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To Decompress or Not? An Expected Utility Inspired Approach To Shared decision-making For Supratentorial Ischemic Stroke

By Christos Lazaridis & Ali Mansour First Online: 18 February 2021 Patients with large territorial supratentorial infarctions are at high risk of cerebral edema, increased intracranial pressure, tissue herniation and death. There is strong evidence supporting prompt decompressive...

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Delayed reemergence of consciousness in survivors of severe COVID-19

By Brian L. Edlow, Jan Claassen, Jonathan D. Victor, Emery N. Brown & Nicholas D. Schiff First Online: 10 November 2020 Survivors of coronavirus disease 2019 (COVID-19) around the world are coming off ventilators every day, having overcome multi-organ system failure and weeks sedated,...

Blog Entry
Communicating Neurocritical Illness: The Anatomy of Misunderstanding

By Eelco F. M. Wijdicks First Online: 27 October 2020 We talk, text, email all day. Do we perceive things correctly? Do we need to improve the way we communicate? It is a truism that providing insufficient information about a patient results in delays and errors in management. How can we...

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Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care

By Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R. Wira, Jose I. Suarez, Scott D. Weingart & Houman Khosravani First Online: 13 August 2020 Background and Purpose Management of stroke patients in the acute setting is a high-stakes task with several challenges including the...

Blog Entry
Intracranial Pressure Threshold Heuristics in Traumatic Brain Injury: One, None, Many!

By Christos Lazaridis, Masoom Desai, George Damoulakis & Frederick A. Zeiler First Online: 05 March 2020 Critical care of the patient with severe traumatic brain injury (TBI) revolves around strategies to address intracranial hypertension (IHT), and optimizing cerebral perfusion....

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A Perspective from the Neurocritical Care Society and the Society of Critical Care Medicine: Team-Based Care for Neurological Critical Illness

By Lewis Kaplan, Asma M. Moheet, Sarah L. Livesay, J. Javier Provencio, Jose I. Suarez, Mary Kay Bader, Heatherlee Bailey & Cherylee W. J. Chang First Online: 10 February 2020 The Neurocritical Care Society and the Society of Critical Care Medicine have worked together to create a...

Blog Entry
Key Points to Consider When Evaluating Andexxa for Formulary Addition

By Harry Peled, Nhu Quyen Dau, Helen Lau First Online: 22 October 2019 In May 2018, Andexxa (coagulation factor Xa [recombinant], inactivated-zhzo or formerly andexanet alfa) received accelerated approval from the Food and Drug Administration (FDA) as a specific reversal for rivaroxaban-...

Blog Entry
A Proposal for a New Protocol for Sonographic Assessment of the Optic Nerve Sheath Diameter: The CLOSED Protocol

By Raffaele Aspide, Giacomo Bertolini, Luca Albini Riccioli, Diego Mazzatenta, Giorgio Palandri, Daniele Guerino Biasucci First Online: 03 October 2019 Measuring and monitoring of intracranial pressure is considered standard of care in patients with suspected intracranial hypertension....

Blog Entry
High-Dose Intravenous Ascorbic Acid: Ready for Prime Time in Traumatic Brain Injury?

By Stefan W. Leichtle, Anand K. Sarma, Micheal Strein, Vishal Yajnik, Dennis Rivet, Adam Sima, Gretchen M. Brophy First Online: 22 August 2019 Traumatic brain injury (TBI) is one of the leading public health problems in the USA and worldwide. It is the number one cause of death and...