Abstractintroduction neurocritical care ncc patients often require prolonged mechanical ventilation and they are at high risk of respiratory complications therefore the potential benefit role of protective lung ventilation plv which demonstrated to reduce postoperative complications in patients with acute distress respiratory syndrome has been suggested even on ncc patients. Mechanical ventilation in brain injury obrain injury may be main indication for mechanical ventilation in up to 20 of cases omajor contributor to prolongation of mechanical ventilation in over a third of patients oassociated with 3 fold risk of dying or unfavourable outcome esteban a et al am j respir crit care med 2000. Sedation is an important consideration in the care of the neurocritically ill patient it provides anxiety and relief facilitates procedures and nursing tasks and minimizes intolerance of mechanical ventilation alpha 2 agonists such as dexmedetomidine and clonidine have been shown to be an . Using current procedural terminology r codes we determined the medical specialty of providers submitting critical care claims and using national provider identifier numbers we merged in data from the united council for neurologic subspecialties ucns to determine whether the provider was a ucns diplomate in neurocritical care we defined . Neurocritical care core curriculum page 1 of 9 neurocritical care core curriculum these guidelines regarding the program content of advanced training in neurocritical care are based on criteria developed for advanced training in critical care medicine by the society of critical care medicine sccm
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