Which neurocritical care skills support daily work in general critically ill patients?

Submitted: 4 March 2024
Accepted: 19 April 2024
Published: 6 May 2024
Abstract Views: 654
PDF: 23
Supplementary Materials: 0
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

  • Raffaele Aspide r.aspide@isnb.it IRCCS Istituto delle Scienze Neurologiche di Bologna, Anesthesia and Neuro Intensive Care Unit, Bologna, Italy.
  • Carlo Alberto Castioni IRCCS Istituto delle Scienze Neurologiche di Bologna, Anesthesia and Neuro Intensive Care Unit, Bologna, Italy.
  • Alfredo Del Gaudio UOC of Anesthesia and Resuscitation II, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
  • Francesca Rubulotta Department of Critical Care Medicine, McGill University, Montreal, Canada; IWIN Foundation, Agira, Italy.

Intensive Care Medicine is a relatively new discipline that now deals with increasingly complex patients. Aside from the various specificities of the Intensive Care Unit, there are transversal skills that can aid in the care of critically ill patients. Some neurocritical care tools, in particular, deserve adequate dissemination because they have the potential to be useful for a variety of purposes. This manuscript discusses specific indications for electroencephalographic monitoring systems, the use of ultrasonography to measure the diameter of the optic nerve, and, finally, the use of transcranial Doppler. The last two are for the diagnosis or suspicion of intracranial hypertension. Multidisciplinarity and the culture of “patient-centered approach to care” are non-technical skills that are indispensable for quality personalized medicine.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Tempro K, Chang CWJ. The history of neurocritical care as a subspecialty. Crit Care Clin 2023;39:1-15. DOI: https://doi.org/10.1016/j.ccc.2022.06.001
Busl KM, Bleck TP, Varelas PN. Neurocritical care outcomes, research, and technology: a review. JAMA Neurol 2019;76:612-8. DOI: https://doi.org/10.1001/jamaneurol.2018.4407
Chowdhury D, Duggal AK. Intensive care unit models: Do you want them to be open or closed? A critical review. Neurol India 2017;65:39-45. DOI: https://doi.org/10.4103/0028-3886.198205
Rubulotta F, Moreno R, Rhodes A. Intensive care medicine: finding its way in the "European labyrinth". Intensive Care Med 2011;37:1907-12. DOI: https://doi.org/10.1007/s00134-011-2391-1
Kramer AH, Zygun DA. Do neurocritical care units save lives? Measuring the impact of specialized ICUs. Neurocrit Care 2011;14:329-33. DOI: https://doi.org/10.1007/s12028-011-9530-y
Samuels O, Webb A, Culler S, et al. Impact of a dedicated neurocritical care team in treating patients with aneurysmal subarachnoid hemorrhage. Neurocrit Care 2011;14:334-40. DOI: https://doi.org/10.1007/s12028-011-9505-z
Sprung CL, Cohen SL, Sjokvist P, et al. End-of-life practices in European intensive care units: the Ethicus Study. JAMA 2003;290:790-7. DOI: https://doi.org/10.1001/jama.290.6.790
Michelson DJ, Ashwal S. Evaluation of coma and brain death. Semin Pediatr Neurol 2004;11:105-18. DOI: https://doi.org/10.1016/j.spen.2004.03.010
Oddo M, Sandroni C, Citerio G, et al. Quantitative versus standard pupillary light reflex for early prognostication in comatose cardiac arrest patients: an international prospective multicenter double-blinded study. Intensive Care Med 2018;44:2102-11. DOI: https://doi.org/10.1007/s00134-018-5448-6
Abdulmajeed F, Hamandi M, Malaiyandi D, Shutter L. Neurocritical care in the general intensive care unit. Crit Care Clin 2023;39:153-69. DOI: https://doi.org/10.1016/j.ccc.2022.08.003
Rasulo FA, Hopkins P, Lobo FA, et al. Processed electroencephalogram-based monitoring to guide sedation in critically ill adult patients: recommendations from an international expert panel-based consensus. Neurocrit Care 2023;38:296-311. DOI: https://doi.org/10.1007/s12028-022-01565-5
Chen W, Zhang X, Ye X, Ying P. Diagnostic accuracy of optic nerve sheath diameter on ultrasound for the detection of increased intracranial pressure in patients with traumatic brain injury: A systematic review and meta‑analysis. Biomed Rep 2023;19:103. DOI: https://doi.org/10.3892/br.2023.1685
Aspide R, Bertolini G, Albini Riccioli L, et al. A Proposal for a new protocol for sonographic assessment of the optic nerve sheath diameter: The CLOSED Protocol. Neurocrit Care 2020;32:327-32. DOI: https://doi.org/10.1007/s12028-019-00853-x
Moore BT, Osika T, Satterly S, et al. Evaluation of commercially available point-of-care ultrasound for automated optic nerve sheath measurement. Ultrasound J 2023;15:33. DOI: https://doi.org/10.1186/s13089-023-00331-8
Zeiler FA, Ziesmann MT, Goeres P, et al. A unique method for estimating the reliability learning curve of optic nerve sheath diameter ultrasound measurement. Crit Ultrasound J 2016;8:9. DOI: https://doi.org/10.1186/s13089-016-0044-x
Berhanu D, Ferreira JC, Abegão Pinto L, et al. The role of optic nerve sheath ultrasonography in increased intracranial pressure: A systematic review and meta analysis. J Neurol Sci 2023;454:120853. DOI: https://doi.org/10.1016/j.jns.2023.120853
Hawryluk GWJ, Aguilera S, Buki A, et al. A management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC). Intensive Care Med 2019;45:1783-94. DOI: https://doi.org/10.1007/s00134-019-05805-9
Rasulo FA, Calza S, Robba C, et al. Transcranial Doppler as a screening test to exclude intracranial hypertension in brain-injured patients: the IMPRESSIT-2 prospective multicenter international study. Crit Care 2022;26:110. DOI: https://doi.org/10.1186/s13054-022-03978-2
Greenberg SM, Ziai WC, Cordonnier C, et al. 2022 Guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke 2022;53:e282-e361. DOI: https://doi.org/10.1161/STR.0000000000000407
O'Phelan KH, Miller CM. Emergency neurological life support: third edition, updates in the approach to early management of a neurological emergency. Neurocrit Care 2017;27:1-3. DOI: https://doi.org/10.1007/s12028-017-0448-x

How to Cite

Aspide, R., Castioni, C. A., Del Gaudio, A., & Rubulotta, F. (2024). Which neurocritical care skills support daily work in general critically ill patients?. Acute Care Medicine Surgery and Anesthesia, 2(1). https://doi.org/10.4081/amsa.2024.41