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Date Begin: 10/16/19 Title: Neurocritical Care - Advanced Practitioner Company: Dartmouth-Hitchcock Medical Center Description: The Department of Neurology at Dartmouth-Hitchcock Medical Center is seeking a licensed Nurse Practitioner or Physician Assistant to partner with Neurology, Neurosurgery, and Critical Care physicians as they care for neurocritical care patients admitted to the newly created 10 bed Neurological Intensive Care Unit (ICU). The Advanced Practice Professional will work collaboratively with a multidisciplinary team of physicians, advanced practitioners, nurses, respiratory therapists, pharmacists, physical therapists and other specialties ...
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If you weren’t able to pick up your printed copy of Currents at last week’s 17 th Annual Meeting in Vancouver, you can view the digital edition of the publication here . This special annual designed issue features a selection of the most popular articles published this past year on Currents , the online news magazine of the Neurocritical Care Society.   Want to showcase your neurocritical care expertise with the profession? Currents is accepting submissions. Learn about the types of content we publish on the Currents website . For details on how to submit content, please reach out to content manager, Kelly Rehan, at krehan@neurocriticalcare.org ...
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By Fowler AA, Truwit JD, Hite RD, et al.  Effect of vitamin C infusion on organ failure and biomarkers of inflammation and vascular injury in patients with sepsis and severe acute respiratory failure.  JAMA 2019; 322(13):1261-1270.  Reviewed by: Kyle Hobbs, MD    Read the article .*    *You will need to log in to US National Library of Medicine National Institutes of Health to read this article.     Summary Acute respiratory distress syndrome (ARDS) often accompanies sepsis and contributes to significant morbidity and mortality. This randomized, double-blind, placebo-controlled, multicenter trial investigated whether high-dose vitamin C ...
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Date Begin: 10/16/2019 Title: Neurocritical Care Advance Practice Provider Company: Christiana Hospital Department: Neurocritical Care Position: Advance Practice Provider Expertise: Previous critical care experience preferred Region: Mid-Atlantic Description: Christiana Hospital is recruiting for a Neurocritical Care Advanced Practice Nurse or Physician Assistant to join an established team working in a recently constructed, state of the art, eighteen bed Neurocritical Care Intensive Care Unit. This is an excellent opportunity for a candidate with previous critical care experience. The selected candidate will work 72 hrs every 2 weeks as ...
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Title: NEUROCRITICAL CARE SPECIALISTS Company: Ochsner Health System Department: Professional Staff Services Region: Louisiana Description: The Ochsner Neuroscience Institute is actively recruiting two Neurocritical Care Specialists to join our expanding practice. Qualified candidates will be BC/BE in Anesthesiology or Neurology with fellowship training in Neurocritical Care. Subspecialty interest in vascular neurology can be accommodated. This is a great opportunity to practice in a collegial, patient-focused, and academic environment. Academic appointments are available at any of our affiliated institutions, including Tulane, LSU, and the ...
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By Maximiliano A. Hawkes, Alejandro A. Hlavnicka, Nestor A. Wainsztein First Online: 30 September 2019 Reversible cerebral vasoconstriction syndrome (RCVS) causes reversible multifocal constriction of cerebral arteries. It is triggered by several conditions, including vasoactive medications, postpartum, migraine, hypertension, and arterial dissection [1]. Suspension of the precipitating agent, supportive care, and oral calcium channel blockers are the mainstay of treatment for most patients [2]. However, the development of refractory vasospasm, ischemic stroke, or intracerebral hemorrhage (ICH) may require further interventions, including intravenous ...
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By Chitra Venkatasubramanian, George A. Lopez, Kristine H. O’Phelan, ENLS Writing Group First Online: 23 September 2019 The purpose of the Emergency Neurological Life Support (ENLS) certification course is to focus on improving care during the first hours of contact for patients with acute neurological emergencies. The structure of the ENLS course is based on the concept that a standardized approach to diagnosis, stabilization, early workup, and timely management will improve functional outcomes for these neurologically critically ill patients. Special attention is placed on timely collection of relevant data and effective communication of the same to ...
