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Updated: May 20, 2025
Perspectives on Neuroscience
Published on: July 31, 2007
The Evolution of Neurocritical Care Pharmacy: Historical Perspectives and Future Horizons
Denise H Rhoney1, Aaron M Cook2, Karen Berger3
1Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, 325 Beard Hall, Campus Box 7574, Chapel Hill, NC, 27599-7574, USA. drhoney@unc.edu.
Abstract:
This article reviews the history and evolution of the neurocritical care (NCC) pharmacy, a subspecialty of critical care pharmacy that focuses on the care of patients with acute neurological disorders. The origins of NCC pharmacies in the 1960s and 1970s are described, when pharmacists began to participate in patient rounds, clinical pharmacokinetic consults, and translational research with neurosurgeons and neurologists. The article also discusses the current state of NCC pharmacy practice, research, and education, highlighting the role of pharmacists as essential members of the NCC team, the contributions of pharmacists to NCC research and guidelines, and the challenges and opportunities for education and training in this unique subspecialty. Finally, the article envisions the future of NCC pharmacy, emphasizing the need for high expectations, visionary leadership, innovative education models, a robust scientific foundation, and multidisciplinary collaboration to advance NCC pharmacy and improve patient outcomes.
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