Neuro Critical Care

  • Mira Ghneim
  • Deborah M. Stein


The geriatric patient population is expanding at a rate that exceeds the rate of development of geriatric-centered treatment algorithms and multidisciplinary treatment teams. Falls are the most common cause of traumatic brain injury in this patient population, and comorbidities such as atherosclerotic disease and hypertension lead to ischemic and hemorrhagic stroke. Multiple studies have shown that age is an independent risk factor for worsened neurologic outcomes in the setting of both trauma and stroke. With “baby boomers” living longer due to medical advancement, there has been a dramatic shift in the patient population encountered in the intensive care (ICU) across the country. In addition, the aging brain and its physiologic changes present a formidable challenge to the current evidence-based neurocritical care algorithms practiced in the ICU. In this chapter we discuss neurocritical care management guideline of traumatic brain injury and stroke, based on the Brain Trauma Foundation and American Herat Association/American Stroke Association’s recent recommendations, and evaluate recent literature as it relates to the geriatric population.


Elderly TBI Stroke Neurocritical care 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Clinical Assistant Professor, The Department of Surgery, Division of Trauma, Critical Care and Emergency General SurgeryEast Carolina University, Brody School of medicineGreenvilleUSA
  2. 2.Department of SurgeryUniversity of Maryland school of Medicine, R Adams Cowley shock Trauma Center, University of Maryland Medical CenterBaltimoreUSA

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