Teleneurocritical care and telestroke

Telestroke and teleneurologic intensive care units (teleneuro-ICUs) optimize the diagnosis and treatment of neurologic emergencies. Establishment of a telestroke or teleneuro-ICU program relies on investment in experienced stroke and neurocritical care personnel as well as advanced telecommunication...

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Bibliographic Details
Published inCritical care clinics Vol. 31; no. 2; p. 197
Main Authors Klein, Kate E, Rasmussen, Peter A, Winners, Stacey L, Frontera, Jennifer A
Format Journal Article
LanguageEnglish
Published United States 01.04.2015
Subjects
Critical Care
Humans
Intensive Care Units
Nervous System Diseases - therapy
Stroke - therapy
Telemedicine - organization & administration
Time Factors
Tele-ICU
Telestroke
Teleneuro-ICU
tPA
Mobile stroke unit
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Summary:Telestroke and teleneurologic intensive care units (teleneuro-ICUs) optimize the diagnosis and treatment of neurologic emergencies. Establishment of a telestroke or teleneuro-ICU program relies on investment in experienced stroke and neurocritical care personnel as well as advanced telecommunications technologies. Telemanagement of neurologic emergencies can be standardized to improve outcomes, but it is essential to have a relationship with a tertiary care facility that can use endovascular, neurosurgical, and neurocritical care advanced therapies after stabilization. The next stage in telestroke/teleneuro-ICU management involves the use of mobile stroke units to shorten the time to treatment in neurocritically ill patients.
ISSN:1557-8232
DOI:10.1016/j.ccc.2014.12.002