Current advances in neurocritical care  

作　　者：Yuqing Chen Shuya Wang Shanshan Xu Ningyuan Xu Linlin Zhang Jianxin Zhou 

机构地区：[1]Department of Critical Care Unit,Beijing Tiantan Hospital,Capital Medical University,Beijing,China [2]Department of Critical Care Medicine,Beijing Shijitan Hospital,Capital Medical University,Beijing,China

出　　处：《Journal of Intensive Medicine》2025年第1期23-31,共9页重症医学(英文)

摘　　要：This review summarizes the current research advances and guideline updates in neurocritical care. For the therapy of ischemic stroke, the extended treatment time window for thrombectomy and the emergence of novel thrombolytic agents and strategies have brought greater hope for patient recovery. Minimally invasive hematoma evacuation and goal-directed bundled management have shown clinical benefits in treating cerebral hemorrhage. In the treatment of aneurysmal subarachnoid hemorrhage (aSAH), early lumbar drainage can reduce the risk of infarction. Decompressive craniectomy for severe traumatic brain injury has also obtained high-quality evidence support. However, multimodal brain monitoring strategies for patients with traumatic brain injury need further optimization. For patients with cardiac arrest, extracorporeal cardiopulmonary resuscitation can reduce in-hospital mortality and improve long-term neurological prognosis. For neurocritical care patients, abundant high-quality studies have emerged in areas including multimodal neuromonitoring, hemodynamic management, airway management and respiratory therapy, and antiepileptic treatment. In 2023, the guidelines for aSAH have been updated for the first time in the past decade, aiming to provide evidence-based practice recommendations for clinical care. Chinese expert consensuses have also been formulated to guide analgesia and sedation for neurocritical care patients and developed a set of medical quality indicators on neurocritical care, which will enhance standardization and homogenization improvement in neurocritical care quality.

关 键 词：Neurocritical care Intracerebral hemorrhage Traumaticbrain injury Subarachnoid hemorrhage Cardiac arrest Endovascular therapy 

分 类 号：R459.7[医药卫生—急诊医学] R741[医药卫生—治疗学]