Skip to main content

Care for Complications After Catastrophic Brain Injury

  • Chapter
Neurointensive Care

Abstract

The target of neurocritical care is maintenance of intracranial and systemic (extracranial) homeostasis including prevention, timely detection, and treatment of all systemic complications. These systemic complications could potentially cause secondary brain damage, thereby influencing the mortality and outcome of neurocritically ill patients.

Due to the variety of cases admitted to the neurointensive care unit (NICU), nontraumatic subarachnoid hemorrhage will be taken as an example to describe the complications associated with catastrophic brain injury.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Seder DB, Riker RR, Jagoda A, Smith WS, et al. Emergency neurological life support: airway, ventilation, and sedation. Neurocrit Care. 2012;17:S4–20.

    Article  PubMed  Google Scholar 

  2. Aiyagari V, Deibert E, Diringer M. Hypernatremia in the neurologic intensive care unit: how high is too high? J Crit Care. 2006;21:163–72.

    Article  PubMed  Google Scholar 

  3. Qureshi AI, Suri MF, Sung GY, et al. Prognostic significance of hypernatremia and hyponatremia among patients with aneurysmal subarachnoid hemorrhage. Neurosurgery. 2002;50:749–55.

    Article  PubMed  Google Scholar 

  4. Kellum JA, Bellomo R, Ronco C. The concept of acute kidney injury and the RIFLE criteria. Contrib Nephrol. 2007;156:10–6.

    Article  PubMed  Google Scholar 

  5. Kramer AH, Zygun DA. Anemia and red blood cell transfusion in neurocritical care. Crit Care. 2009;13(3):R89.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Frontera JA, Parra A, Shimbo D, Fernandez A, Schmidt JM, Peter P, et al. Cardiac arrhythmias after subarachnoid hemorrhage: risk factors and impact on outcome. Cerebrovasc Dis. 2008;26:71–8.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Mayer SA, Fink ME, Homma S, Sherman D, LiMandri G, Lennihan L, et al. Cardiac injury associated with neurogenic pulmonary edema following subarachnoid hemorrhage. Neurology. 1994;44:815–20.

    Article  CAS  PubMed  Google Scholar 

  8. Lee VH, Oh JK, Mulvagh SL, Wijdicks EF. Mechanisms in neurogenic stress cardiomyopathy after aneurysmal subarachnoid hemorrhage. Neurocrit Care. 2006;5:243–9.

    Article  PubMed  Google Scholar 

  9. Muroi C, Keller M, Pangalu A, Fortunati M, Yonekawa Y, Keller E. Neurogenic pulmonary edema in patients with subarachnoid hemorrhage. J Neurosurg Anesthesiol. 2008;20:188–92.

    Article  PubMed  Google Scholar 

  10. Wartenberg KE, Mayer SA. Medical complications after subarachnoid hemorrhage: new strategies for prevention and management. Curr Opin Crit Care. 2006;12:78–84.

    Article  PubMed  Google Scholar 

  11. Diringer MN, Bleck TP, Claude Hemphill 3rd J, Menon D, Shutter L, Vespa P, et al. Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the neurocritical care society’s multidisciplinary consensus conference. Neurocrit Care. 2011;15:211–40.

    Article  PubMed  Google Scholar 

  12. Beer R, Lackner P, Pfausler B, Schmutzhard E. Nosocomial ventriculitis and meningitis in neurocritical care patients. J Neurol. 2008;255:1617–24.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vera Spatenkova MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Spatenkova, V., AL-Shirawi, N.N.M. (2015). Care for Complications After Catastrophic Brain Injury. In: Wartenberg, K., Shukri, K., Abdelhak, T. (eds) Neurointensive Care. Springer, Cham. https://doi.org/10.1007/978-3-319-17293-4_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-17293-4_18

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17292-7

  • Online ISBN: 978-3-319-17293-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics