The Next Frontier in Neurocritical Care in

Critical care clinics · Oct 2022

Review

The Next Frontier in Neurocritical Care in Resource-Constrained Settings.

Neurocritical care (NCC) is an emerging field within critical care medicine, reflecting the widespread prevalence of neurologic injury in critically ill patients. Morbidity and mortality from neurocritical illness (NCI) have been reduced substantially in resource-rich settings (RRS), owing to the development of advanced technologies, neuro-specific units, and subspecialized medical training. Despite shouldering much of the burden of NCI worldwide, resource-limited settings (RLS) face immense hurdles when implementing guidelines generated in RRS. This review summarizes the current epidemiology, management, and outcomes of the most common NCIs in RLS and offers commentary on future directions in NCC practiced in RLS.

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- Madiha Raees, Beverly Cheserem, Benjamin Mutiso, Tsegazeab Laeke, and Brian Jason Brotherton.
- Division of Critical Care Medicine, Department of Anesthesia and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Wood Building 6107, Philadelphia, PA 19104, USA. Electronic address: raeesm@chop.edu.
- Crit Care Clin. 2022 Oct 1; 38 (4): 721-745.
AbstractNeurocritical care (NCC) is an emerging field within critical care medicine, reflecting the widespread prevalence of neurologic injury in critically ill patients. Morbidity and mortality from neurocritical illness (NCI) have been reduced substantially in resource-rich settings (RRS), owing to the development of advanced technologies, neuro-specific units, and subspecialized medical training. Despite shouldering much of the burden of NCI worldwide, resource-limited settings (RLS) face immense hurdles when implementing guidelines generated in RRS. This review summarizes the current epidemiology, management, and outcomes of the most common NCIs in RLS and offers commentary on future directions in NCC practiced in RLS.Copyright © 2022 Elsevier Inc. All rights reserved.

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The Next Frontier in Neurocritical Care in Resource-Constrained Settings.

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