Neurocritical Care Society Podcast

In our final episode of 2023 our host Nick Morris is joined by Dr Matthew Fink, founding director of the Neurology-Neurosurgery Intensive Care Unit at New York Presbyterian Hospital.

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. Learn more about ON CALL®. This episode is sponsored by ceribell. Time is brain when it comes to seizures. Ceribell Point of Care EEG empowers the bedside team to detect or rule out seizure activity in minutes. To learn more, visit ceribell.com. The NCS Podcast is the official podcast of the Neurocritical Care Society.

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 Lauren Koffman. You can read Dr George's article at https://currents.neurocriticalcare.org/Stories-of-Hope/Article/story-of-hope-sidneys-triumph-over-stroke.

In this discussion, Dr. Agnes Kielian, a pediatric neurologist from Boston Children's Hospital, and Dr. Nikki Miller Ferguson from Children's Hospital of Richmond delve into the complexities of pediatric emergencies. They emphasize the unique challenges of managing status epilepticus and traumatic brain injuries in children. With insights on rapid diagnostic tools like the Cerebell Point of Care EEG, they highlight critical differences in treatment approaches, airway management, and age-specific needs. The importance of ongoing assessment and interdisciplinary collaboration in treatment is also discussed.

Dr. Christopher Kellner, Assistant Professor of Neurosurgery at Mount Sinai, pioneers minimally invasive surgery for intracerebral hemorrhage (ICH). He dives into the evolution of surgical management for ICH, highlighting significant advancements like the MISTI procedure. Dr. Kellner discusses the importance of centralized care and the impact of innovation on outcomes. He also examines the efficiency of interventional suites and emphasizes the urgency of timely surgical interventions for optimal patient care.

Dive into the complexities of managing subarachnoid hemorrhage in the neuro ICU. Discover how delayed cerebral ischemia and vasospasm affect outcomes, along with innovative treatments like intravenous milrinone and intrathecal nicardipine. Learn about the role of calcium channel blockers, lumbar drainage techniques, and the importance of medication guidelines. The challenges of hyponatremia are explored, showcasing tailored strategies for optimal patient care. This insightful discussion is packed with practical knowledge for neurocritical care professionals.

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 this episode of HOT TOPICS, Dr Alex Reynolds is joined by two of the guideline's co-authors Dr Ariene Lewis and Dr Matthew Kirschen to introduce the purpose and recommendations of the Consensus Guideline. Access the guideline at https://n.neurology.org/content/early/2023/09/13/WNL.0000000000207740. Read the AAN's press release at https://www.aan.com/PressRoom/Home/PressRelease/5119.

Discover the latest updates in management guidelines for subarachnoid hemorrhage, marking the first major revisions in a decade. Dive into the critical aspects of diagnosing the condition, especially in patients with severe headaches, and learn about the limitations of MRI. The importance of timely intervention for aneurysmal subarachnoid hemorrhage is highlighted, along with the complexities of personalized blood pressure management. New insights into the use of tranexamic acid (TXA) raise questions about its effectiveness, advocating for updated treatment protocols.

Colleen Bond, PharmD from Westchester Medical Center, and Andy Webb, PharmD of Massachusetts General Hospital, dive into the heated debate over Nicardipine and Clevidipine for neurocritical care patients. They explore the critical differences in blood pressure management between these medications, including clinical efficacy and patient outcomes. The conversation also touches on the implications of compounding practices, the importance of rapid blood pressure control, and the risks associated with Clevidipine's lipid emulsion. It's an insightful look at pharmacological choices in acute care!

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. Learn more about ON CALL®. This episode is sponsored by ceribell. Time is brain when it comes to seizures. Ceribell Point of Care EEG empowers the bedside team to detect or rule out seizure activity in minutes. To learn more, visit ceribell.com. The NCS Podcast is the official podcast of the Neurocritical Care Society.