Nursing Care in the Neurointensive Care Unit

  • Marc-Alain BabiEmail author


Neurocritical care specialty units (neurointensive care units) have emerged as a distinct medical subspecialty and discipline, integrating complex critical care medicine, neurosurgical care, and neurological care with the goal of interdisciplinary and multidisciplinary care of complex life-threatening central and peripheral nervous system disorders. As the field continues to evolve, a multidisciplinary team approach and management are paramount for the key role patient care optimization. In turn, a well-run neurocritical care unit is ideally staffed by trained neurointensivist physicians, which may hail from different disciplines such as neurology, neurosurgery anesthesia, or critical care medicine. Tantamount to this, nurse staff trained in critical care with a major emphasis on neurological and neurosurgical patients care management is essential for a safe and optimal care of such patients.


Neurocritical care unit Neurointensive care unit System of care 


  1. 1.
    Rincon F, Mayer SA. Neurocritical care: a distinct discipline? Curr Opin Crit Care. 2007;13:115–21.CrossRefGoogle Scholar
  2. 2.
    Lower JS, Ganz B, Diringer MN. Organizing nursing care in a neurocritical care unit. In: Hacke W, Hanley DF, Einhäupl KM, Bleck TP, Diringer MN, Ropper AH, editors. Neurocritical care. Heidelberg: Springer; 1994.Google Scholar
  3. 3.
    Tsaousi G, Bilotta F. Do a neurocritical care unit requires dedicated nurse staff? J Nurs Care. 2015;4:e128.Google Scholar
  4. 4.
    Siegemund M, Steiner LA. Postoperative care of the neurosurgical patient. Curr Opin Anaesthesiol. 2015;28(5):487–93.CrossRefGoogle Scholar
  5. 5.
    Kurtz P, Fitts V, Sumer Z, Jalon H, Cooke J, et al. How does care differ for neurological patients admitted to a neurocritical care unit versus a general ICU? Neurocrit Care. 2011;15:477–80.CrossRefGoogle Scholar
  6. 6.
    Bilotta F, Lauretta MP, Borozdina A, Mizikov VM, Rosa G. Postoperative delirium: risk factors, diagnosis and perioperative care. Minerva Anestesiol. 2013;79:1066–76.PubMedGoogle Scholar
  7. 7.
    Le Roux P, Menon DK, Citerio G, et al. Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine. Intensive Care Med. 2014;40:1189–209.CrossRefGoogle Scholar
  8. 8.
    Basali A, Mascha EJ, Kalfas I, et al. Relation between perioperative hypertension and intracranial hemorrhage after craniotomy. Anesthesiology. 2000;93:48–54.CrossRefGoogle Scholar
  9. 9.
    Fox J, Gelb AW, Enns J, Murkin JM, Farrar JK, et al. The responsiveness of cerebral blood flow to changes in arterial carbon dioxide is maintained during propofol-nitrous oxide anesthesia in humans. Anesthesiology. 1992;77:453–6.CrossRefGoogle Scholar
  10. 10.
    Bilotta F, Rosa G. Glucose management in the neurosurgical patient: are we yet any closer? Curr Opin Anaesthesiol. 2010;23:539–43.CrossRefGoogle Scholar
  11. 11.
    Bilotta F, Rosa G. Glycemia management in critical care patients. World J Diabetes. 2012;3:130–4.CrossRefGoogle Scholar
  12. 12.
    Gupta P, Suarez JI. Neurocritical care. In: Kass JS, Mizrahi EM, editors. Neurology secrets. 6th ed. Philadelphia: Elsevier; 2017.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of NeurologyUniversity of FloridaGainesvilleUSA

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