Our extensive teams of specialists work together to care for patients with a variety of neurological conditions and diseases including stroke, hemorrhage, brain and spine tumors, traumatic brain injury, neuromuscular disorders, and prolonged or continuous seizures.
The unit is staffed by neurointensivists, anesthesiologists, neurosurgeons, nurse practitioners, critical care nurses, and respiratory therapists who are specially trained in critical neurological/neurosurgical disorders.
Our treatment team also includes social workers, physical therapists, speech-language pathologists, occupational therapists, nutritionists, and clinical pharmacologists. This multidisciplinary expertise allows us to create an integrated treatment plan for each patient.
Conditions We Treat
Below is a listing of the conditions treated by the Neuromedicine ICU. These include, but are not limited to:
- Management of high intracranial pressure.
- Intracranial pressure monitoring (intraventricular catheter, Camino monitor) and cerebral perfusion pressure monitoring.
- Insertion and management of advanced neuromonitoring devices for the measurement of brain tissue oxygenation (LICOX), brain perfusion (BOWMAN) and cerebral microdialysis.
- Tilt Table use for Refractory Intracranial Hypertension and Refractory Hypoxemia.
- Management of cerebral vasospasm or cerebral edema.
- Continuous EEG monitoring for status epilepticus.
- Intraventricular tPA in selected IVH cases.
- Intraventricular medications (nicardipine, certain antibiotics) in selected cases.
- Initiation and management of hypothermia therapy.
- Mechanical ventilation (Airway Pressure Release Ventilation [APRV], Bi-vent/Bi-Level, High-frequency Oscillatory Ventilation [HFOV], other traditional modes, non-invasive ventilation, and High Flow Humidified Oxygenation).
- Pulse Oxygenation (Sp02) and Endtidal CO2 monitoring.
- Extracorporeal Membrane Oxygenation (ECMO) in the future.
- Invasive hemodynamic monitoring (i.e. arterial lines, central venous lines, pulmonary artery catheters, continuous cardiac output catheters, ScvO2 catheters).
- Use of bedside ultrasound and ECHO for advanced hemodynamic assessments.
- ECG monitoring.
- Continuous renal replacement therapy (e.g., CAVHD, CVVHD, CVVHDF), hemodialysis, peritoneal dialysis.
- Fluid and electrolyte management.
- Enteral/parenteral nutrition.
- Intra-abdominal bladder pressure monitoring.
- Chest tube and other drain management.
- Wound care/ Wound V.A.C. management.
- Orthopedic stabilization; spinal immobilization.