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Neurologic complications in the intensive care unit
S Naik-Tolani1, J M Oropello, E Benjamin
1Division of Critical Care Medicine, Mount Sinai Medical Center, City University of New York, New York, USA.
Clinics in Chest Medicine
|July 1, 1999
Summary
Neurologic complications in critically ill patients are common and often missed due to sedation and intubation. These brain issues increase intensive care unit mortality.
Area of Science:
- Critical care medicine
- Neuroscience
- Neurology
Background:
- Neurologic complications are frequent in critically ill patients.
- These complications are often undetected due to sedation and mechanical ventilation.
- Neurologic dysfunction is linked to higher mortality rates in intensive care units.
Purpose of the Study:
- To discuss central nervous system complications in critically ill patients.
- To highlight complications arising from critical illness itself.
- To review complications secondary to intensive care unit therapies.
Main Methods:
- Review of existing literature on neurologic complications in critical care.
- Analysis of factors contributing to underdiagnosis.
- Discussion of the impact of critical illness and therapies on the central nervous system.
Main Results:
- Neurologic complications are underrecognized in intubated and sedated patients.
- Central nervous system issues are associated with increased intensive care unit mortality.
- Both critical illness and therapeutic interventions can cause secondary neurologic complications.
Conclusions:
- Awareness and recognition of neurologic complications are crucial in critical care.
- Further research is needed to improve the detection and management of these complications.
- Addressing neurologic complications may improve outcomes for critically ill patients.