BACKGROUND Episodes of hyperglycemia are considered to be a secondary insult in traumatically brain-injured patients and have been shown to be associated with impaired outcome. Intensive insulin therapy to maintain a strict glucose level has been suggested to decrease morbidity and mortality in critically ill patients but this aggressive insulin treatment has been challenged. One aspect of stri...

PURPOSE To highlight recent advances in neurological and neurosurgical intensive care. DATA SOURCES A MEDLINE search was conducted from January 1980 to August 2000. Keywords included intensive care, head injury, subarachnoid haemorrhage, status epilepticus, myasthenic crisis, Guillain-Barre syndrome and stroke. All articles in English were considered for review. Additional articles were ident...

This paper challenges the current management of acute traumatic spinal cord injury based on our experience with monitoring from the injury site in the neurointensive care unit. We argue that the concept of bony decompression is inadequate. The concept of optimum spinal cord perfusion pressure, which differs between patients, is introduced. Such variability suggests individualized patient treatm...

Sir, Following a neurosurgical intervention, one of the most common systemic problems encountered in the neurointensive care unit (NICU) is intractable fever [1, 2]. The presence of blood either in the cerebral parenchyma, ventricles or subarachnoidal space and endogenous pyrogens as a response to neuronal injury, including surgery and infections, may cause fever. The deleterious effect of hype...

conclusions considering the personal and background characteristics of personnel and understanding their association with stress and stressful situations encompasses the ability to persevere and adapt to contextual stressors. patients and methods in this cross-sectional study, 3643 anonymous questionnaires were disseminated among nurses in different hospitals in tehran, iran, by utilizing multi...