Intensive Care Med (2017) 43:1418–1420 DOI 10.1007/s00134-017-4869-y FOCUS EDITORIAL 1* 2,3 Chiara Robba and Giuseppe Citerio © 2017 Springer-Verlag GmbH Germany and ESICM and can have harmful effects [ 6]. Surgical decompression Introduction  for ICP refractory to conventional treatment reduces The development of clinical protocols based on both mortality at the expense of increased disability. How- laboratory and clinical data has underpinned the achieve- ever, the question of quality of life in surviving patients ments of neurocritical care in the management of brain- remains open. In the RESCUEicp trial , the definition injured patients . Specialized neurocritical care units of favorable outcome included severe disability, such as and the use of neuromonitoring techniques [2, 3] are now patients needing home assistance and not being fully considered a standard of care [1–3]. One of the bench- independent. The concept of what a favorable outcome is marks of a neurological critical care unit should be the for a patient is much more subjective and complicated, quality of survival outcomes and not just survival per se and can have an enormous impact on individuals, their . However, the indicators of quality care are not eas- families and significant socio-economic impact. ily
Intensive Care Medicine – Springer Journals
Published: Jun 22, 2017
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