When patients with life threatening diseases of brain, spinal cord and nerves were treated in General ICU the outcome was very poor. With the advent of Neuro Intensive Care concept after 1980’s, Neuro ICU managed by a specialist- Neuro Intensivist along with Neurologist, Neuro Surgeon and specialists for heart, lung and kidney supported by specially trained Nurses, Physiotherapist working as a team with advanced monitoring has improved the outcome of these patient’s significantly.
The department of Neuro Intensive Care at Neuro Foundation is well organized and being managed by full time Neuro Intensivists with more than 15 years of experience in managing wide variety of Neurological and Neuro Surgical illnesses.
The department has two state of the art ICU’s- one with 15 beds for patients with Neurosurgical illnesses and another with 10 beds for patients with Neurological illnesses. It is equipped with monitors for Basic life support like Electrocardiography, Pulse Oximetry, Capnography (ETCO2), Temperature, Blood Pressure both Non-Invasive and Invasive monitoring and advanced monitors to measure Intra Cranial Pressure (ICP), Trans Cranial Doppler (TCD). It is provided with 15 high end ventilators, 2 transport ventilators, Bed side Ultrasounds, Echocardiogrraphy, Bronchoscope & facilities for Haemodialysis and Plasmapheresis and Infusion Pumps to deliver fluids and drugs accurately.
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.
Monitoring of pressure within cranial cavity (Intra Cranial Pressure) is done by measuring ICP through a catheter placed in the ventricles of brain. Elevation in ICP will lead to decreased blood flow to brain and worsens the outcome. Continuous ICP monitoring helps to intervene early either by drugs or by surgery.
Useful in diagnosis and early intervention of Vasospasm (narrowing of blood vessels) in patient’s with subarachnoid hemorrhage.
Compared to blend techniques USG guidance improves accuracy and prevent complications during central venous line placement (Inserting catheters in large veins).
By observing the size of major vein (Inferior Vena Cava- IVC) during fluid resuscitation, over loading the patient’s heart which will lead to respiratory distress especially in cortically ill patient’s and elderly, can be avoided.
Endoscopic visualization of inside of the airways useful in obtaining secretions from airway to diagnose infecting organisms and to relieve obstruction by mucous plugs and to suck out infected secretions.
Patients are ventilated face lying down. It improves oxygenation and prevents ventilation induced lung injury in patient’s with severe lung infections or inflammation.