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Neurocritical Care

Swisher NCC

The Department's division of Neurocritical Care faculty includes 11 intensivists, all of whom are boarded in Neurocritical Care by the United Council of Medical Subspecialties; many also hold concurrent areas of specialization such as vascular neurology, neuroanesthesiology, and neurophysiology. We also have a fellowship program for board-eligible or certified physicians interested in subspecialty training in neurocritical care.

Clinical Care

A team of experienced advanced practice acute care nurse practitioners work side by side with the medical staff to provide state-of-the art care for patients with neurological and neurosurgical critical illness, including traumatic brain and spinal cord injury, subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, and refractory seizures. The Duke Life Flight program has allowed patients with advanced and highly complicated neurocritical care disorders to be transferred to Duke from hospitals throughout North Carolina as well as Virginia, Tennessee, and South Carolina. Tethered to the NICU program is an expanding Tele-Stroke Network which provides local physicians rapid access to a team of Duke physicians skilled in the acute care of the stroke patient. Medical care is seamlessly integrated in a team approach with neurologists, neurosurgeons, and neuroanesthesiologists working together to provide hope to patients and their families in the midst of catastrophic neurological illness.

Research

Research in the Neuroscience Critical Care Unit is a coordinated, multidisciplinary process. The unit has a diverse team of scientists with backgrounds in neurology, neurosurgery, anesthesia, electrophysiology, nursing, and cellular biology.

While bench science is high profile at Duke University, there is an equally strong emphasis on clinical and translational research in the Neurology Critical Care Unit.

Duke participates in a number of multicenter NIH trials, including the use of albumin in acute stroke (ALIAS), intracranial stenting in patients with symptomatic intracranial disease (SAMPRAS), clot aspiration in intracranial hemorrhage (MISTIE), and the use of thrombolysis for intraventricular hemorrhage (CLEAR IVH).

In addition, there are a large number of faculty-initiated studies, including the use of new noninvasive diagnostic modalities for detection of seizures, cerebral ischemia, and trauma, as well as studies looking at optimizing ventriculostomy and ICP management, evaluating nursing interventions to promote sleep and recovery, evaluating the role of therapeutic hypothermia, and piloting the use of statins in the setting of subarachnoid hemorrhage and acute brain injury just to name a few.

The high level of collaboration, combined with a dedication to improve the quality of care provided have made our multidisciplinary group highly productive over the past few years, and has made our unit a dynamic place to work.

Latest News

image courtesy NIH
News  -  Epilepsy, Sleep, and Clinical Neurophysiology, General & Community Neurology, Hospital Neurology, Memory Disorders, Neurocritical Care, Neuromuscular Disease, Stroke and Vascular Neurology, , Translational Brain Sciences

Duke Neurology Research Round Up, July 2021

Tuesday, July 6, 2021
By William Alexander
New publications written by members of the Duke Neurology Department published this June advanced our understanding of the origins of Alzheimer’s...Read more
Brain image courtesy Iain Bruce PhD
News  -  Epilepsy, Sleep, and Clinical Neurophysiology, General & Community Neurology, Headache and Pain, Hospital Neurology, Neurocritical Care, Parkinson's Disease And Movement Disorders, Stroke and Vascular Neurology, , Translational Brain Sciences, Clinical Neurophysiology, Headache, Parkinson's Disease & Movement Disorders Fellowship, Vascular Neurology, Brad Kolls, MD, PhD

Duke Neurology Research Round Up, May 2021

Monday, May 3, 2021
By William Alexander
Members of the Duke Neurology Department advanced the fields of clinical, translational, and basic neuroscience this April with 14 new peer-reviewed...Read more
Neuron image courtesy NIH
News  -  Epilepsy, Sleep, and Clinical Neurophysiology, General & Community Neurology, Headache and Pain, Memory Disorders, Multiple Sclerosis & Neuroimmunology, Neurocritical Care, Neuromuscular Disease, Parkinson's Disease And Movement Disorders, Stroke and Vascular Neurology, , Translational Brain Sciences, Clinical Neurophysiology, Headache, , Neurocritical Care, Neuromuscular Medicine/EMG, Parkinson's Disease & Movement Disorders Fellowship, Residency Program, Sleep Medicine, Vascular Neurology, Brad Kolls, MD, PhD

Duke Neurology Research Round Up, April 2021

Friday, April 2, 2021
By William Alexander
Members of the Duke Neurology Department contributed to 21 new studies in peer-reviewed journals this March, advancing our ability to understand,...Read more