Traumacast EAST/AAST/AAST-AMC: SCC Review Series - Neurologic Dysfunction II
Aug 25, 2025
Dr. Neeraj Badjatia, a leader in neurocritical care, joins critical care fellows Dr. Jennifer Brewer and Dr. Leah Aakjar for an engaging discussion on neurologic management. They dive into the critical aspects of status epilepticus, emphasizing the need for timely intervention. Pain management strategies in the ICU take center stage, exploring multimodal analgesia and novel non-pharmacologic approaches. The trio also tackles delirium screening tools and the complexities surrounding subarachnoid hemorrhage, providing evidence-based recommendations for enhanced patient outcomes.
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Multimodal Analgesia Reduces Opioids
- Use multimodal analgesia to reduce opioid needs in ICU patients.
- Combine acetaminophen, gabapentin, ketamine, baclofen and selective NSAIDs when appropriate.
Implement Analgesia-First Sedation Protocols
- Prioritize analgesia-first sedation with regular pain and sedation assessments.
- Use protocols that treat pain before adding sedatives to reduce sedation and ventilator days.
Balance Analgesia And Sedation
- Balancing analgesia and sedation minimizes long-term harms of both drug classes.
- Overuse of either opioids or sedatives causes distinct downstream complications.