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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2019; 06(03): 182-186
DOI: 10.1055/s-0039-3399475
Review Article
Indian Society of Neuroanaesthesiology and Critical Care

Organization of a Neurointensive Care Unit

Siddharth Chavali 
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Obaid A. Sidiqqi
2   Department of Anaesthesiology, Aligarh Muslim University (AMU), Aligarh, Uttar Pradesh, India
,
Girija P. Rath 
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India
› Author Affiliations
Further Information

Publication History

Received: 14 August 2019

Accepted after revision: 23 September 2019

Publication Date:
20 November 2019 (online)

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Abstract

Although in its infancy as a specialty, neurocritical care is rapidly developing its own niche, with a wide profile of patients—both neurosurgical and those with neurological pathologies. Rapid advances in monitoring technology as well as surgical techniques have led to an increasing number of patients, often presenting with myriad concurrent illnesses, who could be best served if managed by specialist neurointensivists. Neurocritical care units are being developed as free-standing intensive care units in several tertiary care hospitals, and literature regarding their establishment and organization is scant, leading to questions regarding how best to utilize resources to gain maximum benefit. This review aims to outline the challenges that are likely to be faced during establishment of such a unit, and to identify certain issues that are specific to this specialty.

Keywords

neurointensive care - organization - neurosurgery - neurology
 

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