The Next Frontier in Neurocritical Care in Resource-Constrained Settings

Madiha Raees¹, Beverly Cheserem², Benjamin Mutiso³, Tsegazeab Laeke⁴, Brian Jason Brotherton⁵

Affiliations

¹ Division of Critical Care Medicine, Department of Anesthesia and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Wood Building 6107, Philadelphia, PA 19104, USA. Electronic address: raeesm@chop.edu.
² Department of Neurosurgery, Aga Khan University Hospital, 3rd Parklands Avenue, Limuru Road, P.O. Box 30270 - 00100. Nairobi, Kenya.
³ Department of Neurosurgery, University of Nairobi, Kenyatta National Hospital, Ngong Road, P O BOX 20, Nairobi, Kijabe 00220, Kenya.
⁴ Division of Neurosurgery, Department of Surgery, College of Health Sciences, Addis Ababa University, 0000 0001 1250 5688, grid.7123.7, P.O. Box 9086, Churchill Avenue, Addis Ababa, Ethiopia; Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Jonas Lies veg 87, N-5021 Bergen, Norway; NIHR Global Health Research Group on Neurotrauma, Division of Neurosurgery, Box 167, Cambridge Biomedical Campus, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK, CB2 0QQ.
⁵ Department of Critical Care, AIC Kijabe Hospital, PO Box 20, Kijabe 00220, Kenya; Department of Critical Care Medicine, University of Pittsburgh School of Medicine, 3550 Terrace Street, Scaife Hall Suite 600, Pittsburgh, PA 15213, USA.

PMID: 36162907
DOI: 10.1016/j.ccc.2022.06.016

Review

The Next Frontier in Neurocritical Care in Resource-Constrained Settings

Madiha Raees et al. Crit Care Clin. 2022 Oct.

. 2022 Oct;38(4):721-745.

doi: 10.1016/j.ccc.2022.06.016.

Authors

Madiha Raees¹, Beverly Cheserem², Benjamin Mutiso³, Tsegazeab Laeke⁴, Brian Jason Brotherton⁵

Affiliations

¹ Division of Critical Care Medicine, Department of Anesthesia and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Wood Building 6107, Philadelphia, PA 19104, USA. Electronic address: raeesm@chop.edu.
² Department of Neurosurgery, Aga Khan University Hospital, 3rd Parklands Avenue, Limuru Road, P.O. Box 30270 - 00100. Nairobi, Kenya.
³ Department of Neurosurgery, University of Nairobi, Kenyatta National Hospital, Ngong Road, P O BOX 20, Nairobi, Kijabe 00220, Kenya.
⁴ Division of Neurosurgery, Department of Surgery, College of Health Sciences, Addis Ababa University, 0000 0001 1250 5688, grid.7123.7, P.O. Box 9086, Churchill Avenue, Addis Ababa, Ethiopia; Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Jonas Lies veg 87, N-5021 Bergen, Norway; NIHR Global Health Research Group on Neurotrauma, Division of Neurosurgery, Box 167, Cambridge Biomedical Campus, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK, CB2 0QQ.
⁵ Department of Critical Care, AIC Kijabe Hospital, PO Box 20, Kijabe 00220, Kenya; Department of Critical Care Medicine, University of Pittsburgh School of Medicine, 3550 Terrace Street, Scaife Hall Suite 600, Pittsburgh, PA 15213, USA.

PMID: 36162907
DOI: 10.1016/j.ccc.2022.06.016

Abstract

Neurocritical care (NCC) is an emerging field within critical care medicine, reflecting the widespread prevalence of neurologic injury in critically ill patients. Morbidity and mortality from neurocritical illness (NCI) have been reduced substantially in resource-rich settings (RRS), owing to the development of advanced technologies, neuro-specific units, and subspecialized medical training. Despite shouldering much of the burden of NCI worldwide, resource-limited settings (RLS) face immense hurdles when implementing guidelines generated in RRS. This review summarizes the current epidemiology, management, and outcomes of the most common NCIs in RLS and offers commentary on future directions in NCC practiced in RLS.

Keywords: Asphyxia neonatorum; Critical care; Global health; Infection; Neurocritical care; Seizures; Stroke; Trauma.

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Disclosure The authors have no commercial or financial disclosures.

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The Next Frontier in Neurocritical Care in Resource-Constrained Settings

Affiliations

The Next Frontier in Neurocritical Care in Resource-Constrained Settings

Authors

Affiliations

Abstract

Conflict of interest statement

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical