Neurocritical care

Neurocritical care as a new medical subspecialty has grown rapidly over the last twenty years. During the first half of the 20th century, neurologists and neurological nurses were the first critical care practitioners to use on a large-scale mechanical ventilation to rescue thousands of patients affected by poliomyelitis epidemics. Respiratory monitoring and ventilation support are still the most common reasons for admissions of patients to the neurological intensive care unit (NICU). The major challenge in the NICU is treatment of acute neurological diseases and prevention of all medical complications that determine survival and recovery. Time is a critical factor for rapid diagnoses and therapeutic interventions in many acute neurological disorders. Neuroprognostication of recovery of consciousness as well as long term functional outcome and ethical aspects in withholding/withdrawing of life sustaining therapies have also become a required although very challenging expertise.

The spectrum of neurological conditions that require critical specialist neurological critical care includes: traumatic brain and spinal cord injury, intracerebral haemorrhage (SAH, ICH, SDH), severe ischemic stroke, status epilepticus, neuroinfections, encephalitis and neuromuscular disorders such as myasthenia gravis and Guillain-Barré syndrome. Although organisational structures vary (open / closed ICU, dedicated ICU or beds in general ICU, physician with an initial neurological or critical care background etc…) the neurologic critically ill patient needs a multidisciplinary “neuroscience team”. Consequently, the care provided to these patients very often includes: EMS personnel, emergency medicine physicians, neurologists, neurosurgeons, anaesthesiologists, critical care physicians, neurophysiologists, neuroradiologists and neurorehabilitation specialists; among others.
Highly specialised nursing and therapy staff are also essential.

It has been proven that the care provided by specially trained neuro-intensive care personnel improves survival, functional outcome and expenses for patients with neurological emergencies, who require critical care. The neuro-intensive care physician needs to be trained in all of the skills expected of the general intensive care physician and in addition such physician should be also trained as clinical neuroscientists.

Well-known shortage of neurologists in emergency rooms and intensive care units. Emergency care requires a response within minutes or just few hours, frequently to the patients who have decreased level of consciousness, impaired airway protection, depressed cough and gag reflexes, respiratory muscle weakness, or who are having epileptic seizures.

Many neuro-intensive care physicians are already members of professional organisation like the Neurocritical Care Society that now gathers 2500 caregivers over the world, and large national societies such as the Deutsche Gesellschaft für Neurologische Intensivmedizin with over 9000 members. In a number of countries Neurocritical Care has thus become an established sub-speciality. Meanwhile a journal which addresses the specific issues of neurological and neurosurgical patients treated on the ICU was launched in 2004. “Neurocritical Care” in the meantime has reached an impact factor of >2.5

The main goal of the EAN Scientific Panel on Neurocritical care is to provide neurocritical care support, research and education in all European countries. Currently the Scientific Panel consists of 41 members from 23 European countries (as of September 2019). The Panel will welcome new members. Neurologists and other physicians interested in the field of neurocritical care can contact the EAN Head Office via scientific@ean.org.

In the past, members of the Scientific Panel on Neurocritical care contributed to publications of the EAN guidelines on cerebral venous thrombosis, status epilepticus and myasthenia gravis.

During every EAN congress Focused Workshops, Symposia and Teaching Courses were organised, which discuss for instance the current criteria for brain death determination, used in different European countries. EAN, like other medical societies, sees it as a duty to formulate and implement accurate evidence-based guidelines for the brain death determination. Obviously other guidelines like the management of patients with elevated ICP or the management of Status epilepticus will follow in the next years.

Management Group

Gaspard, Nicolas

Co-Chair

Gaspard, Nicolas
Brussels, Belgium
Ozturk, Serefnur

Co-Chair

Ozturk, Serefnur
Konya, Turkey
Beer, Ronny

Management Group Member

Beer, Ronny
Innsbruck, Austria
Struhal, Walter

Management Group Member

Struhal, Walter
Tulln, Austria
Vlahovic, Dmitar

RRFS Representative

Vlahovic, Dmitar
Novi Sad, Serbia
Zgraggen, Werner

Management Group Member

Zgraggen, Werner
Bern, Switzerland

Individual panel members

Aguglia, Umberto
Aguglia, Umberto
Reggio Calabria, Italy
Comanducci, Angela
Comanducci, Angela
Milano, Italy
Damian, Maxwell Simon
Damian, Maxwell Simon
Nottingham, United Kingdom
Dimitriadis, Konstantinos
Dimitriadis, Konstantinos
Munich, Germany
Elsherif, Mohammed
Elsherif, Mohammed
Mansoura, Egypt
Falup Pecurariu, Cristian
Falup Pecurariu, Cristian
Brasov, Romania
Fuerte Hortigón, Alejandro
Fuerte Hortigón, Alejandro
Sevilla, Spain
Schmutzhard, Erich
Schmutzhard, Erich
Innsbruck, Austria
Schweingruber, Nils
Schweingruber, Nils
Hamburg, Germany
Strzelczyk, Adam
Strzelczyk, Adam
Frankfurt, Germany
Taubøll, Erik
Taubøll, Erik
Oslo, Norway
Toscano, Antonio
Toscano, Antonio
Messina, Italy
Zedde, Marialuisa
Zedde, Marialuisa
Reggio Emilia, Italy

