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Preliminary guideline- and pathophysiology-based protocols for neurocritical care
Yasuhiro Norisue1,2, Yoshihisa Fujimoto1, Kazuma Nakagawa3
1Department of Emergency and Critical Care Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 2790001 Japan.
Journal of Intensive Care
|August 11, 2018
Summary
Standardized protocols for neurocritical care conditions like traumatic brain injury and cardiac arrest can reduce practice variation. These evidence-based guidelines aim to improve patient outcomes in intensive care units.
Area of Science:
- Neurocritical Care
- Clinical Protocols
- Evidence-Based Medicine
Background:
- Neurocritical care often relies on anecdotal experience, leading to global practice variations.
- Standardization of intensive care unit (ICU) practices has demonstrated improved outcomes for critical conditions.
Purpose of the Study:
- To introduce preliminary guideline- and pathophysiology-based protocols for critical neurocritical care scenarios.
- To provide tools for consistent, standardized care in dynamic clinical environments.
Main Methods:
- Review article format.
- Development of protocols based on current guidelines and pathophysiology.
- Focus on six key areas: shivering, traumatic brain injury, neurological prognostication, delayed cerebral ischemia, nonconvulsive status epilepticus, and psychosis/seizure.
Main Results:
- Presentation of preliminary protocols for six critical neurocritical care conditions.
- These protocols offer a framework for standardized bedside management.
Conclusions:
- The proposed protocols may aid bedside clinicians in delivering consistent care.
- Protocols require validation through prospective controlled studies.
- Protocols should be adapted to institutional systems, environments, and clinician preferences.
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