Current Concepts in Brain Resuscitation

  • M. C. Rogers
  • J. R. Kirsch
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine book series (YEARBOOK, volume 1995)


While the initial impetus for intensive care 20 years ago grew out of major advances in cardiac and pulmonary care, the last decade has seen a tremendous interest in neurological intensive care. Several factors have combined to stimulate this interest. First, as intensivists provided better care to sicker patients with cardiac and pulmonary disease, critically ill patients survived more often and a review of their long-term complications noted a significant frequency of neurological problems. Next, as an outgrowth of the Vietnam War, techniques for rapid evacuation of casualties were used to improve treatment for traffic accident victims in the United States. The result was large numbers of hospitalized patients with head injury. Neurosurgical techniques designed to treat head- injured patients, including intracranial pressure (ICP) monitoring [1], became commonplace in tertiary care hospitals. Pharmacologic and physiological treatment for cerebral edema, developed for patients with head injury, was used in medical patients with conditions ranging from Reye’s syndrome [2] to near drowning [3]. As a result, neurological intensive care became a legitimate area of focus in critical care medicine.


Cerebral Ischemia Cerebral Vasospasm Cereb Blood Flow Cerebral Metabolism Global Cerebral Ischemia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Berlin Heidelberg 1995

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  • M. C. Rogers
  • J. R. Kirsch

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