Rhoney Denise H, Cook Aaron M, Berger Karen, Mahmoud Sherif Hanafy, Brophy Gretchen M, Farrokh Salia, Human Theresa, Lewin John, Mucksavage Jeffrey J, Sangha Kiranpal S, Tesoro Eljim P
Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, 325 Beard Hall, Campus Box 7574, Chapel Hill, NC, 27599-7574, USA.
Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington, KY, USA.
Neurocrit Care. 2025 Mar 25. doi: 10.1007/s12028-025-02239-8.
This article reviews the history and evolution of the neurocritical care (NCC) pharmacy, a subspecialty of critical care pharmacy that focuses on the care of patients with acute neurological disorders. The origins of NCC pharmacies in the 1960s and 1970s are described, when pharmacists began to participate in patient rounds, clinical pharmacokinetic consults, and translational research with neurosurgeons and neurologists. The article also discusses the current state of NCC pharmacy practice, research, and education, highlighting the role of pharmacists as essential members of the NCC team, the contributions of pharmacists to NCC research and guidelines, and the challenges and opportunities for education and training in this unique subspecialty. Finally, the article envisions the future of NCC pharmacy, emphasizing the need for high expectations, visionary leadership, innovative education models, a robust scientific foundation, and multidisciplinary collaboration to advance NCC pharmacy and improve patient outcomes.
本文回顾了神经重症监护(NCC)药学的历史与发展,它是重症监护药学的一个子专业,专注于急性神经系统疾病患者的护理。文中描述了20世纪60年代和70年代NCC药房的起源,当时药剂师开始参与患者查房、临床药代动力学咨询以及与神经外科医生和神经科医生的转化研究。本文还讨论了NCC药学实践、研究和教育的现状,强调了药剂师作为NCC团队重要成员的作用、药剂师对NCC研究和指南的贡献,以及在这个独特子专业中教育和培训所面临的挑战与机遇。最后,本文展望了NCC药学的未来,强调需要有高期望、有远见的领导力、创新的教育模式、坚实的科学基础以及多学科合作,以推动NCC药学发展并改善患者预后。