Building a pediatric neurocritical care program: A multidisciplinary approach to clinical practice and education from the intensive care unit to the outpatient clinic

Mark S. Wainwright*, Michele Grimason, Joshua Goldstein, Craig M. Smith, Catherine Amlie-Lefond, Gadi Revivo, Zehava L. Noah, Zena L. Harris, Leon G. Epstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

We describe our 10-year experience developing the Ruth D. & Ken M. Davee Pediatric Neurocritical Care Program at Northwestern University Feinberg School of Medicine. The neurocritical care team includes intensivists, neurologists, and an advanced practice nurse who have expertise in critical care neurology and who continue care in long-term follow-up of intensive care unit patients in a dedicated neurocritical care outpatient clinic. Brain-directed critical care requires collaboration between intensivists and neurologists with specific expertise in neurocritical care, using protocol-directed consistent care, and physiological measures to protect brain function. The heterogeneity of neurologic disorders in the pediatric intensive care unit requires a background in the relevant basic science and pathophysiology that is beyond the scope of standard neurology or critical care fellowships. To address this need, we also created a fellowship in neurocritical care for intensivists, neurologists, and advanced practice nurses. Last, we discuss the implications for pediatric neurocritical care from the experience of management of pediatric stroke and the development of stroke centers.

Original languageEnglish (US)
Pages (from-to)248-254
Number of pages7
JournalSeminars in pediatric neurology
Volume21
Issue number4
DOIs
StatePublished - Dec 1 2014

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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