Neurocritical Care Society Podcast26 Aug

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 Intensive Care Unit Patients," published in Neurocritical Care.

Their conversation examines the complex causes of delirium and agitation in the neurocritical care setting, including neurologic injury, medication effects, sleep disruption and frequent clinical interventions. They review nonpharmacologic approaches to delirium prevention, current sedation strategies and the potential role of valproic acid as an adjunct when agitation remains difficult to control.

They also discuss findings from the retrospective study, in which valproic acid use was associated with reduced requirements for opioids, benzodiazepines and dexmedetomidine, along with fewer positive agitation scores and less use of physical restraints. Dr. Webb reviews the medication's multimodal effects, potential adverse events and drug interactions, and patient populations that may benefit from its use. He also emphasizes the need for careful monitoring, eventual deprescribing and prospective research to clarify valproic acid's role in neurocritical care.

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.

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(207)

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

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

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

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

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?

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

$HOT TOPICS: Surgical Interventions for Super-Refractory Status Epilepticus$

HOT TOPICS: Surgical Interventions for Super-Refractory Status Epilepticus

In this episode of the NCS Podcast Hot Topics series, host Rich Choi, MD, is joined by Eric Rosenthal, MD, to discuss the article "Surgical Intervention for Super-Refractory Status Epilepticus," a sys...

15 Jul 38min