Neuro Intensive Care

Department of Neuro Intensive Care

Services Offered

• Ventilatory support including prone ventilation.
• Fluid and electrolyte balance.
• Ultrasound guided (USG) central venous line placement.
• Intra arterial blood pressure monitoring.
• Ultrasound (USG) guided fluid resuscitation.
• Lung ultrasound to diagnose lung illnesses like fluid collection, infection and air.
• Echocardiography.
• Intra cranial pressure monitoring (ICP).
• Bronchoscopy- Diagnostic & Therapeutic.

Neurosurgical Intensive Care Unit

• Traumatic Brain Injury: Sedation& pain relief, management of Cerebral oedema (Brain swelling) by appropriate positioning, drugs or by emergency surgery, ICP monitoring, Maintenance of hemodynamic stability(pulse rate, blood pressure) and ventilator support, Fluid and electrolyte balance, nutrition, blood sugar control and infection control.
• Traumatic Spine Injury especially Upper (Cervical) Spinal Cord Injury: Monitor respiration and respiratory assistance (ventilatory support) if necessary, maintenance of hemodynamic stability.
• Subarachnoid Haemorrhage: (bleeding within subarachnoid space, that is area between brain& tissues covering brain due to rupture of blood vessels) Find the cause of haemorrhage (bleed) treat aneurysm or arteriovenous malformation if necessary, monitor for clinical deterioration, manage systemic complications and maintain adequate blood flow to the brain and prevent Vasospasm (narrowing of blood vessels) and bridge patient to definite treatment either by surgery (Clipping) or by Neuro Intervention (Coiling).

Neurological Intensive Care Unit

• Stroke: Airway management, maintenance of blood pressure and brain perfusion pressure to provide adequate blood flow to brain, intravenous fluid management, temperature control, prophylaxis against seizures, nutrition and treatment of medical complications.
• Status Epilepticus: (fits that won”t stop or one fit comes after another without time for the person to recover) Termination of seizures(fits), prevention of seizure recurrence, treatment of cause of seizure, management of complications, monitoring of hemodynamic stability.
• Meningitis & Encephalitis: (infection of coverings of brain& infection of brain)Empirical treatment with antibiotics and maintain hemodynamic stability, airway protection and ventilatory support if needed.
• Neuromuscular Diseases causing respiratory Failure (Guillain Barre Syndrome, Myasthenia): Monitor respiration and respiratory assistance if necessary, maintain hemodynamic stability.

• Neurological Emergency
• Organisation of emergency service at Neuro Foundation

Acute Stroke: Within 3-4 hrs after the onset of stroke, We offer, IV thrombolysis to dissolve the clots in Brain blood vessels or intra arterial thrombolysis or mechanical clot retrieval at Cath lab to restore optimal Brain blood flow at the earliest .

• Seizure or fits that have occurred within 24 hrs or uncontrolled seizures.
• Coma or excessive drowsiness or unconsciousness.- Whatever the reason, will be attended immediately.
• Severe Headache
• Head injury and Spinal injury
• Subarachnoid Haemorrhage
• Brain Tumors with raised intracranial pressure and neurological deficits like weakness of limbs and coma Brain infections like Meningitis and Encephalitis

• The EMR services are run by experienced resident doctors and all essential resuscitation measures like maintenance of BP, airway maintenance for breathing will be done immediately.
• The specialist consultants will visit the patient in 15-20 min and further management will be conducted based on CT/MRI and blood tests.
• All patients presenting to casualty will be evaluated depending on the nature of illness, then are medically managed or surgically managed.