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Updated: Jan 10, 2026

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The LINK-Lombardia NeuroIntensive care Network.

Angelo Guglielmi1,2, Francesca Graziano3, Alessia Vargiolu4

  • 1PhD in Experimental Medicine, University of Pavia, Pavia, Italy.

Journal of Anesthesia, Analgesia and Critical Care
|November 29, 2025
PubMed
Summary
This summary is machine-generated.

Neurocritical care in Lombardia is fragmented, with insufficient beds and heterogeneous practices. A new regional network aims to improve care quality, equity, and research for neurocritical patients.

Keywords:
Harmonizing neurointensive care neurointensive/neuroendovascular facilitiesIntegrated Trauma Care SystemItalian National Health SystemLombardia critical careNeurocritical careNeurocritical care networkRegional Health System

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Area of Science:

  • Neurology
  • Critical Care Medicine
  • Health Services Research

Background:

  • Neurocritical care in Lombardia serves over 10 million people but is fragmented and lacks a structured regional network.
  • Existing neurocritical care resources and practices are insufficiently mapped, highlighting a need for evaluation and integration.

Purpose of the Study:

  • To evaluate current neurocritical care resources and identify pathways for integration and development within Lombardia.
  • To assess variations in service delivery and adherence to evidence-based practices across regional hospitals.

Main Methods:

  • A 2024 web-based survey was conducted targeting hospitals with neurosurgical capabilities and intensive care units (ICUs).
  • The survey focused on identifying resource availability, service delivery models, and adherence to best practices in neurocritical care.

Main Results:

  • 19 hospitals responded; 10 (52%) have dedicated neuro-ICUs (85 beds total), while 9 (47%) use general ICUs.
  • Neurosurgical coverage varies (in-house vs. on-call), but neurologists and neuroradiologists are available 24/7.
  • Access to advanced technologies is heterogeneous; centers identified needs for standardized protocols in areas like neuroprognostication and post-discharge care.

Conclusions:

  • Neurocritical care in Lombardia is highly heterogeneous, with bed availability below international standards.
  • A regional network is being established to enhance care quality, equity, research, and collaboration for neurocritical patients.