NCS Annual Meeting workshop sessions require an additional fee. Virtual workshops are available in the virtual platform only to registered attendees. Please note that all times below are listed in Central Daylight Time (CDT).
The following two (2) workshops will take place in person in Chicago, IL.
These workshops are subject to cancellation based on the pandemic and associated travel restrictions.
Critical Care Ultrasound
Tuesday, October 26 | 8:00 a.m. - 12:00 p.m.
Directed by Neha Dangayach MD, MSCR
Faculty: Carla Venegas, MD, Christopher Zammit, MD, FACEP, FNCS, Shivani Ghoshal, MD, Kaitlin Reilly-Kit, MD, Vasisht Srinivasan, MD
This workshop will provide participants with rigorous instruction in the acquisition and use of cardiopulmonary ultrasonography in the neurocritical care setting. Attendees will learn introductory knobology for imaging optimization using different ultrasound machines and perform heart and lung ultrasounds. Clinical algorithms using heart and lung ultrasound and case-based reviews of use of ultrasound in the evaluation of a patient with shock or dyspnea will be presented via high quality didactics, followed by hands-on skills stations.
1. Understand knobology for imaging optimization using different ultrasound systems.
2. Understand and apply fundamental principles of critical care lung ultrasonography in neurocritical care patients.
3. Understand and apply fundamental principles of critical care echocardiography in neurocritical care patients.
Tuesday, October 26 | 1:00 p.m. - 5:00 p.m.
Directed by Kamila Vagnerova, MD
Faculty: Sarah Biel, MD, H.E. Hinson, MD, MCR, Ross Martini, MD
This hands-on workshop teaches fundamentals of airway management and critical care bronchoscopy. Brief didactic sessions cover indications, techniques and devices in case-based reviews. Participants then get to practice fundamental intubation skills including the use of airway rescue devices at instructor led skill stations.
1. Learn basic airway management skills, mask ventilation and basic airway adjuncts.
2. Understand and use supraglottic airway devices for rescue ventilation.
3. Perform direct and indirect laryngoscopy and intubation using videolaryngoscopy.
4. Use and doses of IV induction agents.
5. Practice airway management in neurocritically ill patients, different scenarios.
The following two (2) master classes will take place in person in Chicago, IL.
Advanced Practice Providers (APP)
Tuesday, October 26 | 1:00 p.m. - 3:00 p.m.
Directed by Rachel Hausladen, NP and Ana Kukulj, NP
Faculty: Genevieve Kuchinsky, NP, Bill Lombardi, DNP, RN, AGACNP-BC, CCRN
APPs contribute to the care of critically ill neuroscience patients in many ways. This master class focuses on both clinical care and role-specific professional challenges. This session will focus on an overview of how mechanical thrombectomy has changed the landscape of acute stroke in a review of the most recent studies, and an overview of mechanical thrombectomy procedures and case studies. Professional practice will also be addressed in a presentation on end-of-life conversations for the APP.
1. Discuss recent mechanical thrombectomy trials and how they have changed the landscape in acute stroke.
2. Review APP considerations in thrombectomy (indications for thrombectomy; discussion on general anesthesia versus moderate sedation, intra and post-op BP guidelines , reversal considerations if hemorrhagic transformation or access site hematoma occurs.
3. Utilize case studies to illustrate potential cases for thrombectomy and discuss outcomes.
4. Identify three strategies to facilitate end-of-life conversations in acute stroke with family by the APP.
Tuesday, October 26 | 3:15 p.m. - 5:15 p.m.
Directed by Jeffrey Mucksavage, PharmD, BCPS
Faculty: Megan Barra, PharmD, Abdalla Ammar, PharmD, Kristin Slown, PharmD, BCCP, BCPS, John Cokley, PharmD
Expert faculty from across the country cover new, controversial, and evidence-based pharmacotherapy strategies for the neurocritically ill in a case-based and interactive learning environment.
1. Describe four commonly discussed neurocritical care pharmacotherapy statements that shape daily practice in the intensive care unit.
2. Evaluate the literature that supports or refutes these commonly held beliefs in the neurocritical patient population.
3. Apply neurocritical care pharmacotherapy concepts to patient care scenarios.
The following six (6) workshops will take place virtually.
Friday, October 22 | 8:00 a.m. - 12:00 p.m.
Directed by Brandon Foreman, MD, MS, FACNS, FNCS
Faculty: Brian Appavu, MD, Ari Ercole, MD, PhD, Soojin Park, MD, Peter Smielewski, PhD
This workshop provides case-based discussion of principles and practical implementation of multimodal neuromonitoring. Fundamentals of data acquisition, analysis, and visualization will be covered.
1. Recognize a need to integrate multiple neuromonitoring modalities at the bedside.
2. Characterize challenges and possibilities of connectivity and data aggregation with strategies to enhance neuromonitoring data accessibility and utility.
3. Demonstrate the use of neuromonitoring data to make informed clinical decisions through examples & visualizations
4. Use case examples to generate a sample interpretation and report using real neuromonitoring data.
Transcranial Doppler (TCD) Cases
Friday, October 22 | 1:00 p.m. - 5:00 p.m.
