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The goal of the Neurocritical Care Society Podcast is to summarize some of the latest content and cutting edge research published in the journal, Neurocritical Care, official journal of the Neurocritical Care Society. Episodes are produced regularly and feature interviews with the top researchers around the world in the fields of neurology, critical care, and neurosurgery.
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Electroencephalography (EEG) is an important and relatively inexpensive tool that allows intensivists to monitor cerebral activity of critically ill patients in real time. Seizure detection in patients with and without acute brain injury is the primary reason to obtain an EEG in the Intensive Care Unit (ICU); and in response to the increased demand…
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The purpose of informed consent, as it exists now, is primarily to maintain patient autonomy, but additional benefits include the protection of patients, avoidance of fraud, and promotion of rational decisions, amongst others. It is now considered both an ethical and legal obligation which should, at a minimum, always include: 1) the nature of the …
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It is unknown whether decompressive craniectomy improves clinical outcome for people with spontaneous severe deep intracerebral haemorrhage. The SWITCH trial aimed to assess whether decompressive craniectomy plus best medical treatment in these patients improves outcome at 6 months compared to best medical treatment alone. The SWITCH Trial has come…
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Patients with acute intracerebral hemorrhage who are receiving factor Xa inhibitors have a risk of hematoma expansion. The effect of andexanet alfa, an agent that reverses the effects of factor Xa inhibitors, on hematoma volume expansion had not been well studied, until the ANNEXA-I Trial. To discuss this week's Hot Topic, Nicholas Morris, MD is jo…
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As clinicians working with patients who have sustained an acute brain injury, we are naturally focused on caring for the injury itself. Until recent years, the clinical severity of brain injury was regarded as the main driver of prognosis and outcomes. However, we are beginning to understand how non-clinical factors, including the social determinan…
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For the latest episode in our Hot Topics series, Dr Nicholas Morris, FCNS is joined by Dr Jennifer Frontera, FNCS to discuss the NCS Guidelines for Seizure Prophylaxis in Adults Hospitalized with Moderate-Severe Traumatic Brain Injury. Download the guidelines at https://link.springer.com/article/10.1007/s12028-023-01907-x.…
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Post-intensive care clinics following admission to the intensive care unit (ICU) have gained significant traction in recent years across the United States and internationally. This movement has been driven by increasing recognition of the long-term sequela related to the experience of an ICU admission. This week, Dr Lauren Koffman is joined by Dr M…
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In May 2014 Elisabeth Beraquit fell through the faulty doors of an elevator into an empty shaft, landing 30 feet below on top of the elevator car. She suffered multiple traumatic brain injuries, including subarachnoid hemorrhage, intraventricular hemorrhage, and a diffuse axonal injury. 10 years on and Elisabeth is thriving, running her own busines…
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In this week's episode, Dr Nicholas Morris is joined by Dr. Karen Hirsch and Dr. Teresa May to discuss their paper “Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society”. We discuss the difference between a scientific statement and a guideline, areas of …
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This week's Hot Topic is Intravenous Levothyroxine for Unstable Brain-Dead Heart Donors and Dr Nicholas Morris is joined by Dr Raj Dhar from Washington University School of Medicine to discuss his latest New England Journal of Medicine manuscript (https://pubmed.ncbi.nlm.nih.gov/38048188/).Neurocritical Care Society tarafından oluşturuldu
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In this week's episode, Dr Nick Morris is joined by Dr Jose Suarez to discuss the recently updated NCS subarachnoid hemorrhage guidelines. We compare them with the recently released American Heart Association subarachnoid hemorrhage guideline; and we discuss the purpose of guidelines in general and how guidelines map out priorities for research.…
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In this week's episode, Dr. Nicholas Morris talks to Dr. Michael Rodricks (Immediate Past Chair of the NCS FNCS Credentialing Committee) and Dr. Jason Makii (NCS FNCS Credentialing Committee Chair-Elect) about the Fellowship in Neurocritical Care Society Designation. Listeners can learn what the FNCS designation means, how to apply, and how to maxi…
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Point-of-care ultrasound (POCUS) is increasingly recognized as an essential skill for critical care providers, intended to enhance clinical assessments to improve patient care. Beyond its adaptation for procedural guidance, bedside ultrasound assessments can provide critical diagnostic information in a timely manner to guide real-time decision maki…
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En este episodio especial en Español, el Dr. Luis Torres conversó con el Dr. Jose Javier Provencio acerca de los inicios de la campaña Curing Coma, sus metas iniciales, los retos que la campaña ha logrado superar y algunas colaboraciones internacionales con la campaña. Tambien hablamos acerca del Día Mundial del Coma y que pueden los participantes …
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In this week's episode, Dr Nick Morris is joined by Dr Susanne Muehlschlegel, Dr Katja Wartenberg, and Dr Krishna Rajajee to discuss the NCS' Neuroprognostication Guidelines, including guidelines development, clinical prediction models, and the best language for family meetings.Neurocritical Care Society tarafından oluşturuldu
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Dr Nick Morris is joined by Dr Brian Edlow and Dr Claude Hemphill from the Curing Coma Campaign to discuss the scientific aims of the Campaign, the emerging paradigms for assessing disorders of consciousness, and the need for worldwide collaboration on curing coma. Visit https://www.curingcoma.org to learn more about World Coma Day and the Curing C…
