Abstract
This update comprises six important topics under neurocritical care that require reevaluation. For post-cardiac arrest brain injury, the evaluation of the injury and its corresponding therapy, including temperature modulation, is required. Analgosedation for target temperature management is an essential strategy to prevent shivering and minimizes endogenous stress induced by catecholamine surges. For severe traumatic brain injury, the diverse effects of therapeutic hypothermia depend on the complicated pathophysiology of the condition. Continuous electroencephalogram monitoring is an essential tool for detecting nonconvulsive status epilepticus in the intensive care unit (ICU). Neurocritical care, including advanced hemodynamic monitoring, is a fundamental approach for delayed cerebral ischemia following subarachnoid hemorrhage. We must be mindful of the high percentage of ICU patients who may develop sepsis-associated brain dysfunction.
Highlights
Neurocritical care is the intensive care provided to patients with severe neurological and neurosurgical conditions
The aim of this review is to provide an update on neurocritical care in adults
Brain damage after return of spontaneous circulation (ROSC) varies among patients despite their comatose status [14]
Summary
Neurocritical care is the intensive care provided to patients with severe neurological and neurosurgical conditions. Optimal target temperature during TTM corresponding to the post-cardiac arrest brain injury remains to be evaluated, 32–36 °C has been generally adopted [5,6,7]. Neurological signs such as GCS, brain stem reflex, respiratory status, and degree of shivering are potential variables that can be incorporated into a predictive model for a more precise evaluation of brain injury in cardiac arrest survivors undergoing TTM.
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