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47th Critical Care Congress: Updates from the Neuroscience Section

By Currents Editor posted 03-30-2018 23:00

Neha_S__Dangayach.bmpAarti_Sarwal__MD.bmpVineeta_Singh.bmpBy Neha S. Dangayachm, MD, Aarti Sarwal, MD, and Vineeta Singh, MD

The Neuroscience Section of the Society of Critical Care Medicine was well-represented at the 47th Critical Care Congress in the program, honors and attendance. The SCCM now has 16,000 critical care professionals in more than 100 countries, and, like previous years, this meeting has continued to be the largest event to bring together attendees from several specialties, providers and practitioners of critical care teams striving to provide the “Right Care, Right Now.” The theme for the annual meeting of 2018 was “Global Reach and Local Impact.” The presidential address by Ruth Kleinpell highlighted the growing reach and impact of the congress globally not only in education and research but also in generous donations and volunteer services in disaster-stricken areas.

It was an exceptionally proud moment for neurocritical care as we celebrated the Lifetime Achievement awardee Dr. Thomas Bleck, a great clinician researcher, mentor, thought leader and pioneer. His plenary session talk on how critical care illness affects the brain and vice versa was a journey into a career spanning many years. The discussion moved seamlessly from EEG in ICU to sepsis-associated encephalopathy to a glimpse into the present and promise of modulating immune dysregulation and the neuroimmunologic reflex arc. However, one of the most popular slides from Dr. Bleck’s talk on Twitter was his approach to evidence-based medicine over the years. Dr. Vineeta Singh organized a memorable dinner to mark the occasion as we listened to some inspiring stories from Dr. Bleck.

We must congratulate the Annual Congress Programming Committee for selecting great proposals to engage multidisciplinary learners in neurocritical care education. On Feb. 24, 2018, co-chairs Drs. Erik Su and Cherylee Chang organized the first ever pre-congress full-day course on “Neurologic Monitoring and its Implementation in Adult and Pediatric ICUs.” This course covered didactics on critical care EEG monitoring, brain tissue oximetry, transcranial dopplers (TCDs), ophthalmic ultrasound, biomarkers, neuroimaging, and intracranial pressure monitoring (ICP) followed by a hands-on workshop on TCDs, ophthalmic ultrasound and ICP monitoring. This course was sold out.

On Feb. 25, at the Neuroscience Business Section Meeting luncheon, we thanked Dr. Fred Rincon for his leadership as the section’s outgoing chair; welcomed Drs. Lori Shutter as chair-elect; and Karen Hirsch, Axel Rosengardt and Venkatakrishna Rajajee as members at large of this section. The open floor discussions at this meeting ranged from priorities of the section, educational and research opportunities for neuroscience members. Just like this
year’s congress, the upcoming year promises to be exciting for the neuroscience section and we hope to see a rich representation in the scientific program of 2019.

We are excited to report that all the sessions pertaining to neurosciences were extremely well received; some had standing room only while others had to utilize the overflow room at the congress. Neurosciences research snapshots highlighted the diversity in adult and pediatric neurocritical care research. A
multidisciplinary session on neuromuscular respiratory failure with perspectives from neurology, pulmonology and nursing moderated by Dr. Eelco Widjicks included Dr. Aarti Sarwal and Dai Wai Olson.Dr. Daniel Hanley, one of this year’s recipients of the ACCM Distinguished Investigator Awards, presented a plenary session on “Brain Hemorrhage: An Orphan Disease.” The American College of Critical Care Medicine (ACCM) inducted neurointensivist Dr. David Hwang (Yale), pharmacist Jason Makii (University Hospitals) and Steve Roberts (Johns Hopkins) as fellows. Dr. Evie Marcolini from Yale received the Grenvik Family Award for Ethics.

47_3.bmp47_4.bmpThe year in Neuroscience Review was packed with great science and highly engaged attendees. Diverse approaches to diagnoses and therapies for convulsive and non-convulsive status epilepticus were covered in two great sessions. The session moderated by Dr. David Seder included Drs. Emily Gilmore, Brand Foreman and Paul Vespa as faculty and covered the fundamentals of EEG, which every intensivist must know. Another session moderated by Dr. Thomas Bleck included pharmacists Theresa Human, John J. Lewin III and Dr. Stephan Mayer as faculty covering controversial treatment strategies beyond benzodiazepines in status epilepticus. Neurosurgeon Dr. Kevin Tracey delivered a fantastic plenary session on “Bioelectronic Medicine: A Jump-Start in Critical Illness,” which provided a deep dive into 20 years of research on the neuro-immune reflex arc and shared success stories of vagal nerve stimulation in autoimmune disorders.
San Antonio’s food, weather and hospitality served as a great back drop to great science, catching up with old friends and establishing new collaborations. Until next year!

Neurologic monitoring and its implementation in adult and pediatric ICUs Pre-Congress Course.

#NCSRoundup #NehaS.Dangayachm #AartiSarwal #VineetaSingh

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