NEUROSCIENCE: Edited by Marek A. MirskiNeuro-ICU patient disposition: optimal venue for acute needsBadenes, Rafaela; Robba, Chiarab,c; Taccone, Fabio S.d; Bilotta, FedericoeAuthor Information aDepartment of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clinic Universitari Valencia, University of Valencia, Valencia, Spain bIRCCS AOU San Martino-IST, Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy cNeurocritical Care Unit, Addenbrookes Hospital, Cambridge, UK dDepartment of Intensive Care, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium eDepartment of Anesthesiology, Critical Care and Pain Medicine, ‘Sapienza’ University of Rome, Rome, Italy Correspondence to Rafael Badenes, MD, PhD, Department of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clinic Universitari Valencia, University of Valencia, Valencia, Spain. Tel: +34 696819532; e-mail: email@example.com Current Opinion in Critical Care: April 2018 - Volume 24 - Issue 2 - p 65-71 doi: 10.1097/MCC.0000000000000482 Buy Metrics Abstract Purpose of review This article revises the recent evidence on ICU admission criteria for acute neurological patients [traumatic brain injury (TBI) patients, postoperative neurosurgical procedures and stroke]. Recent findings The appropriate utilization of ICU beds is essential, but it is complex and a challenge to attain. To date there are no widely accepted international guidelines for managing these acute brain-injured patients (stroke, TBI, postneurosurgery) in the ICU. The criteria for ICU admission after neurological acute injury, high-dependency unit or a specialized neurosurgical ward vary from institution to institution depending on local structures and characteristics of the available resources. Better evidence to standardize the treatment and the degree of monitoring is needed during neurological acute injury. It is highly recommended to implement clinical vigilance in these patients regardless of their destination (ICU, stroke unit or ward). Summary Currently evidence do not allow to define standardized protocol to guide ICU admission for acute neurological patients (TBI patients, postoperative neurosurgical procedures and stroke). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.