When someone experiences a traumatic brain injury or a massive stroke, timely care from a team of specialists can make all the difference in their recovery. Regional Medical Center’s Neuro-ICU provides these patients a comprehensive post-operative or non operative recovery experience supported by neurological and neurosurgical intensivists, the most advanced technology and monitoring, and educational resources for families and patients.
Regional’s Neuro ICU is staffed 24 X 7 by Neuro Intensivists (physicians with neurocritical care privileges, additional level of training, and certification in critical care medicine) This unit is dedicated to treating stroke patients and patients with other neurological injuries or diseases.
The Neuro ICU provides neuro critical care for the most complex neurological procedures. Patients receive intensive monitoring, and around-the-clock care from a team of clinicians from neurosurgery, neurology, trauma, neuroradiology, anesthesiology, nutrition, pharmacology, physical therapy and social work. Patients typically require a one to two week stay in the Neuro ICU, and are assigned a dedicated nurse for one-on-one care, if appropriate
In severe cases, patients may suffer a hemorrhagic stroke, when an aneurysm ruptures in the brain, or a severe ischemic stroke, when a blood vessel is blocked. For these patients, immediate access to the Neuro-ICU’s state-of-the-art treatments, physician experts and advanced monitoring can dramatically improve survival rates.
Regional’s advanced Neuro ICU equipment permits us to monitor and integrate several measured physiologic and biochemical variables. Such monitoring techniques include transcranial doppler ultrasonography, neuroimaging, intracranial pressure, cerebral perfusion, and cerebral blood flow monitoring, brain tissue oxygen tension monitoring, and continuous electroencephalogram.
Early mobility of Neuro ICU patients is fast becoming an integral tool of our Neuro and all ICU care patterns. Studies have shown that early mobility has been shown to be safe and feasible in critically ill patients. Early mobility decreases days of delirium, days on mechanical ventilation, and ICU and hospital length of stay. Functional outcomes are also improved with early mobility. Early mobility is performed by any part of the interdisciplinary team including nurses, physical therapists, occupational therapists, or physicians. It consists of activities from passive range of motion to ambulation.
Specially Trained Neuro ICU Nurses
Regional’s Registered Nurses that staff the dedicated neuro intensive care beds for our complex stroke patients are experts in:
- Neurologic and cardiovascular assessment
- Nursing assessment and management of ventriculostomy devices (external ventricular pressure monitoring and drainage)
- Treatment of intracranial pressure
- Nursing care of hemorrhagic stroke patients (intracerebral hemorrhage and subarachnoid hemorrhage)
- Nursing care of patients receiving intravenous thrombolytic therapy and intra-arterial thrombolytic therapy
- Management of malignant ischemic stroke with craniectomy
- Use of therapeutic hypothermia & thermoregulation protocols
- Use of intravenous vasopressor, antihypertensive, and positive inotropic agents
- Methods for systemic and intracranial hemodynamic monitoring
- Methods for invasive and non-invasive ventilatory management