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Table 1 Care of the injured brain in the general ICU: basic comprehensive aspects

From: Update in Neurocritical Care: a summary of the 2018 Paris international conference of the French Society of Intensive Care

Topic

What is important

What is new

Management of the comatose patient

GCS, brainstem reflexes, FOUR score

Brain imaging (CT scan, MRI)

Multimodal monitoring (ICP, brain oximetry, TCD)

Automated infrared pupillometry

q-EEG

Multimodal monitoring-based individualized therapy

Management of the delirious patient

CAM-ICU, ICDSC scores

Minimized targeted sedation

Early active mobilization

ABCDEF, e-CASH bundles

Alternative sedatives (dexmedetomidine)

Prophylactic use of anti-psychotics not effective

Management of ICU-acquired weakness

MRC muscle scale, ENMG

Optimize nutrition and glycaemic control

Early active mobilization

Assessment of diaphragmatic dysfunction

Physical (electrical) therapy

Mobilization protocols