HOT TOPICS: Neuroprognostication in Acute Ischemic Stroke

HOT TOPICS: Neuroprognostication in Acute Ischemic Stroke

In this episode of the NCS Podcast Hot Topics series, host Rich Choi, MD, is joined by Alejandro Rabinstein, MD, Shraddha Mainali, MD, and Krishna Rajajee, MD, to discuss the article "Guidelines for Neuroprognostication in Critically Ill Adults With Acute Ischemic Stroke," published in Neurocritical Care.

Their conversation explores the development of the guideline, including the need for a more structured, evidence-based approach to prognostication in critically ill patients with acute ischemic stroke. The guests discuss why early prognostication is especially high-stakes, how uncertainty and the risk of self-fulfilling prophecy shaped the recommendations and why no single clinical variable or prediction model is reliable enough to guide individual decisions about poor outcomes.

They also review the role of early neurological improvement as a moderately reliable predictor of good outcomes, the limitations of existing prediction models in the era of reperfusion therapy, and the importance of multimodal assessment, ongoing family conversations, long-term outcome counseling and shared decision-making rooted in each patient's values.

The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

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PERSPECTIVES: Moving Evidence Into Practice With Molly McNett

PERSPECTIVES: Moving Evidence Into Practice With Molly McNett

In this episode of the NCS Podcast Perspectives series, host Nicholas Morris, MD, and co-host Tom Lawson, PhD, ACNP-BC, FNCS, speak with Molly McNett, PhD, RN, CNRN, FNCS, FAAN, about her career in ne...

1 Heinä 45min

CURRENTS: Story of Hope — Vanessa Abraham's Journey of Recovery

CURRENTS: Story of Hope — Vanessa Abraham's Journey of Recovery

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Vanessa Abraham, MS, CCC-SLP,  and Jared Rosen, MD, about Vanessa's Story of Hope and the lasting connectio...

24 Kesä 29min

MASTERCLASS: Managing Respiratory Infections in the ICU

MASTERCLASS: Managing Respiratory Infections in the ICU

In this episode of the Neurocritical Care Society Podcast Masterclass series, hosts Stephan Mayer, MD, FCCM, FNCS, and Jon Rosenberg, MD, are joined by Richard Wunderink, MD, professor of medicine at ...

17 Kesä 33min

MASTERCLASS: What CREST-2 Means for Carotid Disease Management

MASTERCLASS: What CREST-2 Means for Carotid Disease Management

In this episode of the Neurocritical Care Society Podcast Masterclass series, hosts Stephan Mayer, MD, FCCM, FNCS, and Jon Rosenberg, MD, are joined by Seemant Chaturvedi, MD, professor of neurology a...

10 Kesä 26min

PERSPECTIVES: Neurocritical Care Fellowship Training Today

PERSPECTIVES: Neurocritical Care Fellowship Training Today

In this episode of the NCS Podcast Perspectives series, host Nicholas Morris, MD, leads a roundtable discussion with neurocritical care fellowship directors Jenna Ford, MD; Rishi Malhotra, MD; Fiona L...

27 Touko 51min

CURRENTS: The Business of Neurocritical Care: Understanding Physician Benefits

CURRENTS: The Business of Neurocritical Care: Understanding Physician Benefits

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Ryan Hakimi, DO, MS, a neurointensivist at Prisma Health and member of the Neurocritical Care Society Board...

20 Touko 19min

CURRENTS: Honoring Through Action: The HEARD Center Story

CURRENTS: Honoring Through Action: The HEARD Center Story

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Tommy Thomas, MD, PhD, and Aimee Aysenne, MD, MPH, co-directors of the Henderson Equity and Research on Dis...

13 Touko 22min

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