Neurology

Critical Care

Questions discussed in this category

Do you routinely administer desmopressin to patients with intracerebral hemorrhage who are also on anti-platelet therapy?

2 Answers available

What are your go-to options for managing ICU delirium in patients with contraindications to antipsychotics?

6 Answers available

What strategies do you find helpful in advanced care planning with patients/families who are very "miracle" centered?

For example, prolonging life-sustaining measures as they "wait for a miracle" of an unrealistic outcome.

1 Answer available

When do you stop dantrolene in a patient with neuroleptic malignant syndrome?

Is it reasonable to stop dantrolene if CPKs are stable and autonomic symptoms have improved or do you continue treatment for a certain amount of time ...

1 Answer available

How do you approach management of an ICU patient with brief potentially ictal rhythmic discharges (BIRDs) on EEG?

3 Answers available

Do you maintain a strict platelet threshold of >50k when performing a lumbar puncture, or are there situations in which you feel comfortable with a lower threshold?

While many US guidelines have supported a threshold of > 50k, there does not appear to be robust data to support it. Notably, the 2025 AABB and ICT...

1 Answer available

In a patient with acute stroke/ICH/SDH/hyperammonemia at risk for rebound edema with new onset renal failure, do you prefer CRRT versus low and slow HD?

How frequently do you monitor osmolarity?

1 Answer available

How do you decide on the speed and target of blood pressure reduction for spontaneous intracranial hemorrhage?

4 Answers available

Under what circumstances do you recommend POCUS guidance for lumbar puncture?

2 Answers available

Do you routinely use pupillometry for serial neurologic examinations in the ICU, especially for patients at risk for transtentorial herniation?

2 Answers available

When do you usually introduce conversations regarding tracheostomy placement in patients with refractory status epilepticus, or other conditions where one may anticipate delayed awakening?

1 Answer available

Do you use or recommend clinical severity scores or other parameters in helping prognostication in patients with refractory status epilepticus?

1 Answer available

What is your hemoglobin target for PRBC transfusion in cases of acute brain injury?

Have recent trials (TRAIN trial and HEMOTION trial) influenced your approach?

1 Answer available

What blood pressure targets do you enforce in the first 24-48 hours in a patient who develops an intracranial hemorrhage after mechanical thrombectomy?

Blood pressure targets for ischemic stroke and intracerebral hemorrhage are described in several guidelines. However, in patients with acute stroke wh...

2 Answers available

Do you ever start a ketogenic diet in patients who present with status epilepticus admitted to the ICU?

1 Answer available

When do you consider ketamine to treat nonconvulsive status epilepticus?

1 Answer available

Do you choose an antibiotic with CSF penetration, such as nafcillin over cefazolin, in the setting of MSSA endocarditis with septic emboli to the brain (assuming no concomitant meningitis or brain abscess)?

3 Answers available

What is the expected timeframe one would expect to see paroxysmal sympathetic hyperactivity/sympathetic storming persist post-traumatic brain injury?

For example, in the setting of TBI, how do you guide the duration of the medical treatment?

2 Answers available

In what clinical scenarios do you utilize post-cardiac arrest targeted temperature management (TTM)?

In the span between the HACA trial and the Targeted Temperature Management in Out-of-Hospital Cardiac Arrest study (Dankiewicz et al., PMID 34133859),...

1 Answer available

In patients being evaluated for brain death, which abnormal movements are definitively known to still be consistent with brain death and which are possibly consistent with brain death but lack definitive evidence?

What are the sources for this and are they reliable by today’s standards? Numerous case series report various abnormal movements but how reliabl...

1 Answer available

How do you complete brain death testing in patients who cannot tolerate apnea testing and are unable to transport for ancillary testing?

For instance, if the patient doesn’t tolerate apnea testing, is too unstable to go for ancillary testing outside the ICU, and TCDs/EEG are unava...

5 Answers available