Association between cerebral oxygenation and usual parameters of cerebral perfusion in critically ill patients with acute brain injury In patients with acute brain injury (ABI), optimizing cerebral perfusion parameters relies on multimodal monitoring. This include data from systemic monitoring–mean arterial pressure (MAP), arterial c...

A good start to the year with the publication of this work in #JCBFM

pmc.ncbi.nlm.nih.gov/articles/PMC...

#neurocrit

great skytorial!!

do you think this conclusion is reasonable for hemoglobin targets in SAH? or maybe too simple?

(also, globally, I wonder if modern transfusions are safer, because new trials seem to be showing less harm from transfusion than older trials 🤷‍♂️)

#EMIMCC #neurocrit

Had an attending once make a reference to "the three S's of neurocritical care"

Sodium
Seizures
See-O2

I think about this way more often than I should

#neurocrit #emimcc

#neurocrit #pharmsky

💫 Practical advice for intraventricular meds (Part 1):
🔎 Determine the volume of the EVD lumen, from med access site to catheter tip. That’s your flush volume. It’s like a small chaser (usually 2-3 mL) to ensure the entire dose goes in smoothly. 💉🧠
#Pharmsky #Pharm2Table #neurocrit

Don’t forget about this uncommon but very real interaction. #neurocrit

🚨ATTN!!!

This is a critical pearl. See it happen ~once a year

#neurocrit @ericclawsonmd.bsky.social

Today’s #neurocrit #pearl:

Capacity is determined at the bedside by the clinician treating the patient. A patient with capacity has the full right & agency to make their own medical decisions & we should respect the decisions they make even if we would make different ones

#medsky #neurosky

#neurocrit

new user-curated feed on neurocritical care! 🧠

the feed searches & organizes posts with NeuroCrit-related hashtags

replying to any post with #neurocrit will add the origional (parent) post to the feed

follow by clicking the link 👇

bsky.app/profile/did:...

Episode 81: Bacterial meningitis with Casey Albin – Critical Care Scenarios

The amazing @caseyalbin? On bacterial meningitis? How to LP, who needs invasive ICP monitoring, and way more on this week's episode.
icuscenarios.com/episode-81-b...
#medtwitter #FOAMcc #FOAMed #neurocrit

Ceftriaxone to prevent early ventilator-associated pneumonia in patients with acute brain injury: a multicentre, randomised, double-blind, placebo-controlled, assessor-masked superiority trial In patients with acute brain injury, a single ceftriaxone dose decreased the risk of early VAP. On the basis of our findings, we recommend that an early, single dose of ceftriaxone be included in all ...

www.thelancet.com/journals/lan...

PROPHY-VAP
2g CTX for the intubated neuro pt as ppx:
-LESS VAP at 28d
-MORE antibiotic-free days(!)
-MORE ICU-free & hospital-free days.

plus a trend towards improved neuro outcomes and mortality.
#emimcc #neurocrit