Comprehensive Neurological Examination in Intubated Patients: A Focused Neurology Perspective
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Abstract
The neurological examination of intubated patients presents unique challenges due to the lack of verbal communication and the need for sedation management. This article delves into the methods and best practices for conducting a thorough neurological evaluation in intubated patients, emphasizing the importance of adapting standard neurological assessment techniques to this special population. We explore the use of alternative communication methods, such as eye movements and motor responses, and the interpretation of these findings in the context of critical illness. The article also discusses the implications of sedation and neuromuscular blockade on neurological assessment and provides guidelines for optimizing the accuracy of the examination. By integrating a focused neurology perspective, this review aims to enhance the clinician’s ability to diagnose and monitor neurological status in intubated patients, ultimately improving patient outcomes in the intensive care setting.
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