Intensive Care Management of Ischemic Cerebrovascular Disease: New Opportunities and Challenges
Year: 1986
Type: editorial
Abstract: If modern neurological intensive care survives as a special interest in the field of critical care, it will do so by providing effective management for head in- jury and stroke patients.These two common prob-.lems draw upon all of the therapeutic, clinical, and physiologic monitoring techniques that potentially improve outcome in intracerebral catastrophes.It is therefore appropriate that Tegeler and Sher- man's fine review of stroke is the first neurological article in the Journal of Intensive Care Medicine.The authors provide a relatively comprehensive and critical review of ischemic cerebrovascular disease from a neurological point of view.Their diagnostic approach emphasizes the distinctions between several types of strokes-embolic, throm- botic, lacunar, and so on-each requiring separate pathophysiologic consideration and therapy.Several issues in stroke that are relevant to inten- sive care deserve further emphasis.The field of electrophysiologic monitoring of ischemic brain is advancing rapidly.Evoked potential monitoring [ 1- 2] and compressed spectral array (CSA)/electro- encephalographic (EEG) monitoring [1,3-5] are
Author: Allan H. Ropper
Institution: Massachusetts General Hospital
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2014072797