical Care
https://doi.org/10.1097/mcc.0000000000000482