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Dr Nick Morris is joined by Dr. Tobias Gauss from Grenoble Alpes University Hospital in France. to discuss the recently published OXY-TC trial, a multisite randomized controlled trial of ICP + brain oxygenation monitoring vs. ICP monitoring alone in patients with severe traumatic brain injury.Neurocritical Care Society tarafından oluşturuldu
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In the lead up to this year's World Coma Day (March 22), and in the first of three special episodes, Dr Nick Morris hosts Dr DaiWai Olson to discuss the Curing Coma Campaign and World Coma Day through the perspective of the neurocritical care nurse. Visit https://www.curingcoma.org to learn more about World Coma Day and the Curing Coma Campaign.…
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The pandemic has finally been declared ‘over,’ though COVID-19 continues to linger. The phenomenon of burnout has been well documented pre-pandemic, in many cases due to understaffing. This was exacerbated by the severe strain of COVID-19 placed on the healthcare system, with nurses leaving in droves post-pandemic. While nursing professional organi…
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Leveraging pre-existing partnerships between NCS and colleagues at Aminu Kano Teaching Hospital in Kano, Nigeria, in October 2023 we hosted a 2-day live ENLS training event for healthcare workers from across sub-Saharan Africa. Dr Morgan Prust and Dr Ismail Hassan join Dr Lauren Koffman to discuss the applicability and limitations of ENLS in sub-Sa…
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On this weeks’ episode of Perspectives, Dr. Daniel Hanley, professor of neurology, neurosurgery, and anesthesiology/critical care medicine at the Johns Hopkins University School of Medicine, discusses the early days of neurocritical care at Johns Hopkins, the importance of family-centered care, and recent advances in the care of patients with intra…
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The transition from alteplase (ALT) to tenecteplase (TNK) in the management of acute ischemic stroke (AIS) has been an exciting and thoroughly discussed topic within the neurocritical care community. Although debates on the clinical efficacy and safety of TNK for AIS have subsided somewhat in light of recently published data, what remains lacking i…
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Listen to the latest episode of NCS INSIGHTS series, this time on Meningitis Encephalitis. The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical care.…
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Join us as we follow up with Sidney Landis, who was previously featured as a Currents “Story of Hope” to hear more about her journey in recovering from a cerebral venous sinus thrombosis. The Story of Hope was written by Dr Pravin George, who was part of her neurocritical care team, and adds his perspective to hear care and journey. Hosted by Dr La…
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Listen to the latest episode of NCS INSIGHTS series, this time on Pediatric Emergencies with Dr Agnes Kielian (Boston Children's Hospital) and Dr Nikki Miller Ferguson (Children's Hospital of Richmond @ VCU). The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the…
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Today we welcome Dr Christopher Kellner, Assistant Professor of Neurosurgery at Mount Sinai Icahn School of Medicine and pioneer in the surgical management of ICH. We discuss the evolution of surgical ICH management, including minimally invasive surgery, and hear Dr Kellner’s thoughts on the future of the field. Hosted by Dr Stephan Mayer and Dr Jo…
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Listen to the latest episode of NCS INSIGHTS series, this time on Subarachnoid Hemorrhage (part 2 of 2). The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neuro…
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Developed between the American Academy of Neurology, the American Academy of Pediatrics, the Child Neurology Society, and the Society of Critical Care Medicine, and endorsed by the Neurocritical Care Society, this new guideline provides recommendations on the evaluation of brain death/death by neurologic criteria for both children and adults. In th…
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Listen to the latest episode of NCS' INSIGHTS series on Subarachnoid Hemorrhage (part 1 of 2) The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical ca…
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The efficacy of Nicardipine versus Clevidipine in treating neurocritical care patients is an ongoing debate which strongly divides opinion; and so in this week's episode, Dr Alex Reynolds is joined by Colleen Bond, PharmD, and Andy Webb, PharmD, who from a pharmacy standpoint help us to navigate the debate and further our understanding of the pros …
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Listen to the next episode of NCS' INSIGHTS series, this time on Analgesia and Sedation. The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical care. L…
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Listen to the latest episode of NCS' INSIGHTS series, this time on Neuromuscular Emergencies. The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical ca…
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Listen to the sixth episode of NCS' INSIGHTS series, this time on Increased Intracranial Pressure. The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritic…
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The ENRICH trial compared the outcomes between early surgical intervention using the BrainPath® Approach (i.e., MIPS) and a medically managed cohort. The integrated surgical approach included a combination of available technologies, including the FDA-cleared NICO BrainPath® for non-disruptive access and NICO Myriad® to achieve the goal of maximum c…
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Listen to the fifth episode of NCS' INSIGHTS series, this time on Intracerebral Hemorrhage. The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical care…
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Following their debate on approaches to early phase management of refractory status epilepticus (RSE), Salia Farrokh, PharmD is joined by Caroline Der Nigoghossian, Neurocritical Care PharmD, Renad Abu-Sawwa, PharmD, and Gabe Fontaine, PharmD to explore the benefits and harms/risks of early ketamine administration in refractory status epilepticus, …
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