Professional Documents
Culture Documents
But
before that please allow us to present a 2 min video presentation.
<<<<<<<After sa video>>>>>>>>
1. Neuro ICU is the intensive care unit for patients with life-threatening neurological
(nervous system) diseases. It is a specially designed section of the hospital where patients
with acute life-threatening organ that concerns the brain, spinal cord and nerves that are
damage due to a disease or injury are given more effective and individualized treatmen t.
2. Developed in the 1980's as a subspecialty of intensive care, and have evolved from
larger multidisciplinary ICUs into freestanding unit, not limited only to
postoperative neurosurgical patients but also involving integrated management of
other conditions of the central nervous system and their complications.
3. Now, let’s talk about the Setting and Organization of a Neurocritical Care Unit
An NCCU is considered to be a level III ICU, and should serve as a tertiary referral unit for intensive care
patients, capable of providing comprehensive critical care for an extended period of time. The unit
should preferably be a closed ICU headed by an intensivist who specializes in neurocritical care. The aim
should be to provide long-term care of highest standards with defined protocols and policies. There
should be a sufficient clinical workload and variety of patients to provide the requisite level of clinical
expertise and education of staff, including trainees
Artificial nutrition and hydration- allow patient to receive nutrition and hydration when they
are no longer able to take them by mouth.
CT scan – (of the head) should be performed as soon as possible to detect any condition that
requires immediate neurosurgical intervention.
Artificial nutrition and hydration- allow patient to receive nutrition and hydration when they
are no longer able to take them by mouth.
Bedside chemical analysis – defined as chemical diagnostic testing at or near the point of care,
it utilizes microchemistry instruments potentially offers physicians the opportunity to evaluate
urgent blood test results rapidly and reliably using only drops (250 microL) of whole blood.
Continuous electroencephalographic (EEG) monitoring – allows uninterrupted assessment of
cerebral cortical activity with good spatial resolution and excellent temporal resolution. This, this
procedure provides a means of constantly assessing brain function in critically ill obtunded and
comatose patients.
Neurosurgical Procedures:
Craniotomy for trauma- performed after a traumatic brain injury. It is done to remove a part of
the skull in order to relieve pressure in the area of the brain that swells.
Carotid artery surgery- removal of blockages to retain the normal flow of blood and to
minimize the risk of a stroke. It also helps prevent a transient ischemic attack (TIA).
Major spine surgery/spinal fusion- surgery to permanently connect two or more vertebrae in
the spine, eliminating motion between them. Spinal fusion involves techniques designed to
mimic the normal healing process of broken bones.
Supra- and infratentorial craniotomy for tumor or aneurysm – is a lateral skull base
approach suitable to access the parasellar, parachiasmatic and intrasylvian space. This approach
attempts to minimize brain retraction, an important consideration for surgeons attempting to
reach deep lesions, especially underneath the dominant hemisphere. It may be done for a variety
of reasons, including but not limited to, the following: Diagnosing, removing, or treating brain
tumors.
Cerebral aneurysm repair or tumor resection – used to treat a bulging vessel in the brain that
is at risk of rupturing or tearing open.
Laminectomy – procedure that is used to treat spinal stenosis or pressure on the nerves of the
low back. The surgery involves an incision on the back of the spine that allows the surgeon to
remove bone spurs and thickened ligaments that are pressing on the nerves of the low back.