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Total 130875 results found since Jan 2013.

Pediatric Neurocritical Care: A Neurology Consultation Model and Implication for Education and Training
We describe a model of service using a Neurology Consulting Team in the intensive care unit setting. Medical records were reviewed from a 32-month cohort of Neurology Consulting Team referrals. Six hundred eighty-nine (19%) of 3719 patients admitted to the intensive care unit were assessed by the team. The most common diagnostic categories were seizures, neurosurgical, cerebrovascular, or central nervous system infection. Fifty-seven percent (350 of 615 patients) required mechanical ventilation. Cohort mortality was 7% vs 2% for the general intensive care population (P
Source: Pediatric Neurology - February 18, 2013 Category: Neurology Authors: Kerri L. LaRovere, Robert J. Graham, Robert C. Tasker, The Pediatric Critical Nervous System Program (pCNSp) Tags: Original Articles Source Type: research

The practice of pediatric neurocritical care by the child neurologist.
Pediatric neurocritical care has emerged as a defined subspecialty in child neurology and requires a collaborative effort among the child neurologist, pediatric critical care medicine specialist and the pediatric neurosurgeon. Pediatric neurocritical care has evolved differently in children than in adults and its delivery depends upon the local resources available for pediatric care. This paper reviews the current practice of pediatric neurocritical care by the child neurologist: where it is practiced, how it is practiced, the disorders encountered (that differ from adult neurocritical care), the training required to care ...
Source: Seminars in Pediatric Neurology - December 12, 2014 Category: Neurology Authors: James J. Riviello, Cherylee Chang Source Type: research

The Practice of Pediatric Neurocritical Care by the Child Neurologist
This article reviews the current practice of pediatric NCC by child neurologists: where it is practiced, how it is practiced, the disorders encountered (that differ from adult NCC), the training required to care for these disorders, and what is needed for the future of pediatric NCC.
Source: Seminars in Pediatric Neurology - December 12, 2014 Category: Neurology Authors: James J. Riviello, Cherylee Chang Source Type: research

A Perspective from the Neurocritical Care Society and the Society of Critical Care Medicine: Team-Based Care for Neurological Critical Illness
AbstractThe Neurocritical Care Society and the Society of Critical Care Medicine have worked together to create a perspective regarding theStandards of Neurologic Critical Care Units (Moheet et al. in Neurocrit Care 29:145 –160, 2018). The most neurologically ill or injured patients warrant the highest standard of care available; this supports the need for defining and establishing specialized neurological critical care units. Rather than interpreting the Standards as being exclusionary, it is most appropriate to em brace them in the setting of team-based care. Since there are many more patients than there are highly spe...
Source: Neurocritical Care - February 9, 2020 Category: Neurology Source Type: research

Posterior Reversible Encephalopathy Syndrome: Incidence and Associated Factors in a Pediatric Critical Care Population
Abstract: Background: Posterior reversible encephalopathy syndrome may occur frequently and be underrecognized in children and young adults admitted to a pediatric critical care unit.Methods: Patients
Source: Pediatric Neurology - August 5, 2013 Category: Neurology Authors: Shashi Raj, Philip Overby, Amichai Erdfarb, H. Michael Ushay Tags: Original Articles Source Type: research

Pediatric Neurocritical Care: A Short Survey of Current Perceptions and Practices
Conclusions PNCC programs are not uncommon; however, there is not clear agreement on the optimal role or benefit of this area of practice sub-specialization. A broader dialog should be undertaken regarding the emerging practice of pediatric neurocritical care, the potential benefits and drawbacks of this partitioning of neurology and critical care medicine practice, economic and other practical factors, the organization of clinical support services, and the formalization of training and certification pathways for sub-specialization.
Source: Neurocritical Care - February 19, 2015 Category: Neurology Source Type: research

Pediatric Neurocritical Care: From Field to Follow-up
Over the last few decades pediatric care has become increasingly subspecialized as the breadth and depth of knowledge of how to care for children expands. Pediatric critical care emerged as a subspecialty in the 1980 ’s. More recently, pediatric neurocritical care has gained momentum as its own subspecialty focused on managing acute neurologic diseases and injuries (Glass et al. 2010; LaRovere& Riviello 2008). As providers have established important clinical pathways for improving patient care and neurologic outcomes in the pediatric intensive care unit (PICU) (Riviello et al.
Source: Pediatric Neurology - October 18, 2019 Category: Neurology Authors: R éjean M. Guerriero, Kristin P. Guilliams Tags: Editorial Source Type: research

Electrographic seizures in pediatric ICU patients: Cohort study of risk factors and mortality
Conclusions: Electrographic seizures are common among children in the pediatric intensive care unit, particularly those with specific risk factors. Electrographic status epilepticus occurs in more than one-third of children with electrographic seizures and is associated with higher in-hospital mortality.
Source: Neurology - July 22, 2013 Category: Neurology Authors: Abend, N. S., Arndt, D. H., Carpenter, J. L., Chapman, K. E., Cornett, K. M., Gallentine, W. B., Giza, C. C., Goldstein, J. L., Hahn, C. D., Lerner, J. T., Loddenkemper, T., Matsumoto, J. H., McBain, K., Nash, K. B., Payne, E., Sanchez, S. M., Fernandez, Tags: All Pediatric, Critical care, Status epilepticus, Epilepsy monitoring ARTICLE Source Type: research

