TY - JOUR
T1 - Building a pediatric neurocritical care program
T2 - A multidisciplinary approach to clinical practice and education from the intensive care unit to the outpatient clinic
AU - Wainwright, Mark S.
AU - Grimason, Michele
AU - Goldstein, Joshua
AU - Smith, Craig M.
AU - Amlie-Lefond, Catherine
AU - Revivo, Gadi
AU - Noah, Zehava L.
AU - Harris, Zena L.
AU - Epstein, Leon G.
N1 - Publisher Copyright:
© 2014 The Authors.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=84923554055&partnerID=8YFLogxK
U2 - 10.1016/j.spen.2014.10.006
DO - 10.1016/j.spen.2014.10.006
M3 - Article
C2 - 25727506
AN - SCOPUS:84923554055
SN - 1071-9091
VL - 21
SP - 248
EP - 254
JO - Seminars in pediatric neurology
JF - Seminars in pediatric neurology
IS - 4
ER -