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By Xiang Zhou, YanLiang Qu, GuoShen Gan, ShuiBo Zhu, Yang Huang, Yong Liu, Jian Zhu, Biao Xie, ZhiTian Tan First Online: 01 October 2019 Background and Objective Attenuation of neuronal apoptosis helps maintain neurological function in patients after cardiac arrest. After ischemia–reperfusion, both cyclosporin A (CsA) and ischemic postconditioning independently protect mitochondria and thus reduce nerve injury. This study employed a rat model to evaluate the neuroprotective effect of combining ischemic postconditioning with CsA after cardiopulmonary resuscitation (CPR). Methods Rats were apportioned equally to model control, postconditioned, CsA-treated, ...
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By Andreas H. Krame, Philippe Couillard First Online: 30 September 2019 Patients with neurological conditions account for at least 10–15% of admissions to intensive care units (ICUs) [1]. In addition, many critically ill patients with sepsis or respiratory failure develop neurological complications, such as delirium, non-convulsive status epilepticus, or neuromuscular weakness, which may in turn contribute to morbidity and an increased risk of mortality [2, 3, 4]. Neurocritical care is a maturing subspecialty of critical care medicine that seeks to integrate content expertise in critical care neurology, skill and experience in general critical care management, ...
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By Amanda L. Porter, James Ebot, Karen Lane, Lesia H. Mooney, Amy M. Lannen, Eugene M. Richie, Rachel Dlugash, Steve Mayo, Thomas G. Brott, Wendy Ziai, William D. Freeman, Daniel F. Hanley First Online: 30 September 2019 Background The process of informed consent in National Institutes of Health randomized, placebo-controlled trials is poorly studied. There are several issues regarding informed consent in emergency neurologic trials, including a shared decision-making process with the patient or a legally authorized representative about overall risks, benefits, and alternative treatments. Methods To evaluate the informed consent process, we collected ...
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By Peter J. Papadakos First Online: 27 September 2019 Central venous catheters (CVCs) and peripherally inserted central catheters (PICCs) are essential tools in the care of critically ill intensive care unit (ICU) patients. They allow for administration of large amounts of intravenous fluids, hypertonic fluids and vasopressor agents. They are also important in monitoring central venous pressure and for the easy collection of laboratory samples. Despite the clear cut benefits of CVCs and PICCs, these lines are not without inherent risks. These two types of catheters have different complication profiles [1, 2]. Several national organizations and regulatory ...
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By Yasser B. Abulhasan, Aneesa A. Abdullah, Shama A. Shetty, Moustapha A. Ramadan, Waleed Yousef, Eiman M. Mokaddas First Online: 27 September 2019 Background Health care-associated infections (HAIs) in intensive care units (ICUs) specialized for neurocritical care (neurocritical care units [NCCUs]) are serious yet preventable complications that contribute significantly to morbidity and mortality worldwide. However, reliable data are scarcely available from the developing world. We aimed to analyze the incidence, epidemiology, microbial etiology, and outcomes of HAIs in an NCCU of a tertiary care teaching hospital in a high-income, developing country. ...
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By Y. Erben, K. M. Barrett, W. D. Freeman, M. Lin, R. Tawk, C. T. Ball, V. S. Melton, L. M. Thuro, A. G. Hakaim, T. G. Brott, J. F. Meschia First Online: 25 September 2019 Background A relationship between intracranial and abdominal aortic aneurysms (AAA) has been appreciated through genome-wide association studies suggesting a shared pathophysiology. However, the actual prevalence of AAA in patients presenting with ruptured intracranial aneurysms is not known. Our aim was to estimate the prevalence of previously undiagnosed AAA in patients presenting with aneurysmal subarachnoid hemorrhage (aSAH) to see if it may be high enough to justify formally ...
