Intensive care unit management of patients with stroke

被引：1
作者：
Schulz-Stübner S. [1 ]
机构：
[1] BZH Freiburg, 79106 Freiburg im Breisgau
来源：
Current Treatment Options in Neurology | 2007年 / 9卷 / 6期
关键词：
Brain Natriuretic Peptide; Dexmedetomidine; Nimodipine; Cerebral Perfusion Pressure; Levosimendan;
D O I：
10.1007/s11940-007-0044-z
中图分类号：
学科分类号：
摘要：
Patients admitted with the diagnosis of "stroke" have variety of different disorders that require specific treatment approaches in the critical care unit. Early thrombolysis for ischemic stroke and improvements in surgical and neurointerventional techniques for the treatment of aneurysms and arteriovenous malformations in patients with subarachnoid hemorrhage have been milestones in the past decade, but the evolvement of general management principles in critical care and the dedication of neurointensivists are equally important for improved outcomes. Strategies, which have been developed in other areas of intensive care medicine (eg, in patients with septic shock, acute respiratory distress syndrome, or trauma), need to be adopted and modified for the stroke patient. Prevention of iatrogenic complications and nosocomial infections is of utmost'importance and requires sufficient numbers of trained personnel and high-quality equipment. Although the focus of attention in stroke patients is "brain resuscitation," comorbidities often limit the diagnostic and therapeutic options, and overall cardiopulmonary and metabolic functions need to be optimized in order to prevent secondary injury and allow the brain to recover. As part of a holistic approach to the rehabilitation process, psychologic and spiritual support for the patient must start early on in the intensive care unit, and family members should be involved in the patient's care and provided with special support as well. Copyright © 2007 by Current Medicine Group LLC.
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页码：427 / 441
页数：14
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