Neurocritical Care Society

Leading Insights

Leading Insights, POCUS

Transcranial Color Doppler in the Neuro-ICU

Written By: Brittany M. Kasturiarachi, DO

Transcranial Color Doppler (TCCD) ultrasound is a versatile imaging modality with multiple potential uses in the acute setting.

Leading Insights

Innovation for Health Disparities Research in Hemorrhagic Stroke

Written By: Nirupama Yechoor, MD, MSc ; Rachel Forman, MD; Christine Fox, MD, MAS

As clinicians working with patients who have sustained an acute brain injury, we are naturally focused on caring for the injury itself.

Leading Insights, POCUS

Role of Point-of-Care Ultrasound in Lumbar Puncture

Written By: Earllondra Brooks, MD; Izn Shahab, MD; Gary Hunter, MD; Erika Sigman, MD

Despite major advances in neuroimaging, lumbar puncture (LP) remains a necessary diagnostic and therapeutic procedure for a variety of neurologic...

Leading Insights, POCUS

Early Diagnosis of Tricuspid Valve Infective Endocarditis by Point of Care Ultrasonography

Written By: Anne Borja, PA-C

A 40-year-old female with unknown past medical history was brought in from a shelter, after she was found altered with right sided weakness. On...

Leading Insights, Ethics

The Ethical Conundrums of Normothermic Regional Perfusion

Written By: Richard Choi, DO; Misti Tuppeny, MSN, APRN-CNS, CCRN, CNRN, CCNS; Alexandra Reynolds, MD

Heart transplantation has proven to be lifesaving for thousands of patients with advanced heart failure since its inception in 1967. Despite our...

Leading Insights, Pharmacy

Cangrelor Use in Neurointerventional Radiology: Tackling the Unknowns

Written By: Catherine Donaldson, PharmD, PGY2 ; Veronica Bonderski, PharmD, BCCCP

The use of antiplatelet agents, such as P2Y12 inhibitors, is standard care in the management of numerous neurological pathologies and...

Leading Insights

What Should Our Daughters Expect? A Neurointensivist’s and Mother’s Perspective

Written By: Sarah Nelson, MD, MPH

I am a neurointensivist who has cared for several gunshot wound victims and am also a new mother of a daughter. I feel these roles provide me with...

Leading Insights, Pharmacy

Communication After Isolation: The Challenge of Re-Engaging Family Members in Neurocritical Care

Written By: Elaina Etter, PharmD

Communication is a cornerstone of patient care. We are taught that patient-centered care requires trust, which can only be fostered if both...

Leading Insights

Neurocritical Care Outreach: Developing Programs to Help Underserved Communities

Written By: Peter Papadakos, MD

There is overwhelming public health data on the increased incidence of many common diseases in underserved communities, as well as a lack of...

Leading Insights

Estimating Left Ventricular Function With Bedside Echocardiography in a Stroke Patient

Written By: Bryan Boling, DNP, AGACNP; David Bacon, MD

A 67-year-old man presented to the Emergency Department with left-sided weakness and slurred speech. A CT head showed no acute abnormalities,...

Leading Insights, Pharmacy

Don’t Be Afraid of the Dark: Neurocritical Care Pharmacy at Night

Written By: Brittny Medenwald, PharmD, BCCCP; Jessie Lipstreuer, PharmD

Healthcare workers face unique challenges during evening and overnight hours: an abundance of unplanned intensive care unit (ICU) admissions,...

More Leading Insights

Leading Insights

The Magnetic Power of the Future: The Iseult CEA 11.7 T MRI

Written By: Shane Musick, MD; Nilufer Yalcin, MD

The Iseult CEA 11.7 Tesla (T) MRI machine marks a significant leap forward in magnetic resonance imaging, offering unmatched magnetic field...

Leading Insights, Ethics

Who Invited Legal Into the Peer Review Conference?

Written By: Krista Lim-Hing, MD; Alexandra Reynolds, MD; Daryl McHugh, MD; Julia Durrant, MD; Matthew N. Jaffa, DO

When asking physicians to reflect on their years of medical training, it is rare to find one without a formative memory connected to a morbidity...

Leading Insights

Tricks of the Trade: A Stepwise Approach to Managing Post-TBI Agitation

Written By: Christine Picinich, MS, AGACNP-BC, CCRN

Patients with traumatic brain injury (TBI) commonly develop agitation during their recovery.