Shrestha Gentle Sunder, Nepal Gaurav, Brasil Sérgio
Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Australia.
Neurocrit Care. 2025 Jan 28. doi: 10.1007/s12028-025-02215-2.
This review explores low-cost neurocritical care interventions for resource-limited settings, including economical devices, innovative care models, and disease-specific strategies. Devices like inexpensive ventilators, wearable technology, smartphone-based ultrasound, brain4care, transcranial Doppler, and smartphone pupillometry offer effective diagnostic and monitoring capabilities. Initiatives such as intermediate care units, minimally equipped stroke units, and tele-neurocritical care have demonstrated benefits by reducing hospital stays, preventing complications, and improving clinical and economic outcomes. The review emphasizes locally applicable tailored approaches for diagnosing and managing conditions such as traumatic brain injury, neuroinfections, status epilepticus, autoimmune neurological disorders, and acute stroke as viable and affordable solutions.
本综述探讨了在资源有限环境下的低成本神经重症护理干预措施，包括经济实惠的设备、创新护理模式和针对特定疾病的策略。诸如廉价呼吸机、可穿戴技术、基于智能手机的超声设备、brain4care、经颅多普勒和智能手机瞳孔测量仪等设备具有有效的诊断和监测能力。中级护理单元、配备最少的卒中单元和远程神经重症护理等举措已通过缩短住院时间、预防并发症以及改善临床和经济结果而显示出益处。该综述强调，针对创伤性脑损伤、神经感染、癫痫持续状态、自身免疫性神经疾病和急性卒中等病症的诊断和管理，采用适用于当地的定制方法是可行且经济实惠的解决方案。
