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Practice of Neurocritical Care in Resource Limited Countries

  • Book

  • November 2026
  • Elsevier Science and Technology
  • ID: 6251772
Practice of Neurocritical Care in Resource Limited Countries offers a comprehensive examination of the unique challenges and practical strategies for delivering neurocritical care in low- and middle-income countries (LMICs). As the prevalence of neurological emergencies continues to rise in these regions, this book addresses the critical need for effective management in resource constrained environments. It begins by exploring the landscape of neurocritical care, including common neurological emergencies and their epidemiology in LMICs. The content outlines foundational principles of patient assessment and monitoring, as well as advanced management strategies for conditions such as traumatic brain injury, stroke, and spinal cord injury. Special attention is given to the nuances of caring for diverse patient populations, including pediatric and geriatric patients. Additionally, this book highlights the essential role of pain management, and nutritional support, in neurocritical settings. With contributions from experts across various LMICs, this resource emphasizes innovative approaches to training and capacity building, empowering healthcare professionals to provide high-quality neurocritical care despite the challenges of limited resources. This book is an invaluable tool for clinicians and educators dedicated to improving outcomes for neurologically ill patients in lesser-resourced healthcare systems.

Table of Contents

I. Introduction to Neurocritical Care in Resource-limited countries
1. Understanding the Landscape of Neurocritical Care in Resource-Limited Countries
2. Epidemiology of Common Neurological Emergencies in Resource-Limited Countries

II. Clinical Foundations and Approaches
3. Basic Principles of Neurocritical Care
4. Neurocritical Care in Pre-hospital and Emergency settings
5. Patient Assessment and Monitoring in Neurocritical Care
6. Managing Intracranial Pressure, Cerebral Perfusion Pressure, and Oxygenation

III. Neurological Emergencies and Critical Care Interventions
7. Sepsis in Neurocritical Care
8. Seizure Management and Status Epilepticus in Resource-Limited Countries
9. Neurocritical Care for Spinal Cord Injury
10. Management of Traumatic Brain Injury in Resource-Limited countries
11. Stroke Management in Resource-limited Countries: Acute and Long-Term Care
12. Management of Acute Neuro-muscular Respiratory Failure
13. Infectious diseases and neurological problems

IV. Advanced Management Strategies in Neurocritical Care
14. Use of Neuroimaging in Neurocritical Care in Resource-Limited countries
15. Neurocritical Care for Pediatric Patients
16. Neurocritical Care for Geriatric Patients

V. Supportive Care in Neurocritical Care
17. Pain and Sedation Management in Neurocritical Care
18. Nutritional Support and Metabolic Management in Neurocritical Care
19. Neuroprognostication in the Resource-Limited Countries

VI. Training, Education, and Capacity Building
20. Building Capacity in Neurocritical Care: Training and Education
21. Quality improvement and Patient safety in Resource-limited Countries
22. Guidelines adaptation in the Resource-Limited Countries

Authors

Hemanshu Prabhakar Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, AIIMS, New Delhi, India.

Dr. Hemanshu Prabhakar is a Professor at the Department of Neuroanaesthesiology and Critical Care at the All India Institute of Medical Sciences (AIIMS), New Delhi, India. He is a recipient of the AIIMS Excellence Award 2012 for his notable contribution to academia. He has a special interest in the evidence-based practice of neuroanesthesia and ERAS. Dr. Prabhakar is a Member of various national and international neuroanesthesia societies and is the Past Secretary of the Indian Society of Neuroanesthesia and Critical Care (ISNACC) and the Society of Neurocritical Care (SNCC). He is also the Immediate Past President of the SNCC. To date, he has published more than 25 books on neuroanesthesia and neurocritical care. He is featured in the Limca Book of Records as a prolific Writer in the field of neuroanesthesiology. He actively collaborates on research activities among the low-income and middle-income countries.

Indu Kapoor Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, AIIMS, New Delhi, India.

Dr. Indu Kapoor is an Additional Professor in the Department of Neuroanesthesiology and Neurocritical Care at AIIMS, New Delhi, India. She received her training in Neuroanesthesiology and Neurocritical care at the same institute. Recently, she completed a PhD in Neuroanaesthesiology and Neurocritical care from AIIMS New Delhi India. She is the recipient of the Dr. T N JHA Memorial Award in 2009 for the best paper presentation, which was awarded by the Indian Society of Anesthesiologists (ISA) in Chennai, India. She has also received the SMT Chandra and SH Narayan Wadhwani Memorial Award for Best Outgoing Postgraduate in anesthesia at the University College of Medical Sciences, Delhi, in 2010. She was also the past Treasurer of the Society of Neurocritical Care (SNCC), first registered neurocritical care society in India. Dr. Kapoor has a special interest in evidence-based practice in neuroanesthesia. Additionally, she is a member of various national societies and has been an invited faculty member at various national conferences. Dr. Kapoor has written numerous chapters for various books published by national and international publishers. She has edited a number of books related to neuroanaesthesia and neurocritical care with renowned international publishers.

Charu Mahajan Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, AIIMS, New Delhi, India. Dr. Charu Mahajan is an Additional Professor in the Department of Neuroanaesthesiology and Neurocritical Care at the All India Institute of Medical Sciences (AIIMS), New Delhi, India. Renowned for her expertise in neuroanesthesia and neurocritical care, Dr. Mahajan has made significant contributions to clinical practice, research, and education in her field. She has received several prestigious awards, including the Best paper award, honorary fellowship in Neurocritical Care and presidential citation recognizing her outstanding contributions to neurocritical Care. Dr. Mahajan is a member of the editorial board of Journal of Neuroanaesthesiology and Critical Care and reviewer of several medical journals. Dr. Mahajan's research interests focus on aneurysmal subarachnoid hemorrhage, multimodal neuromonitoring, traumatic brain injury management, and neuroprognostication.