Management of the Pediatric Neurocritical Care Patient

Christopher M Horvat1, Haifa Mtaweh2, Michael J Bell1

  • 1Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

Seminars in Neurology
|December 2, 2016
PubMed

Insights

Pediatric neurocritical care manages acute childhood neurological conditions. This review covers its history, neuromonitoring, and treatments for major central nervous system diseases in children.

Area of Science:

  • Pediatric intensive care
  • Pediatric neurology
  • Neurocritical care

Background:

  • Pediatric neurocritical care is an expanding subspecialty.
  • It addresses acute neurological diseases in pediatric patients.
  • The field requires specialized knowledge and coordinated care.

Purpose of the Study:

  • To provide a historical overview of pediatric neurocritical care.
  • To review current neuromonitoring strategies for children.
  • To summarize management approaches for critical pediatric neurological conditions.

Main Methods:

  • Literature review of pediatric neurocritical care.
  • Synthesis of historical data and current practices.
  • Categorization of major acute childhood central neurologic diseases.

Main Results:

  • The field has evolved significantly, requiring specialized care.
  • Effective neuromonitoring is crucial for pediatric neurocritical care.
  • Management strategies for diverse conditions like intracranial hypertension, seizures, stroke, CNS infections, and hypoxic-ischemic injury were reviewed.

Conclusions:

  • Pediatric neurocritical care is a vital and developing subspecialty.
  • Comprehensive management protocols are essential for optimal outcomes.
  • Continued research and advancements are needed to improve care for critically ill children with neurological conditions.

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