Pediatric Neurocritical Care: Maximizing Neurodevelopmental Outcomes Through Specialty Care
The field of pediatric neurocritical care (PNCC) has expanded and evolved over the last 3 decades. As mortality from pediatric critical care illness has declined, morbidity from neurodevelopmental disorders has expanded. PNCC clinicians have adopted a multidisciplinary approach to rapidly identify neurological injury, implement neuroprotective therapies, minimize secondary neurological insults, and establish transitions of care, all with the goal of improving neurocognitive outcomes for their patients.
Source: Pediatric Neurology - August 14, 2023 Category: Neurology Authors: Becky J. Riggs, Jessica L. Carpenter Source Type: research

Critical Care Course of Patients with Acute Basilar Artery Occlusion (P1.097)
CONCLUSIONS: Despite recent advances BAO patients continue to have complicated ICU stay. NIHSS predicts ICU complications while age predicts withdrawal of care.Disclosure: Dr. Chalela has nothing to disclose. Dr. Asi has nothing to disclose. Dr. Gomes has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Chalela, J., Asi, K., Gomes, J. Tags: Neuroepidemiology: Cerebrovascular Disease, Critical Care, Epilepsy, Child Neurology, and Sleep Source Type: research

Neurologic Complications in the Pediatric Intensive Care Unit
This article discusses an approach to the recognition and management of seizures, stroke, and cardiac arrest as complications of other critical illnesses in the pediatric intensive care unit.RECENT FINDINGSConvulsive and nonconvulsive seizures occur frequently in children after cardiac arrest or traumatic brain injury and during extracorporeal membrane oxygenation. Seizures may add to neurologic morbidity, and continuous EEG monitoring is needed for up to 24 hours for detection. Hypothermia has not been shown to improve outcome after cardiac arrest in children, but targeted temperature management with controlled normotherm...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2018 Category: Neurology Tags: Review Articles Source Type: research

Building a Pediatric Neurocritical Care Program: A Multidisciplinary Approach to Clinical Practice and Education from the ICU to the Outpatient Clinic
We describe our 10-year experience developing the Ruth D. & Ken M. Davee Pediatric Neurocritical Care Program at Northwestern University Feinberg School of Medicine. The neurocritical care team includes intensivists and neurologists and an advanced practice nurse who have expertise in critical care neurology, and who continue care in long-term follow up of ICU patients in a dedicated neurocritical care outpatient clinic. Brain-directed critical care requires collaboration between intensivists and neurologists with specific expertise in neurocritical care, using protocol-directed consistent care, and physiologic measures to...
Source: Seminars in Pediatric Neurology - October 31, 2014 Category: Neurology Authors: Mark S. Wainwright, Michele Grimason, Joshua Goldstein, Craig M. Smith, Catherine Amlie-Lefond, Gadi Revivo, Zehava L. Noah, Zena L. Harris, Leon G. Epstein Source Type: research

Pediatric neurocritical care in the 21st century: from empiricism to evidence.
Abstract PURPOSE OF REVIEW: Approximately one in five children admitted to a pediatric ICU have a new central nervous system injury or a neurological complication of their critical illness. The spectrum of neurologic insults in children is diverse and clinical practice is largely empirical, as few randomized, controlled trials have been reported. This lack of data poses a substantial challenge to the practice of pediatric neurocritical care (PNCC). PNCC has emerged as a novel subspecialty, and its presence is expanding within tertiary care centers. This review highlights the recent advances in the field, with a fo...
Source: Epilepsy Curr - February 9, 2016 Category: Neurology Authors: Wainwright MS, Hansen G, Piantino J Tags: Curr Opin Crit Care Source Type: research

Interdisciplinary Approach to Neurocritical Care in the Intensive Care Nursery
Neurocritical care is a multidisciplinary subspecialty that combines expertise in critical care medicine, neurology, and neurosurgery, and has led to improved outcomes in adults who suffer critical illnesses. Advances in resuscitation and critical care have led to high rates of survival among neonates with life-threatening conditions such as perinatal asphyxia, extreme prematurity, and congenital malformations. Sequelae of neurological conditions arising in the neonatal period include lifelong disabilities such as cerebral palsy and epilepsy, as well as intellectual and behavioral disabilities.
Source: Seminars in Pediatric Neurology - October 27, 2014 Category: Neurology Authors: Hannah C. Glass, Elizabeth E. Rogers, Susan Peloquin, Sonia L. Bonifacio Source Type: research

Pediatric neurocritical care
This article summarizes the complexity of pediatric neurocritical care by presenting examples of diagnostic and therapeutic approaches in the context of various neurological diseases that can be routinely encountered in the pediatric intensive care unit and can only be successfully treated by multidisciplinary teams.PMID:36645451 | DOI:10.1007/s00115-022-01424-w
Source: Der Nervenarzt - January 16, 2023 Category: Neurology Authors: Nora Bruns Ulrike Schara-Schmidt Christian Dohna-Schwake Source Type: research