Ten false beliefs in neurocritical care
Only neurointensivists should care about the brain.
In acute brain injury, the need for specific expertise on central nervous pathophysiology is evident. However, even when the primary reason for ICU admission is extracranial, the brain may be affected too, through inadequate substrate and oxygen delivery, blood–brain barrier leak, harmful effects of sedatives, and excitotoxicity. The resulting spectrum of brain dysfunction includes delirium, encephalopathy, coma, and non-convulsive seizures. Therefore, all intensive care should integrate neurointensive care, with the primary goal to preserve the brain .
Clinical examination of neurocritically ill patients is impossible.
The patient’s clinical state is our most important neuromonitor. Clinical assessment of consciousness, cognition, brainstem, and motor function should be attempted at least upon admission and daily . Sedatives confound neurological examinations, and should be used sparingly in severe brain injuries,...
Compliance with ethical standards
Conflicts of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
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