Neurocritical Care Unit, Cerebrovascular Center, Cleveland Clinic Foundation, Cleveland, OH, USA.
Neurology. 2013 Jan 29;80(5):e51-3. doi: 10.1212/WNL.0b013e31827f0f56.
Neurology is traditionally recognized as primarily an outpatient or consultative specialty, usually attracting candidates whose main focus may not necessarily be the management of complex critically ill patients or the performance of invasive procedures. However, the advent of modern mechanical ventilation and, more recently, effective therapies for the treatment of acute ischemic stroke and other neurologic catastrophes is bringing about a paradigm shift, with neurologists increasingly assuming a more aggressive attitude and rapid response to frequently disabling and often fatal pathologies.
神经病学传统上被认为主要是一种门诊或咨询专业,通常吸引的候选人主要关注点不一定是管理复杂的重症患者或进行有创性操作。然而,现代机械通气的出现,以及最近急性缺血性中风和其他神经灾难的有效治疗方法的出现,正在带来一种范式转变,神经病学家越来越采取更积极的态度和快速应对经常导致残疾和致命的病理。