Directed by Aarti Sarwal, MD
Faculty: Andrei V. Alexandrov, MD, RPNI, NVS, Ryan Hakimi, DO, MS, NVS, RPNI, CPB, FNCS, Kerri LaRovere, MD, Wendy Ziai, MD, MPH
This session will cover the didactic portion of transcranial doppler (TCD) techniques, interpretation of waveforms for hemodynamics assessment and overview of clinical applications of TCD. The course will cover a case based review of use of TCD in stroke inpatient indications, emboli monitoring, shunt assessment, value of TCD after CTA/DSA, and steal phenomena; use of TCD in vasospasm monitoring on subarachnoid hemorrhage; value of TCD in assessment of cerebral edema and ancillary testing in cerebral circulatory arrest, and pediatric applications including sickle cell disease. This workshop will focus on clinical case interpretation and discussion. Familiarity with basic principles of ultrasound is expected. Interactive case presentations can be credited toward the 100 total case interpretation experience required to take the TCD part of the ASN examination. Familiarity with basic principles of ultrasound is expected but not mandatory.
Friday, October 22 | 1:00 p.m. - 5:00 p.m.
Directed by Christos Lazaridis, MD, EDIC
Faculty: Laith Altaweel, MD, Masoom Desai, MD, Teresa May, MD
This workshop provides concise clinically oriented reviews of 1) basic and advanced pathophysiologic concepts including shock physiology, cardiac output and venous return curves, fluid responsiveness, heart-lung interactions, assessment of organ perfusion, and review of vasoactive medications; 2) principles of “minimally invasive” hemodynamic monitoring modalities based on arterial pressure waveform, and pulse contour analysis, transpulmonary thermodilution, and thoracic bioreactance; and 3) case discussions centered on the role for hemodynamic monitoring and optimization for the following clinical scenarios:
1. Severe TBI with monitoring of partial brain tissue oxygenation (± acute respiratory distress syndrome)
2. Aneurysmal Subarachnoid Hemorrhage with stress cardiomyopathy (± delayed cerebral ischemia)
3. Spinal cord injury with neurogenic shock
4. Acute ischemic stroke and post-reperfusion care
Monday, October 25 | 8:00 a.m. - 12:00 p.m.
Directed by Raj Dhar, MD
Faculty: Julian Acosta, MD, Ari Ercole, MD, PhD
This workshop provides case-based discussion of concepts of data science and data manipulation and analysis relevant to neurocritical care. Fundamental principles of machine learning and platform building for data extraction and analysis will be covered.
1. Become more comfortable manipulating and visualizing ICU data.
2. Learn core principles of machine learning as they apply to Neurocritical care research.
3. Use machine learning algorithms to create predictive models with complex datasets.
4. Be able to interpret results of machine learning models.
Critical Care EEG - Basic
Monday, October 25 | 8:00 a.m. - 12:00 p.m.
Directed by Christa Swisher, MD, FNCS, FACNS
Faculty: Rana Moosavi, MD, Gregory Kapinos, MD, MS, FCCM, FNCS, FASN, Nikhil Patel, MD, MBA, Masoom Desai, MD, Asma Zakaria, MD, Chris Newey, DO, MS, FNCS
This workshop provides case-based discussion of basic concepts of EEG and its use in critical care. This introductory workshop is meant for attendees with little or no formal EEG training, typically those who are not neurologists.
1. Appreciate how EEGs are acquired/read and the appearance of normal EEG patterns.
2. Recognize which critically ill patients are at risk for seizures and common indication for continuous EEG monitoring.
3. Understand basic terminology used to describe EEGs of critically ill patients.
4. Appreciate differences between rhythmic and periodic patterns.
5. Recognize typical EEG patterns seen in ICU patients with various types of encephalopathy.
6. Understand the diagnostic criteria for electrographic seizures in ICU patients.
7. Gain and in-depth understanding of common artifacts encountered in ICU EEG recordings.
8. Develop an understanding of QEEG trend display and how seizures appear on QEEG.
Critical Care EEG - Advanced
Monday, October 25 | 1:00 p.m. - 5:00 p.m.
Directed by Ayham Alkhachroum, MD and Emily Gilmore, MD, MS
Faculty: Jan Claassen, MD, Sahar Zafar, MD, MSc, Clio Rubinos, MD, MSCR, Carolina Maciel, MD, MSCR, Julie Kromm, MD, FRPCP
This workshop is designed for neurologists, neurointensivists, physician assistants, nurses, physicians in-training and other health professionals involved in the care of critically ill patients. Basic knowledge in EEG patterns is essential to get the most benefit of this workshop. The workshop will focus on the practical utilization of continuous EEG in the ICU with focus on some challenging patterns. We will demonstrate rounding practices in the ICU with the benefit of EEG monitoring through practical examples in seizure detection, ischemia monitoring, and prognostication. We will discuss current and evolving approaches of quantitative EEG analysis. The workshop will provide a theoretical overview, interactive group discussion with audience participation. The overarching goal will be to empower the attendees with knowledge about the current and future potential of EEG as a neuromonitoring tool.
1. Recognize the current and future potential of EEG as a neuromonitoring tool in the ICU.
2. Identify the indications and duration of EEG monitoring.
3. Distinguish basic EEG patterns in status epilepticus, ischemia monitoring, anoxic brain injury, and prognostication.
4. Recognize basic quantitative EEG patterns in clinical practice.