Neuro Intensivists

Neuro Intensivists: Specialized Care and Treatment

The UNC Health Rex Neuroscience Intensive Care Unit (Neuro-ICU) is a specialized 10 bed unit dedicated to the expert medical and surgical management of critically ill patients with brain and spinal disorders.

Distinguished as one of the few neuro-intensive care units in North Carolina and the sole unit in Wake County, our facility is staffed by full-time, board-certified neurointensivists who have undergone specialized training in both neurological and medical intensive care.

Our Multidisciplinary Team

Our team of neurointensivists delivers round-the-clock, state-of-the-art intensive care for patients with a spectrum of neurological and neurosurgical conditions, encompassing seizure disorders, strokes, traumatic brain injuries, and aneurysms. To ensure the best possible outcomes for our patients, our physicians harness cutting-edge technology for monitoring and guiding therapeutic interventions.
The nature of neurological intensive care necessitates a high level of expertise and coordinated efforts among various specialists. Each patient we attend to receives compassionate, collaborative care from our accomplished team, which includes:

  • Neurointensivists
  • Neurologists
  • Neurosurgeons
  • Critical care medicine physicians
  • Nurse practitioners
  • Physician assistants
  • Registered nurses
  • Clinical nurse specialists
  • Pharmacists
  • Patient care assistants
  • Dietitians
  • Respiratory therapists
  • Physical therapists
  • Occupational therapists
  • Speech therapists
  • Social workers

In the neuro-ICU, the neurointensivist assumes the primary role in managing the patient’s care. We prioritize a holistic approach to patient well-being, aiming to provide integrated care that considers not only the neurological aspects but also the broader context of the patient’s overall health.

Our commitment to clinical and translational research further enhances our capacity to deliver top-tier neurocritical care.

Services Provided and Conditions Treated

Why Choose Our Neuro Intensivist Team?

Neurological conditions present intricate challenges that demand the expertise of specialists adept at utilizing advanced neuromonitoring, neuroimaging, and critical care methodologies tailored to the unique requirements of neurological patients.

In the aftermath of neurological injuries or neurosurgical procedures, immediate and specialized intensive care is paramount in enhancing patient outcomes. The UNC Rex Neuroscience ICU unites a team of highly trained physicians and nurses with cutting-edge technology, all focused on addressing life-threatening neurological conditions.

Research has shown that patients with neurological disorders admitted to a neuro-ICU under the guidance of board-certified neurointensivists experience improved outcomes, shorter hospital stays, and reduced overall healthcare expenses compared to those treated in a general ICU environment.

The neurointensivist assumes a central role in ICU care, consolidating various aspects of treatment that would otherwise necessitate the involvement of multiple subspecialists, including neurologists, pulmonologists, cardiologists, and endocrinologists. Close collaboration is maintained with neurosurgeons, neuroradiologists, neurologists, otolaryngologists, anesthesiologists, and other healthcare providers.

Our neurointensivists’ exceptional training, coupled with the state-of-the-art technology available in the neuro-ICU, empowers us to deliver world-class, compassionate, and comprehensive care to our valued patients.

Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.