New Perspectives in the Treatment of Neurocritical Patient | Biomedgrid

The vision of the Neurocritical patient has certainly changed in recent decades. This has allowed us better results in our patients from survival to the quality-quantity of sequelae. What have been the reasons for this change, from our perspective? 1. We have managed to better categorize the risk from the diagnosis of neurological injury with more and better images (CT Scan, PET Scan, MRI, DSA, Tractography, etc.) 2. Our knowledge of pathophysiology has improved beyond primary damage. We know better the mechanisms that are triggered in each acute neurological injury causing secondary damage. From the different inflammatory mechanisms; alterations in Cerebral Blood Flow (FSC) due to loss of selfregulation, and its particular temporal behavior in each particular pathology [1, 2] ; to the intricate mechanisms of apoptosis. Thus, we have also generated new knowledge about the interrelationships that produce systemic impact in the face of the different Neurological insults [3].