Critical care management of the patient with an acute ischaemic stroke

2021 ◽  
Vol 82 (1) ◽  
pp. 1-9
Author(s):  
Randeep K Mullhi ◽  
Naginder Singh ◽  
Tonny Veenith
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Ischaemic Stroke ◽  
Acute Ischaemic Stroke ◽  
Care Management ◽  
Stroke Units ◽  
Medical Progress ◽  
Critical Care Management ◽  
The Uk

Acute ischaemic stroke is a leading cause of morbidity and mortality worldwide. In the UK alone, there are more than 100 000 strokes per year, causing 38 000 deaths. While the incidence remains high, there has been significant medical progress in reducing mortality following a stroke. Admission of patients to specialised stroke units has led to an improvement in clinical outcomes, but the role of intensive care is less well defined. This article reviews the current critical care management and neuro-therapeutic options after an acute ischaemic stroke.

Emergency and Critical Care Management of Acute Ischaemic Stroke

CNS Drugs ◽  
2014 ◽  
Vol 29 (1) ◽  
pp. 17-28 ◽  
Author(s):  
Stephen A. Figueroa ◽  
Weidan Zhao ◽  
Venkatesh Aiyagari
Keyword(s):  
Critical Care ◽  
Ischaemic Stroke ◽  
Acute Ischaemic Stroke ◽  
Care Management ◽  
Critical Care Management

Critical Care Management of Cerebral Edema in Brain Tumors

2016 ◽  
Vol 32 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Yoshua Esquenazi ◽  
Victor P. Lo ◽  
Kiwon Lee
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Intracranial Pressure ◽  
Brain Tumors ◽  
Cerebral Edema ◽  
Care Management ◽  
Neurological Dysfunction ◽  
Definitive Treatment ◽  
Critical Care Management

Cerebral edema associated with brain tumors is extremely common and can occur in both primary and metastatic tumors. The edema surrounding brain tumors results from leakage of plasma across the vessel wall into the parenchyma secondary to disruption of the blood–brain barrier. The clinical signs of brain tumor edema depend on the location of the tumor as well as the extent of the edema, which often exceeds the mass effect induced by the tumor itself. Uncontrolled cerebral edema may result in increased intracranial pressure and acute herniation syndromes that can result in permanent neurological dysfunction and potentially fatal herniation. Treatment strategies for elevated intracranial pressure consist of general measures, medical interventions, and surgery. Alhough the definitive treatment for the edema may ultimately be surgical resection of the tumor, the impact of the critical care management cannot be underestimated and thus patients must be vigilantly monitored in the intensive care unit. In this review, we discuss the pathology, pathophysiology, and clinical features of patients presenting with cerebral edema. Imaging findings and treatment modalities used in the intensive care unit are also discussed.

Cardiac Pacing in the Intensive Care Unit

2019 ◽  
pp. 435-440
Author(s):  
J. William Schleifer ◽  
Farouk Mookadam ◽  
Harish Ramakrishna
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Care Management ◽  
Cardiac Pacing ◽  
Implantable Cardioverter Defibrillators ◽  
Device Implantation ◽  
Critical Care Management ◽  
Cardioverter Defibrillators

Patients with pacemakers and implantable cardioverter-defibrillators are commonly encountered in the intensive care unit. Knowledge of device function and indications for device implantation and extraction are required for safe perioperative and critical care management.

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