Neurocritical care looks after patients whose brain or nervous system is seriously affected and who need intensive monitoring. Examples include severe stroke, brain haemorrhage, head injury, prolonged seizures, brain infections and severe nerve or muscle weakness affecting breathing.
In the first hours, the priorities are to keep the airway open, support breathing, maintain blood pressure and oxygen levels and prevent further brain damage. Regular neurological checks, such as monitoring alertness, pupils and movement, detect changes early. Imaging and blood tests guide decisions.

Some patients need a ventilator or medicines to control brain swelling or seizures, and some require a neurosurgical operation. Communication with the family is a key part of care, and the team explains progress and uncertainty as clearly as possible.

Neurocritical care services at Apex include:

• Intensive Neurological Monitoring: Frequent checks of alertness, pupils, limb strength and vital signs in the intensive care unit, so that any deterioration is noticed and treated quickly.
• Seizure Control: Treatment of prolonged or repeated seizures with medicines given through a vein and investigation of the cause to prevent recurrence.
• Brain Infection Management: Evaluation and treatment of meningitis and encephalitis with appropriate medicines, supportive care and, where indicated, spinal fluid testing.
• Coordination with Neurosurgery: Joint planning with the neurosurgical team when a patient needs an operation, such as for bleeding, swelling or a head injury.