Developments in hybrid operating room, neurointensive care unit, and ward composition and organization for stroke management.

Kenneth Elkin, Usama Khan, Mohammed Hussain, Yuchuan Ding
Author Information
  1. Kenneth Elkin: Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
  2. Usama Khan: Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
  3. Mohammed Hussain: Department of Neurology, University of Connecticut, Farmington, CT, USA.
  4. Yuchuan Ding: Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA.

Abstract

Stroke is the leading cause of adult disability in the US. Rapid diagnosis and treatment of Stroke, in addition to efficacious rehabilitation, is invaluable. The present review aims to report the recent improvements in hybrid operating rooms (hybrid ORs), and in the organization of Neurological intensive care unit (NICUs) and dedicated Stroke wards (SWs), which contribute to enhanced Stroke treatment. A PubMed literature review was conducted in addition to the collection of other online media releases regarding recent organizational advances in Stroke care. PubMed keywords included but were not limited to "neurological intensive care unit," "hybrid operating room," and "Stroke ward," while all other online information regarding recent advances in the physical organization was selected and synthesized in accord with its relevance. The current research indicates that hybrid ORs facilitate surgical innovation and improved patient care through the colocation of advanced imaging modalities and surgical capabilities. Moreover, the recent reorganization of NICUs and SWs may lead to better-quality initial treatment and rehabilitation. The present review also considers the current ER triage protocol for Stroke patients, and it concludes with relevant considerations relating to the role of the physical hospital structure and organization in Stroke care.

Keywords

References

  1. Crit Care Med. 2001 Mar;29(3):635-40 [PMID: 11373434]
  2. Age Ageing. 2002 Sep;31(5):365-71 [PMID: 12242199]
  3. Arch Neurol. 2004 Jul;61(7):1090-4 [PMID: 15262740]
  4. Stroke. 2004 Nov;35(11):2537-42 [PMID: 15472085]
  5. Can J Neurol Sci. 2006 May;33(2):214-6 [PMID: 16736733]
  6. Neurology. 2006 Jul 25;67(2):334-6 [PMID: 16864834]
  7. Heart Surg Forum. 2009 Jun;12(3):E125-30 [PMID: 19546059]
  8. Neurocrit Care. 2011 Dec;15(3):477-80 [PMID: 21519958]
  9. Top Stroke Rehabil. 2011 Jul-Aug;18(4):293-307 [PMID: 21914594]
  10. Neurocrit Care. 2012 Apr;16(2):232-40 [PMID: 22045246]
  11. Mayo Clin Proc. 2011 Sep;86(9):903-6 [PMID: 22066131]
  12. Neurology. 2012 Jul 24;79(4):306-13 [PMID: 22622858]
  13. Acta Neurochir Suppl. 2013;115:113-7 [PMID: 22890656]
  14. Stroke. 2013 Aug;44(8):2361-75 [PMID: 23697546]
  15. Health Technol Assess. 2013 Jun;17(23):vii-viii, 1-350 [PMID: 23763763]
  16. Int J Mol Sci. 2014 Jun 18;15(6):10974-88 [PMID: 24945308]
  17. Stroke. 2015 Jan;46(1):58-64 [PMID: 25477220]
  18. CMAJ. 2015 Sep 8;187(12):887-93 [PMID: 26243819]
  19. J Cardiovasc Surg (Torino). 2017 Apr;58(2):264-269 [PMID: 28045240]
  20. J Stroke. 2017 Jan;19(1):50-60 [PMID: 28178410]
  21. Chirurg. 2017 Jul;88(7):587-594 [PMID: 28466153]
  22. PLoS One. 2017 Jul 20;12(7):e0177477 [PMID: 28727727]
  23. Disabil Rehabil. 2019 May;41(10):1177-1189 [PMID: 29343110]
  24. J Adv Nurs. 2018 Apr 20;:null [PMID: 29676493]
  25. World Neurosurg. 2018 Aug;116:383-386 [PMID: 29763749]
  26. Anaesthesist. 2018 Jul;67(7):480-487 [PMID: 29959499]
  27. World Neurosurg. 2018 Nov;119:278-281 [PMID: 30144613]
  28. Mayo Clin Proc Innov Qual Outcomes. 2018 May 24;2(2):119-128 [PMID: 30225442]
  29. HERD. 2019 Jul;12(3):141-152 [PMID: 30336696]
  30. Acta Neurochir (Wien). 2019 Mar;161(3):611-619 [PMID: 30610374]
  31. J Korean Neurosurg Soc. 2019 Jan;62(1):35-45 [PMID: 30630294]
  32. Circulation. 2019 Mar 5;139(10):e56-e528 [PMID: 30700139]
  33. Cochrane Database Syst Rev. 2019 Apr 09;4:CD011427 [PMID: 30964558]

Word Cloud

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