Pediatric Neurocritical Care: A Neurology Consultation Model and Implication for Education and Training

LaRovere, Kerri L.; Graham, Robert J.; Tasker, Robert C.

doi:10.1016/j.pediatrneurol.2012.12.006

Cited by 41 publications

(37 citation statements)

References 25 publications

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“…As previous publications have suggested, for the time being PNCC seems likely to continue to evolve locally in response to the needs of a particular institution and out of the resources available [3,26,28]. However, survey participants identified benefits and challenges to establishing and expanding the field.…”

Section: Discussionmentioning

confidence: 95%

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Pediatric Neurocritical Care: A Short Survey of Current Perceptions and Practices

et al. 2015

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PNCC programs are not uncommon; however, there is not clear agreement on the optimal role or benefit of this area of practice sub-specialization. A broader dialog should be undertaken regarding the emerging practice of pediatric neurocritical care, the potential benefits and drawbacks of this partitioning of neurology and critical care medicine practice, economic and other practical factors, the organization of clinical support services, and the formalization of training and certification pathways for sub-specialization.

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Section: Discussionmentioning

confidence: 95%

“…Neurological injuries, illnesses, and concerns may affect 20-25 % of all PICU patients in a tertiary care pediatric hospital [4,26]. Pediatric neurocritical care diagnoses are heterogeneous including seizures, TBI, postneurosurgical, tumor, stroke, coma, brain death, CNS infection, and demyelinating diseases.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Neurocritical Care: A Short Survey of Current Perceptions and Practices

et al. 2015

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“…There have been a number of reports and position articles on the practice of pediatric neurocritical care or inpatient neurology at academic medical centers in the United States [1][2][3][4][5][6] and recent proposals on the training required for a pediatric neurointensivist. 3,[7][8][9] Here we describe our specific 10-year experience developing the Ruth D. & Ken M. Davee pediatric neurocritical care program at Northwestern University Feinberg School of Medicine, including long-term follow-up of intensive care unit (ICU) patients in a dedicated neurocritical care follow-up clinic.…”

Section: Introductionmentioning

confidence: 99%

“…10 The models of pediatric neurocritical care reported to date are from Children's National Medical Center (CNMC) 1 and the Boston Children's Hospital Pediatric Critical Nervous System Program. 2,3 Both share common features, which are distinctly different from the practice of adult neurocritical care.…”

Section: Introductionmentioning

confidence: 99%

Building a Pediatric Neurocritical Care Program: A Multidisciplinary Approach to Clinical Practice and Education from the Intensive Care Unit to the Outpatient Clinic

Wainwright

Grimason

Goldstein

et al. 2014

Seminars in Pediatric Neurology

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We describe our 10-year experience developing the Ruth D. & Ken M. Davee Pediatric Neurocritical Care Program at Northwestern University Feinberg School of Medicine. The neurocritical care team includes intensivists, neurologists, and an advanced practice nurse who have expertise in critical care neurology and who continue care in long-term follow-up of intensive care unit patients in a dedicated neurocritical care outpatient clinic. Brain-directed critical care requires collaboration between intensivists and neurologists with specific expertise in neurocritical care, using protocol-directed consistent care, and physiological measures to protect brain function. The heterogeneity of neurologic disorders in the pediatric intensive care unit requires a background in the relevant basic science and pathophysiology that is beyond the scope of standard neurology or critical care fellowships. To address this need, we also created a fellowship in neurocritical care for intensivists, neurologists, and advanced practice nurses. Last, we discuss the implications for pediatric neurocritical care from the experience of management of pediatric stroke and the development of stroke centers.

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“…10 Increasingly, specialized training beyond the traditional residency program is required to attain the requisite experience and expertise necessary to function independently and provide state-of-the-art care in this area of child neurology. 11 This requirement has led many individuals to pursue additional training in fetal-neonatal neurology, often through independent mechanisms. In an attempt to meet these growing clinical and training demands, increasing numbers of training programs in fetal-neonatal neurology have been established through varied funding mechanisms.…”

Section: Introductionmentioning

confidence: 99%

Fellowship Training in the Emerging Fields of Fetal-Neonatal Neurology and Neonatal Neurocritical Care

Smyser

Tam

Chang

et al. 2016

Pediatric Neurology

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Neonatal neurocritical care is a growing and rapidly evolving medical subspecialty, with increasing numbers of dedicated multidisciplinary clinical, educational, and research programs established at academic institutions. The growth of these programs has provided trainees in neurology, neonatology, and pediatrics with increased exposure to the field, sparking interest in dedicated fellowship training in fetal-neonatal neurology. OBJECTIVES: To meet this rising demand, increasing numbers of training programs are being established to provide trainees with the requisite knowledge and skills to independently deliver care for infants with neurological injury or impairment from the fetal care center and neonatal intensive care unit to the outpatient clinic. This article provides an initial framework for standardization of training across these programs. RESULTS: Recommendations include goals and objectives for training in the field; core areas where clinical competency must be demonstrated; training activities and neuroimaging and neurodiagnostic modalities which require proficiency; and programmatic requirements necessary to support a comprehensive and well-rounded training program. CONCLUSIONS: With consistent implementation, the proposed model has the potential to establish recognized standards of professional excellence for training in the field, provide a pathway toward Accreditation Council for Graduate Medical Education certification for program graduates, and lead to continued improvements in medical and neurological care provided to patients in the neonatal intensive care unit.

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Pediatric Neurocritical Care: A Neurology Consultation Model and Implication for Education and Training

Cited by 41 publications

References 25 publications

Pediatric Neurocritical Care: A Short Survey of Current Perceptions and Practices

Pediatric Neurocritical Care: A Short Survey of Current Perceptions and Practices

Building a Pediatric Neurocritical Care Program: A Multidisciplinary Approach to Clinical Practice and Education from the Intensive Care Unit to the Outpatient Clinic

Fellowship Training in the Emerging Fields of Fetal-Neonatal Neurology and Neonatal Neurocritical Care

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