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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Episoder(208)

CURRENTS: Neurocritical Care in Lebanon: Progress Within Constraint

CURRENTS: Neurocritical Care in Lebanon: Progress Within Constraint

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, FCCM, speaks with Tarek El Halabi, MD, who leads acute neurology services at the American University of Beirut Medical...

2 Sep 20min

HOT TOPICS: Valproic Acid for Agitation in the Neurosurgical ICU

HOT TOPICS: Valproic Acid for Agitation in the Neurosurgical ICU

In this episode of the NCS Podcast Hot Topics series, host Rich Choi, DO, is joined by Andrew Webb, PharmD, to discuss the article "Valproic Acid for the Management of Agitation in Neurosurgical Inten...

26 Aug 25min

HOT TOPICS Bonus Episode: Previewing the SAVIOR Study

HOT TOPICS Bonus Episode: Previewing the SAVIOR Study

In this bonus episode of the NCS Podcast Hot Topics series, host Rich Choi, MD, continues his conversation with Andrew Webb, PharmD, with a preview of "Subarachnoid Hemorrhage: Clazosentan vs. Fasudil...

26 Aug 12min

HOT TOPICS: Previewing the NCS 24th Annual Meeting With Lori Shutter

HOT TOPICS: Previewing the NCS 24th Annual Meeting With Lori Shutter

In this episode of the NCS Podcast Hot Topics series, host Eric Lawson, MD, speaks with NCS Vice President and Annual Meeting Planning Committee Chair Lori Shutter, MD, FNCS, for a preview of the NCS ...

19 Aug 22min

PERSPECTIVES: Advancing Brain Care With Jonathan Rosand

PERSPECTIVES: Advancing Brain Care With Jonathan Rosand

In this episode of the NCS Podcast Perspectives series, host Nicholas Morris, MD, speaks with Jonathan Rosand, MD, MSc, FNCS, about his career in neurocritical care and his work to advance brain healt...

12 Aug 48min

HOT TOPICS: Milrinone and Cerebral Perfusion After Aneurysmal Subarachnoid Hemorrhage

HOT TOPICS: Milrinone and Cerebral Perfusion After Aneurysmal Subarachnoid Hemorrhage

In this episode of the NCS Podcast Hot Topics series, host Rich Choi, MD, is joined by Chiara Robba, MD, PhD, to discuss the article "The Effects of Milrinone Systemic Administration on Cerebral Perfu...

5 Aug 24min

CURRENTS: Breaking Barriers: How Brazil's RESILIENT Trials Redefined Stroke Research in Latin America

CURRENTS: Breaking Barriers: How Brazil's RESILIENT Trials Redefined Stroke Research in Latin America

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Gisele Sampaio Silva about the Currents article, "Breaking Barriers: How Brazil's RESILIENT Trials Redefine...

29 Jul 26min

CURRENTS: Neurocritical Care Disorders of Consciousness: Do We Have the Education We Need to Provide Care?

CURRENTS: Neurocritical Care Disorders of Consciousness: Do We Have the Education We Need to Provide Care?

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Shraddha Mainali, Sahar Zafar and Brooke Murtaugh about their Currents article, "Neurocritical Care Disorde...

22 Jul 37min

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