RRFS Member

Dias, Rafael
Dias, Rafael
Porto, Portugal
Fandler-Höfler, Simon
Fandler-Höfler, Simon
Graz, Austria
Filip, Rafaela Ruxandra
Filip, Rafaela Ruxandra
Brasov, Romania
Guedes Vaz, Catarina
Guedes Vaz, Catarina
Porto, Portugal
Ionescu, Mihai Radu
Ionescu, Mihai Radu
Bucharest, Romania
Kholodova, Margarita
Kholodova, Margarita
Kyiv, Ukraine
Moro, Meryem
Moro, Meryem
Marrakesh, Morocco
Rocha, Raquel
Rocha, Raquel
Matosinhos, Portugal
Cowle, Melody

Student Member

Cowle, Melody
Hampton, United Kingdom
Fryncel, Aleksandra

Student Member

Fryncel, Aleksandra
Sieradz, Poland
Heesen, Philip

Student Member

Heesen, Philip
Kilchberg (ZH), Switzerland
Leite Guedes, Idrys Henrique

Student Member

Leite Guedes, Idrys Henrique
Campina Grande, Brazil
Murasan, Iulia-Maria

Student Member

Murasan, Iulia-Maria
Brasov, Romania
Novais, Aurea

Student Member

Novais, Aurea
Salvador, Brazil
Pandit, Mayukh

Student Member

Pandit, Mayukh
Garia, India
Porfirio Correia, Vitor

Student Member

Porfirio Correia, Vitor
Ipatinga, Brazil
Thakur, Rishmita

Student Member

Thakur, Rishmita
Mumbai, India

Partner Society Representatives

Lin, Yung-Yang

AOAN Representative

Lin, Yung-Yang
Taiwan, Republic of China
Cilio, Roberta

EPNS representative

Cilio, Roberta
Brussels, Belgium

Institutional panel members

Alvarez, Vincent
Alvarez, Vincent
Sion, Switzerland
Crivoricica, Igor
Crivoricica, Igor
Chisinau, Moldova
De Sousa, Ary
De Sousa, Ary
Lisboa, Portugal
Eichel, Roni
Eichel, Roni
Jerusalem, Israel
Ercegovac, Marko
Ercegovac, Marko
Belgrade, Serbia
Falcão, Filipa
Falcão, Filipa
Lisboa, Portugal
Ferlini, Lorenzo
Ferlini, Lorenzo
Brussels, Belgium
Fiume, Giulia
Fiume, Giulia
Messina, Italy
Forss, Nina
Forss, Nina
Helsinki, Finland
Fulesdi, Béla
Fulesdi, Béla
Hungary
Gahn, Georg
Gahn, Georg
Karlsruhe, Germany
Gavriliuc, Pavel
Gavriliuc, Pavel
Chisinau, Moldova
Goldenberg, Zoltan
Goldenberg, Zoltan
Bratislava, Slovakia
Gülke, Eileen
Gülke, Eileen
Germany
Horn, Janneke
Horn, Janneke
Amsterdam, The Netherlands
Johansen, Annette
Johansen, Annette
Copenhagen, Denmark
Jurjans, Kristaps
Jurjans, Kristaps
Riga, Latvia
Kalniņa, Zane
Kalniņa, Zane
Riga, Latvia
Kondziella, Daniel
Kondziella, Daniel
Copenhagen, Denmark
Llull Estrany, Laura
Llull Estrany, Laura
Spain
Lund, Christian Georg Tunold
Lund, Christian Georg Tunold
Oslo, Norway
Maslarov, Dimitar
Maslarov, Dimitar
Sofia, Bulgaria
Micieli, Giuseppe
Micieli, Giuseppe
Pavia, Italy
Milivojevic, Natasa
Milivojevic, Natasa
Ljubljana, Slovenia
Padjen, Visnja
Padjen, Visnja
Belgrade, Serbia
Padjen, Visnja
Padjen, Visnja
Belgrade, Serbia
Pektezel, Mehmet Yasir
Pektezel, Mehmet Yasir
Ankara, Turkey
Petrescu, Simona
Petrescu, Simona
Bucharest, Romania
Pfausler, Bettina
Pfausler, Bettina
Innsbruck, Austria
Pichler, Alexander
Pichler, Alexander
Graz, Austria
Rakots, Henadz
Rakots, Henadz
Rohaut, Benjamin
Rohaut, Benjamin
Paris, France
Roje Bedekovic, Marina
Roje Bedekovic, Marina
Zagreb, Croatia
Rudolf, Jobst
Rudolf, Jobst
Thessaloniki, Greece
Safouris, Apostolos
Safouris, Apostolos
Pireus, Greece
Sereike, Ieva
Sereike, Ieva
Vilnius, Lithuania
Sirin, Hadiye
Sirin, Hadiye
Izmir, Turkey
Vadan, Iulia
Vadan, Iulia
Cluj-Napoca, Romania
Volosovets, Anton
Volosovets, Anton
Kyiv, Ukraine
Wrona, Pawel
Wrona, Pawel
Krakow, Poland
Zgraggen, Werner
Zgraggen, Werner
Bern, Switzerland