| REVIEW ARTICLE |
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| Year : 2022 | Volume
: 70
| Issue : 2 | Page : 485--490 |
Understanding and Managing Autonomic Disorders in the Neurocritical Care Unit: A Comprehensive review
Mathew Abraham, Siddharth Bhattacharjee, Ananth Ram, Boby Varkey Maramattom, Sandeep Padmanabhan, Adithya Soman
Department of Neurology, Aster Medcity, Kothad, Kochi, Kerala, India
Correspondence Address:
Dr. Siddharth Bhattacharjee
12B, Asset Ocean Grove Apartment, South Chittoor, Ernakulam, Kochi, Kerala - 682 027
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.344657
Background: For a favorable outcome, patients admitted to critical care units require continuous monitoring and swift decision-making ability regarding management. One of the biggest challenges in neurocritical care units is the identification and management of autonomic dysfunction and in the worst-case scenario, autonomic storms.
Objective: Most of the literature available focuses mainly on autonomic storms following traumatic brain injury. However, due to the myriad neurological presentations in a critical care setting, it is particularly important for physicians and intensivists to suspect and manage autonomic dysfunction in various neurological scenarios.
Methods: Understanding the mechanism of paroxysmal sympathetic hyperactivity (PSH) is essential for early recognition and treatment. PSH-AM is an assessment measurement scale to diagnose and assess the severity of PSH in traumatic brain injury. However, this is not yet standardized across all neurological settings.
Conclusion: We present a comprehensive report on understanding the mechanism of autonomic storms across various neurological disorders and outline the management.
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