Teleneurocritical care and telestroke

Kate E Klein; Peter A Rasmussen; Stacey L Winners; Jennifer A Frontera

doi:10.1016/j.ccc.2014.12.002

Teleneurocritical care and telestroke

Crit Care Clin. 2015 Apr;31(2):197-224. doi: 10.1016/j.ccc.2014.12.002.

Authors

Kate E Klein¹, Peter A Rasmussen¹, Stacey L Winners¹, Jennifer A Frontera²

Affiliations

¹ Cerebrovascular Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
² Cerebrovascular Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address: frontej@ccf.org.

PMID: 25814450
DOI: 10.1016/j.ccc.2014.12.002

Abstract

Telestroke and teleneurologic intensive care units (teleneuro-ICUs) optimize the diagnosis and treatment of neurologic emergencies. Establishment of a telestroke or teleneuro-ICU program relies on investment in experienced stroke and neurocritical care personnel as well as advanced telecommunications technologies. Telemanagement of neurologic emergencies can be standardized to improve outcomes, but it is essential to have a relationship with a tertiary care facility that can use endovascular, neurosurgical, and neurocritical care advanced therapies after stabilization. The next stage in telestroke/teleneuro-ICU management involves the use of mobile stroke units to shorten the time to treatment in neurocritically ill patients.

Keywords: Mobile stroke unit; Tele-ICU; Teleneuro-ICU; Telestroke; tPA.

Publication types

Review

MeSH terms

Critical Care*
Humans
Intensive Care Units
Nervous System Diseases / therapy*
Stroke / therapy*
Telemedicine / organization & administration*
Time Factors