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British Journal of Anaesthesia 2004 93(6):753-755; doi:10.1093/bja/aeh275
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Editorial I: Neurocritical care: has it come of age?

M. Smith

Tavistock Neurosurgical Intensive Care Unit, Box 30, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London WC1N 3BG, UK E-mail: martin.smith@uclh.org

The first 150 words of the full text of this article appear below.

Neurocritical care is an evolving subspeciality of intensive care medicine that is just beginning to reach maturity.1 It focuses on the care of critically ill patients with primary or secondary neurosurgical and neurological problems and was initially developed to manage postoperative neurosurgical patients. It expanded thereafter to the management of patients with traumatic brain injury (TBI), intracranial haemorrhage and complications of subarachnoid haemorrhage, including vasospasm, elevated intracranial pressure (ICP) and the cardiopulmonary complications of brain injury. More recently, the concept of neurocritical care has further developed to coordinate the management of critically ill neurosurgical and neurological patients within a single specialist unit and to include clinical areas, such as acute ischaemic stroke, that were not traditionally seen as part of its role. Whilst it has been suggested that care in specialized intensive care units (ICUs) is of higher quality than in general units because it focuses on the special needs . . . [Full Text of this Article]


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E-letters:

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Neurocritical Care: has it come of age?
James T Laban
British Journal of Anaesthesia, 27 Mar 2005 [Full text]
Neurocritical care of head injuries: an unsatisfactory state of affairs.
Richard G Fiddian-Green
British Journal of Anaesthesia, 30 Mar 2005 [Full text]