Critically ill neurologic and neurosurgical patients can be difficult to manage, not necessarily owing to significant medical problems but rather as a result of the complexity and vulnerability of the brain vis-àvis physiologic changes that otherwise would be well tolerated by any other body organ. Hence it is very important to approach these patients in a holistic way, combining the standard critical care approaches with a neuro-focused approach. Most available textbooks in this field have either focused on neurocritical care topics or general critical care topics. The “NICU Book” has been produced to provide all healthcare professionals caring for critically ill neurologic and neurosurgical patients with a straightforward, concise, and practical reference to assist them with management decisions.

The book is intended to be limited in depth but comprehensive in its scope. Emphasis has been placed on selecting well-renowned contributors to provide a logical approach to the diagnosis and management of a wide range of common conditions seen in the neurointensive care unit.

On completing the book the reader should be able to understand the nuances in neurocritical care patients and determine the most effective therapy to limit secondary brain injury.

I am indebted to my wife and children, to the authors, neurocritical nurses, families, and particularly the patients who continue to stimulate my passion for neurocritical care.