Neurocritical Care Division

UT Southwestern Medical Center established the Neurocritical Care program in 2006 to provide multidisciplinary intensive care for critically ill neurological patients at both Zale Lipshy University Hospital and Parkland Memorial Hospital.

Neurocritical Care Team
Neurocritical Care team

The Neurocritical Care Division at UT Southwestern was the first to offer a United Council of Neurological Subspecialties (UCNS) Accredited Neurocritical Care Fellowship program in the state of Texas and surrounding region. The two-year program is co-sponsored by the Departments of Neurological Surgery and Neurology and Neurotherapeutics. 

Currently, we have six faculty members and two fellows, as well as a team of mid-level providers and research coordinators.

Research

Our faculty members, fellows, and faculty associates participate in clinical studies and randomized trials. Christiana Hall, M.D. is investigating the role of tight glucose control in ischemic stroke. Other ongoing research projects include intrathecal tPA for reduction of hydrocephalus after subarachnoid hemorrhage and the role of steroids in the management of brain abscesses.

Education

Within two years, the Neurocritical Care Program established a comprehensive fellowship program, which was approved by UT Southwestern and the Texas Medical Board in April 2008. A solid critical care training curriculum was developed to prepare fellows for brain resuscitation and comprehensive care of critically ill neurological patients. 

Didactic teachings include biweekly Neurocritical Care Lecture/Journal Clubs and weekly Cerebral Vascular and Neurological Conference.

Residents rotate through the Neurocritical Care service for three months. This has not only exposed residents to the specialty but has also fostered an excellent relationship between neurosurgery service and the Neurocritical Care team, which has produced long-lasting positive effects on patient care and education. 

Neurocritical care faculty also offer an elective two to four week rotation for medical students.

Clinical Programs

We offer a 20-bed Neurointensive Care Unit at Zale Lipshy University Hospital. Our facilities include ORs and angio suites, with a respiratory therapy hub and a clinical laboratory within the unit. Diagnostic services, including CT scan and MRI, are on the ground level. Continuous EEG monitoring is available for the evaluation and management of seizures.

Our team also provides consultative co-management to critically ill patients with neurological disease at Parkland. The Neurocritical Care Service at Parkland has been in operation since July 2010.