Brain Morrison
Neurocritical Care

Faculty and Staff

Neurocritical care is a multi-disciplinary field comprised of a collaborative effort by neurointensivists, neurosurgeons, interventional endovascular physicians, physician extenders (nurse practitioners, physician assistants), nurses and physicians in training (medical students, residents and fellows).

Neurointensivists are physicians specially trained in neurocritical care. Their primary training may be in neurology, neurosurgery, anesthesia or internal medicine, but they have undergone additional subspecialty training to care for the unique needs of neurocritically ill patients.

Neurocritical Care - Faculty and Staff

Along with treating neurological injuries, neurointensivists also manage medical complications such as heart arrhythmias, lung or blood stream infections, blood clots, liver or kidney failure and a variety or respiratory disorders. Neurointensivists are able to provide complete care for patients by integrating and balancing the management of both the brain and the body. Neurointensivists provide medical management and perform many bedside invasive procedures (such as intubation, central line placement, and brain pressure monitor placement). In many facilities, neurointensivists are the leaders of the multi-disciplinary neurocritical care team.

Neurosurgeons perform brain and spine surgery and are essential for the care of many neurologically ill patients. Typical operative procedures include the removal of brain tumors, obliteration of intracranial vascular abnormalities, and spinal surgery to name a few. Neurosurgeons and neurointensivists work closely in the daily decision making process for critically ill neurological patients.

Interventional endovascular physicians perform diagnostic and therapeutic angiographic procedures. An angiogram involves the placement of a catheter into the artery in the thigh with the injection of contrast into the arteries that enter the brain. Through minimally invasive techniques, these physicians can treat a variety of vascular problems such as injecting clot-busting medication into brain clots to treat stroke, coiling off aneurysms (abnormal ballooning of blood vessels that is prone to rupture) to treat subarachnoid hemorrhage or stenting of stenotic (tightened) carotid arteries, among others.

Nurses, physician extenders, residents and fellows carry out the day to day work in the ICU and allow for smooth and consistent patient care. Social workers interact with families to provide additional support and guide families through insurance and rehabilitation processes.

Neuro-Intensivists


Dr. Jennifer Frontera joined the Mount Sinai faculty as an assistant professor of Neurosurgery and Neurology in 2006. She is board certified in Neurology, as well as subspecialty board certified in Vascular Neurology and Stroke and Neurocritical Care. She completed her neurology residency and stroke and Neurocritical care fellowships at Columbia Presbyterian Hospital in New York. Since arriving at Mount Sinai, she has introduced new technology to the neuro-intensive care unit, including Licox, Camino, arctic sun, innercool, microdialysis, EEG monitoring, multi-modality transcranial Doppler, non-invasive cardiac monitoring (Flotrak) and the bedmaster data collection system.

She has written and instituted a variety of clinical protocols including guidelines for management of subarachnoid hemorrhage, intracerebral hemorrhage, subdural hemorrhage, status epilepticus, induced hypothermia, induced normothermia, management of elevated intracranial pressure, donation after cardiac death and management of potential organ donors. She is the author of a handbook of Neurocritical care, Decision Making in Neurocritical Care, to be released in April 2009 (Thieme) and has authored several peer reviewed articles as well as numerous book chapters (see Publications link). Dr. Frontera is an active member of the Neurocritical Care Society, an editor on the Neurocritical Care Society Web site and on the editorial board of the journal Neurocritical Care.

Dr. Frontera is the principal investigator on two ongoing local IRB approved projects, "Intracranial Hemorrhage Outcomes Project (IHOP)" (GCO# 07-1321) and "Prediction of Postoperative Recurrence of Subdural Hematoma using CT Perfusion" (GCO#08-1470) and is site principal investigator for the NIH funded ARUBA trial (A Randomized Study of Unruptured Brain Arteriovenous malformations) and the upcoming 4 BALANCE Beriplex trial (prothrombin complex concentrates for reversal of hemorrhage in coagulopathic patients, see our Research section). She is the leader of NYC Project Hypothermia at Mount Sinai, which is a Greater New York Hospital Association initiative in conjunction with FDNY for induced hypothermia after cardiac arrest. Dr. Frontera is also the chair of the Mount Sinai organ donation council and a member of the NY Jets spinal cord injury team led by Dr. Andrew Hecht of Mount Sinai Orthopedic surgery. Areas of research interest include subarachnoid hemorrhage, subdural hemorrhage and cerebrovascular autoregulation.

See Dr. Jennifer Frontera's Curriculum Vitae [PDF]

Dr. Errol Gordon joined the Mount Sinai staff as an assistant professor of neurosurgery and neurology in July 2008. Dr. Gordon is board certified in neurology and internal medicine and subspecialty UCNS board certified in Neurocritical care. He completed his residency training at the Medical College of Wisconsin and his fellowship training in Neurocritical care at Columbia Presbyterian Hospital in New York.

See Dr. Errol Gordon's Curriculum Vitae [PDF]

Interventional Endovascular physicians

Nursing

Nurse Manager:
Mignon Guishard-Pole, RN, MA, CCRN

Nurse Educator:
Susan Nevins, RN, MA, CNRN, CCRN, ACNP/NP

Research Assistants

Arjun Gowda
Christine Grilo
Ashley Newman

Contact Information

Talk to us: 1-800-MD-SINAI

1-800-637-4624

Neuroscience ICU

Talk to us: (212) 241-2100

Location:

1468 Madison Ave, Annenberg Building, 8th floor, NY, NY 10029

Fax:

(212) 426-7629

(800) MD-SINAI (800) 637-4624

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