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February 23, 2016

Critical Care and the Brain

Author Affiliations
  • 1Department of Anesthesia, Perioperative and Pain Medicine, Division of Critical Care Medicine, Department of Neurology, Boston Children’s Hospital, Boston, Massachusetts
  • 2Harvard Medical School, Boston, Massachusetts
  • 3Division of Anaesthesia, Clinical School, University of Cambridge, Cambridge, United Kingdom
  • 4Addenbrooke’s Hospital, Cambridge, United Kingdom

Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2016;315(8):749-750. doi:10.1001/jama.2016.0701

Critical care is always about the brain. This statement is obvious when the primary problem is neurologic emergencies. However, even when the primary pathology necessitating intensive care unit (ICU) treatment lies outside the brain, the eventual aim of care is preserving cerebral function. Thus, regardless of whether the proximate cause for ICU admission is neurologic insult or systemic illness, there is increasing recognition of the long-term effects of these conditions and their treatment on recovery of brain function and functional outcomes over the long term.