Historical VignetteThe Early Days of the Neurosciences Intensive Care Unit
Section snippets
THE EARLY DAYS
The “neuro unit with specialized care”6 was one of the first ICUs built in Saint Marys Hospital. The idea to build a new unit in Saint Marys Hospital originated in 1955 with Sr Amadeus Klein (Figure 1), who recognized that patients with severe traumatic brain injury and those who had undergone craniotomy required very close neurologic monitoring. Sr Klein entered the convent after high school and graduated in 1950 from Saint Marys School of Nursing. After graduation, she immediately became the
RECENT EVOLUTION
As neurosurgical and neurology services grew in patient numbers as well as patient complexity, it became necessary in the 1970s to develop a second unit, which was typically used for less critical, nonventilated patients. In the late 1980s, driven by even more complexity of patient management, including use of Swan-Ganz monitoring of pulmonary artery wedge pressures and pharmacologic manipulation of cardiac output, the Department of Neurosurgery requested the participation of a selected
CONCLUDING REMARKS
The NICU at Saint Marys Hospital was one of the first newly built combined neurology and neurosurgical ICUs in the United States. It started as an open unit and with predominantly neurosurgical patients. Most of the expertise was developed in the care of neurosurgical patients. However, patients with other acute neurologic disorders were admitted and managed by neurologists. Later, many of the chronic neurologic problems were triaged to the Respiratory Care Unit (the medical ICU on the third
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The history of neurocritical care
2017, Handbook of Clinical NeurologyCitation Excerpt :Many of these first units were for either neurosurgical or neurologic patients. At Mayo Clinic, the first newly built combined neuroscience ICU was at Saint Mary's Hospital (Wijdicks et al., 2011). Patients with meningitis and status epilepticus were admitted there as well.
Clinical observations in acute neurology: A historical explanation of the present
2024, European Journal of NeurologyThe Nordic perioperative and intensive care registries—Collaboration and research possibilities
2023, Acta Anaesthesiologica ScandinavicaThe Medico-Legal Development of Neurological Death in the UK
2022, The Medico-Legal Development of Neurological Death in the UKQueen Square: A History of the National Hospital and its Institute of Neurology
2021, Queen Square: A History of the National Hospital and its Institute of Neurology