Neurology of Critical Illness

Critical Care Neurology and Neuro Critical Care

Critical care and emergency medicine neurology.

Emergency Treatment of Stroke The past year was highlighted by the implementation of the Paul Coverdell Stroke Registry. This is the first American national effort to assess and facilitate use of recombinant tissue plasminogen activator (rtPA) in the treatment of stroke by promoting quality improvement.1 The registry goal is to reduce the disability associated with stroke. This effort is substa...

Critical illness myopathy.

Critical illness myopathy is one of the causes for failure to wean from ventilator. Although associate factors of dyselectrolytemia is to be ruled out and other causes for failure to wean is to be ruled out before diagnosing critical illness myopathy. Several factors play role in development of this condition. Here we present a case report of a post partum patient where we had encountered failu...

Lactate in critical illness

Lactate measurement in the critically ill has been traditionally used to stratify patients with poor outcome. However, plasma lactate levels are the result of a finely tuned interplay of factors that affect the balance between its production and its clearance. When the oxygen supply does not match its consumption, organisms such as man who are forced to produce ATP for their integrity adapt in ...

Anaemia during critical illness.

Anaemia occurs frequently during critical illness. Recent studies have increased our understanding of how well critically ill patients tolerate anaemia. It is known that anaemia does not result simply from diagnostic and physical blood loss, but is multifactorial in origin. Recently, abnormalities in circulating red cell function have been described that are potentially relevant to efficient ox...