现代神经科学重症监护病房的历史和临床基础
Jeremy Ader1, Kaitlyn Twomey2, Matthew E Fink1
1Department of Neurology, NewYork-Presbyterian/Weill Cornell Medical Center, New York, New York, USA.
神经危急护理单位 (神经-ICU) 已经取得了重大进展,为神经紧急情况提供专业的监测和管理. 它们的使用与改善患者结果有关,包括降低死亡率和缩短住院时间.
科学领域:
- 神经学 神经学
- 临界护理医学 临界护理医学
- 神经外科 神经外科
背景情况:
- 在过去的40年里,神经临床护理领域经历了巨大的增长.
- 医疗和外科管理的进步改善了神经紧急情况的护理.
研究的目的:
- 描述神经科学重症监护单位 (神经-ICU) 的演变,能力和影响.
- 突出神经ICU中的协作性质和专业资源.
主要方法:
- 神经ICU整合了神经密集体医生和神经外科医生来管理诸如中风和创伤性脑损伤等疾病.
- 专业监测包括侵入性 (ICP,大脑氧化) 和非侵入性 (pupillometry,EEG) 技术.
- 跨学科团队管理医疗并发症,促进康复.
主要成果:
- 神经ICU采用多种模式,从开放到封闭的单位,与不同的密集参与.
- 使用神经ICU与改善患者的治疗结果有关.
- 关键的好处包括较低的死亡率,减少ICU和住院时间,以及更好的功能结果.
结论:
- 神经ICU代表了管理复杂的神经疾病的关键进步.
- 在神经ICU的协作,多学科的方法导致增强患者的康复和生存.
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