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By Nicholas J. Brandmeir, Justin R. Davanzo, Russell Payne, Emily P. Sieg, Ashiya Hamirani, Annie Tsay, Jeffrey Watkins, Sprague W. Hazard, J. Christopher Zacko First Online: 25 September 2019 Objective The objective of this study was to compare the relative number of complications from peripherally inserted central venous catheters (PICC) and centrally inserted central venous catheters (CVC) in the neuroscience intensive care unit (NSICU). Methods This study was carried out in a 32-bed NSICU in a large academic hospital in the USA from July 2015 until January 2017. Patients admitted requiring central venous access were randomly assigned to have ...
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By Helene Hurth, Dennis Schlak, Florian Heinrich Ebner First Online: 25 September 2019 Introduction Microdialysis is a well-established tool routinely used in neurocritical units. Metabolic changes in patients with a subarachnoid hemorrhage or traumatic brain injury appear earlier than changes in intracranial pressure (ICP) [1]. Few reports have described metabolic changes, such as elevated interstitial glutamate levels, using microdialysis in humans or animal models of epilepsy [2]. However, little is known about brain metabolism and its time to recovery in humans with status epilepticus. Case Description A previously healthy 51-year-old female ...
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By W. Taylor Kimberly First Online: 23 September 2019 Large hemispheric infarction (LHI) is an ischemic stroke of the middle cerebral artery (MCA) territory and leads to a disproportionate degree of disability and death [1, 2]. Poor functional outcome is further exacerbated when severe edema develops, which manifests as a decreased consciousness in association with displacement of midline structures of the brain [3]. This abrupt neurological decline, termed malignant cerebral edema (MCE) or malignant MCA infarction [4], occurs in the first 1–3 days after stroke onset [5]. There are limited treatment options for MCE, with surgical decompressive craniectomy ...
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Attending the 17th Annual Meeting in Vancouver? Don’t forget to get your copy of the Currents printed issue at the event. You’ll find a copy of Currents on each chair prior to Dr. Shelly Dev, MD, FRCPC’s Keynote presentation, “Will Medical Culture Ever Be Healthy Enough for its Workers?” on Wednesday, Oct. 16 at 7:30 a.m. If you’re unable to attend that session, you may pick up your copy at Registration and the Connect Booth. This special annual printed issue features a selection of the most popular articles published this past year on Currents , the online news magazine of the Neurocritical Care Society. If you can’t make it to Vancouver, all NCS ...
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Date Begin: 10/3/2019 Title: Neuro Intensivist - Full Time Company: Capital Health Position: Neuro Intensivist - Full Time Description: The Capital Institute for Neurosciences is seeking a BC/BE Neuro Intensivist to join its award-winning program. • 7 days on/7 days off schedule, 7am-7pm, including some night shifts during the 7 days. • Designated Comprehensive Stroke Center, 24/7 neuroendovascular coverage and 24/7 telestroke coverage. Nurse practitioners provide follow-up and continuing care. • Collaborative efforts between Neurosurgery, Interventional Neuroradiology, Critical Care Medicine, Neuro-Rehabilitation and Trauma Services. • Guaranteed ...
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Date Begin: 9/27/2019 Title: Mount Sinai Health System Neurointensivists Company: Mount Sinai Health System Department: Department of Neurosurgery Position: Neurointensivists Expertise: Neurocritical Care Region: New York City Description: The Mount Sinai Health System is recruiting for four dynamic, collaborative clinician-researchers and clinician-educators to join our current team of 7 Neurointensivists. The Neurocritical Care (NCC) division fully staffs and runs two Neurosciences ICUs (NSICUs): a completely new construction state of the art 18 bed unit occupying an entire floor in The Mount Sinai Hospital (MSH) and a very modern 14 ...
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Title: Neurocritical Care - Murray, UT - Intermountain Company: Intermountain Healthcare Department: Neurocritical Care Position: Neurocritical Care Region: Salt Lake Valley Description: Practice Information • Intermountain Healthcare needs a BC/BE neurocritical care specialist to join a hospital-based neurocritical care group • Neurocritical care fellowship after neurology residency training required. Advanced training in stroke preferred. • Full-time and part-time available • Intermountain Medical Center is Intermountain Healthcare’s Comprehensive Stroke Center, Level 1 Trauma Center, and tertiary care facility. Dedicated 16-bed Neurocritical ...
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