Current trends in neurocritical care: a comprehensive review

Neurocritical care has evolved significantly by integrating technological advances, therapeutic innovations, and multidisciplinary approaches to enhance outcomes in patients with severe neurological conditions. Continuous neuromonitoring using tools like electroencephalogram and intracranial pressur...

Full description

Saved in:
Bibliographic Details
Main Authors: Vinothini Murugaiyan, Kingston Samraj Kirubakaran Jebaraj, Srinivas Kalaiselvan
Format: Article
Language:English
Published: The Korean Neurocritical Care Society 2025-06-01
Series:Journal of Neurocritical Care
Subjects:
Online Access:http://www.e-jnc.org/upload/pdf/jnc-240034.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1839642469302534144
author Vinothini Murugaiyan
Kingston Samraj Kirubakaran Jebaraj
Srinivas Kalaiselvan
author_facet Vinothini Murugaiyan
Kingston Samraj Kirubakaran Jebaraj
Srinivas Kalaiselvan
author_sort Vinothini Murugaiyan
collection DOAJ
description Neurocritical care has evolved significantly by integrating technological advances, therapeutic innovations, and multidisciplinary approaches to enhance outcomes in patients with severe neurological conditions. Continuous neuromonitoring using tools like electroencephalogram and intracranial pressure monitoring offers real-time data on brain function, aiding in the early detection of complications. Additionally, advanced imaging techniques such as functional magnetic resonance imaging and computed tomography perfusion scans have revolutionized the diagnosis and management of traumatic brain injury and stroke. Therapeutic innovations such as targeted temperature management aim to minimize secondary brain damage by controlling the body temperature, and neuroprotective agents are being explored to reduce cellular damage in acute brain injuries. Emerging technologies, including artificial intelligence and wearable devices, are becoming integral to patient monitoring and predictive care models, and telemedicine ensures access to expert consultations, especially in remote settings. These advancements have fostered a multidisciplinary care model in which neurologists, intensivists, and rehabilitation specialists collaborate, using protocol-driven approaches to enhance patient survival and recovery rates. However, challenges, such as resource limitations, ethical dilemmas in end-of-life care, and disparities in access to advanced technologies, persist. Addressing these issues requires ongoing research and investments to ensure equitable and effective care. Looking forward, the field will benefit from optimizing resource utilization, refining neuroprotective strategies, and addressing the ethical considerations that are crucial for the sustainable development of neurocritical care practices.
format Article
id doaj-art-f1b83bd4f9fb4bcb96e4cf2c25e3c150
institution Matheson Library
issn 2005-0348
2508-1349
language English
publishDate 2025-06-01
publisher The Korean Neurocritical Care Society
record_format Article
series Journal of Neurocritical Care
spelling doaj-art-f1b83bd4f9fb4bcb96e4cf2c25e3c1502025-07-02T07:37:35ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492025-06-0118111510.18700/jnc.240034428Current trends in neurocritical care: a comprehensive reviewVinothini Murugaiyan0Kingston Samraj Kirubakaran Jebaraj1Srinivas Kalaiselvan Department of Pharmacy Practice, JKKN College of Pharmacy, Kumarapalayam, India Department of Pharmacy Practice, JKKN College of Pharmacy, Kumarapalayam, IndiaNeurocritical care has evolved significantly by integrating technological advances, therapeutic innovations, and multidisciplinary approaches to enhance outcomes in patients with severe neurological conditions. Continuous neuromonitoring using tools like electroencephalogram and intracranial pressure monitoring offers real-time data on brain function, aiding in the early detection of complications. Additionally, advanced imaging techniques such as functional magnetic resonance imaging and computed tomography perfusion scans have revolutionized the diagnosis and management of traumatic brain injury and stroke. Therapeutic innovations such as targeted temperature management aim to minimize secondary brain damage by controlling the body temperature, and neuroprotective agents are being explored to reduce cellular damage in acute brain injuries. Emerging technologies, including artificial intelligence and wearable devices, are becoming integral to patient monitoring and predictive care models, and telemedicine ensures access to expert consultations, especially in remote settings. These advancements have fostered a multidisciplinary care model in which neurologists, intensivists, and rehabilitation specialists collaborate, using protocol-driven approaches to enhance patient survival and recovery rates. However, challenges, such as resource limitations, ethical dilemmas in end-of-life care, and disparities in access to advanced technologies, persist. Addressing these issues requires ongoing research and investments to ensure equitable and effective care. Looking forward, the field will benefit from optimizing resource utilization, refining neuroprotective strategies, and addressing the ethical considerations that are crucial for the sustainable development of neurocritical care practices.http://www.e-jnc.org/upload/pdf/jnc-240034.pdfcritical careneurologic manifestationsintraoperative neurophysiological monitoringinduced hypothermiatechnologytherapeutics
spellingShingle Vinothini Murugaiyan
Kingston Samraj Kirubakaran Jebaraj
Srinivas Kalaiselvan
Current trends in neurocritical care: a comprehensive review
Journal of Neurocritical Care
critical care
neurologic manifestations
intraoperative neurophysiological monitoring
induced hypothermia
technology
therapeutics
title Current trends in neurocritical care: a comprehensive review
title_full Current trends in neurocritical care: a comprehensive review
title_fullStr Current trends in neurocritical care: a comprehensive review
title_full_unstemmed Current trends in neurocritical care: a comprehensive review
title_short Current trends in neurocritical care: a comprehensive review
title_sort current trends in neurocritical care a comprehensive review
topic critical care
neurologic manifestations
intraoperative neurophysiological monitoring
induced hypothermia
technology
therapeutics
url http://www.e-jnc.org/upload/pdf/jnc-240034.pdf
work_keys_str_mv AT vinothinimurugaiyan currenttrendsinneurocriticalcareacomprehensivereview
AT kingstonsamrajkirubakaranjebaraj currenttrendsinneurocriticalcareacomprehensivereview
AT srinivaskalaiselvan currenttrendsinneurocriticalcareacomprehensivereview