Related Experiment Video
Updated: Jan 10, 2026
09:25
Laser Nanosurgery of Cerebellar Axons In Vivo
Published on: July 28, 2014
8.5K
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
Summary
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.
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.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
245
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
245
01:29Drug Delivery: Parenteral Route
1.4K
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
1.4K
01:28Acute Coronary Syndrome IV: Interprofessional Care
200
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
200
01:27Peripheral Artery Disease III: Interprofessional Care
226
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
226