Neuro-ICU patient disposition: Optimal venue for acute needs

Rafael Badenes, Chiara Robba, Fabio S. Taccone, Federico Bilotta

Research output: Contribution to journalReview articlepeer-review


Purpose of review This article revises the recent evidence on ICU admission criteria for acute neurological patients [traumatic brain injury (TBI) patients, postoperative neurosurgical procedures and stroke]. Recent findings The appropriate utilization of ICU beds is essential, but it is complex and a challenge to attain. To date there are no widely accepted international guidelines for managing these acute brain-injured patients (stroke, TBI, postneurosurgery) in the ICU. The criteria for ICU admission after neurological acute injury, high-dependency unit or a specialized neurosurgical ward vary from institution to institution depending on local structures and characteristics of the available resources. Better evidence to standardize the treatment and the degree of monitoring is needed during neurological acute injury. It is highly recommended to implement clinical vigilance in these patients regardless of their destination (ICU, stroke unit or ward). Summary Currently evidence do not allow to define standardized protocol to guide ICU admission for acute neurological patients (TBI patients, postoperative neurosurgical procedures and stroke).

Original languageEnglish
Pages (from-to)65-71
Number of pages7
JournalCurrent Opinion in Critical Care
Issue number2
Publication statusPublished - Apr 1 2018


  • ICU admission
  • postoperative neurosurgery
  • stroke
  • traumatic brain injury

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


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