By Kyle Hobbs, MD and Sara Stern-Nezer, MD Coma secondary to acute brain injury is extremely common in the neurocritical care unit, but prognosis after coma is challenging. Electroencephalography provides a window into the comatose brain, revealing brain activity even in the absence of...
By Ma, H., Campbell, B.C., Parsons, M.W., et al. New England Journal of Medicine , 380 (19), pp.1795-1803. Summary Methods: The recently successful thrombectomy trials (DEFUSE 3 and DAWN) have set a paradigm of reperfusion based on tissue viability assessed by perfusion imaging...
By Harahsheh, Y., Duff, O.C., Ho, K.M. “Thromboelastography predicts thromboembolism in critically ill coagulopathic patients.” CCM. 2019;47(6): 826-832. Summary : Thromboembolism is the main cause of preventable hospital-associated death. Coagulopathy is common in the ICU, often resulting in...
Authors: Roberts BW, Kilgannon JH, Hunter BR, et al. Association Between Elevated Mean Arterial Blood Pressure and Neurologic Outcome After Resuscitation From Cardiac Arrest: Results From a Multicenter Prospective Cohort Study. CCM. 2019 Jan;47(1):93-100. Reviewed by: Sara Stern-Nezer, MD, MPH...
Authors: Tsai MS, Chuang PY, et al. Postarrest steroid use may improve outcomes of cardiac arrest survivors. CCM. 2019 Feb;47(2):167-175. Reviewed by: Sara Stern-Nezer, MD, MPH; and Kyle Hobbs, MD Read the article. * *You will need to log in to US National Library of Medicine National...
Authors: Leslie-Mazwi TM, Hamilton S, et al. DEFUSE 3 Non-DAWN Patients: A Closer Look at Late Window Thrombectomy Selection. Stroke . 2019 Feb 6 :STROKEAHA-118 . Reviewed by: Wazim Mohamed, MD, Assistant Professor of Neurology, Division of Neurotrauma and Critical Care Neurology, Wayne State...
Authors: Galovic M, Stauber AJ, Leisi N, et al. Development and Validation of a Prognostic Model of Swallowing Recovery and Enteral Tube Feeding After Ischemic Stroke. JAMA Neurol . Published online February 11, 2019. doi :10.1001/jamaneurol.2018.4858 Reviewed by: Lara L. Zimmermann, MD, Co...
By Shraddha Mainali, MD, and Paul M. Vespa, MD, FCCM, FAAN, FANA, FNCS Special thanks to Jose Javier Provencio MD, FCCM, FAAN, FNCS; Susanne Muehlschlegel MD, MPH, FNCS, FCCM; and Daiwai Olson, RN, PhD , CCRN, FNCS It is an exciting time to be in neurocritical care. There has been tremendous...
By Tamara T. Barghouthi, MD; Quang Vu, MD; Charles Tegeler, MD; Aarti Sarwal, MD Reversed Robin Hood Syndrome (RRHS) is a condition seen in acute stroke and TIA patients with large vessel occlusions in which there is a paradoxical decrease in flow velocity in the affected vessel, distal to...
Authors: Rey A. Rossetti AO, et al. Late Awakening in Survivors of Postanoxic Coma: Early Neurophysiologic Predictors and Association With ICU and Long-Term Neurologic Recovery. Critical Care Medicine. 2019 Jan 1;47(1):85-92. Reviewed by: Wazim Mohamed, MD, Assistant Professor of Neurology,...