Published online by Cambridge University Press: 24 July 2019
Critically ill patients admitted to the intensive care unit (ICU) may exhibit signs and symptoms of primary or secondary neurological disorders. Factors such as altered mental status, agitation, pain, sedation, neuromuscular blockade, hypothermia, metabolic disturbances, intubation/mechanical ventilation, and surgical or traumatic lesions of the extremities may complicate the interpretation of the neurological assessment in the ICU. Nevertheless, neurological signs in the critically ill have been established as prognostic indicators and markers of severity. Subsequently, a proper neurological assessment of the critically ill patient remains a central aspect of care, diagnosis, and prognosis [1].
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