Let’s agree that DAPT given after mild stroke or high-risk TIA due to athero should be limited to 21 days. Most of the benefit in terms of recurrent stroke risk reduction occurs in this time frame, and thereafter the bleeding risk continues to rise neurology.org/doi/10.1212/WN…

Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU length of stay in critically ill adult patients. ja.ma/4gQ1sRn #LIVES2024

Advances in Neurocritical Care of Stroke: Present and Future | Stroke AHA/ASA Sherry Chou MD MSc FNCS FCCM ahajournals.org/doi/full/10.11…

The #CodeICH train is rolling! I am ecstatic to share this great editorial by ⁦Giuseppe Citerio⁩ and ⁦Claude Hemphill⁩ Making the case that INTENSIVISTS are best positioned to organize ICH treatment bundles at the local level Couldn’t agree more! link.springer.com/article/10.100…

Among patients with basilar artery occlusion within 12 hours of onset, the benefits of endovascular thrombectomy at one year compared with 90 days were sustained for favorable outcome and enhanced for excellent outcome. ja.ma/3BKrghE

“TNK is superior to TPA regarding excellent functional outcome and reduced disability at 3 months.” neurology.org/doi/10.1212/WN…

My latest with Josh Goldstein and friends: Emergency Priorities in the Treatment of Cerebral Hemorrhage: #CodeICH keeps rolling neurologic.theclinics.com/article/S0733-…

Tenecteplase versus alteplase for acute stroke within 4·5 h of onset (ATTEST-2): a randomised, parallel group, open-label trial - The Lancet Neurology thelancet.com/journals/laneu…

We still are overly pessimistic when assessing prognosis after #ICH In the INTERACT-3 trial Of over 6000 ICH patients physicians (75% neurosurgeons) were very accurate in Identifying who was going to die… …But massively underestimated the proportion of pts who went on to

Intracerebral haemorrhage — mechanisms, diagnosis and prospects for treatment and prevention nature.com/articles/s4158…

Internal jugular vein catheters probably don't have any effect on ICP according to this study from Emory & Grady Neurocritical Care Fellowship : rdcu.be/d2iab. Hard cosign on this one! University of Maryland Neurocritical Care Neurocritical Care

🧵This Controversies in #Stroke analysis by Bower et al. critically appraises the literature on imaging in intracerebral hemorrhage (ICH). #AHAJournals LaurenHSansing

The advent of mobile stroke units, application of artificial intelligence for hemorrhage detection, and new data on timing and rationale for different imaging modalities are also reviewed. ahajournals.org/doi/full/10.11…

A Johns Hopkins Medicine-led team, helmed by Steve Keller and Sung-Min Cho Sung-Min Cho have been awarded over $18M by DARPA as part of multi-institution study to develop a portable, ECMO life support device. Hopkins Pulmonary and Critical Care Medicine Johns Hopkins ACCM Johns Hopkins Neurosciences Critical Care hopkinsmedicine.org/news/newsroom/…

Summarizing Pensato et al Fast, Intermediate, vs Slow Progressors in Stroke: 1.Pathophysiology of Stroke 🧠 Infarct growth occurs due to critical blood flow reduction, leading to energy failure. Tissue in the ischemic penumbra can be salvaged with quick intervention but

In this meta-analysis, Guo et al. find that Endovascular treatment (EVT) may improve outcomes in acute ischemic stroke due to isolated posterior cerebral artery occlusion (iPCAO), offering higher chances of excellent recovery & early neurological improvement vs best medical

Increasingly clear that pts with high grade #SAH can do well and that we should not limit or delay treatment. Neurosurgery Publications Neurocritical Care Society journals.lww.com/neurosurgery/a…

The Ventibrain study. Mechanical ventilation in acute brain injured patients. pubmed.ncbi.nlm.nih.gov/39992441/

Protective MV is associated with improved mortality also in brain injured patients. 5 years of hard work. ❤️Intensive Care Medicine

#STROKE: In an economic analysis based on the ENRICH trial, minimally invasive trans-sulcal parafascicular surgery was more cost effective than medical management alone. #AHAJournals ahajrnls.org/4dh1KiP