NIC News
Section and working groups
The Neuro-Intensive Care section is led by Fabio Silvio Taccone and Lara Prisco.
Research – Trials
TRansfusion strategies in Acute brain INjured patients is a prospective multicentre randomised interventional study.
This trial will assess the impact of two different strategies to administer blood transfusions in a large cohort of critically ill patients with a primary brain injury.
An international prospective observational StudY on iNtrAcranial PreSsurE (ICP) in intensive care (ICU). Uncertainties remain around ICP monitoring both in traumatic and non-traumatic brain injury, and variation in clinical practice of ICP monitoring exists between ICUs.
EURopean study on Encephalitis in intensive Care. This is a prospective observational multicentre study in European ICUs. All patients admitted to the ICU for probable or confirmed AE (2013 IDSA criteria) will be included.
The main aims of the project are to describe the epidemiology and outcomes of patients admitted to the ICU with all-cause acute (meningo-) encephalitis in European countries.
Extubation Strategies in Neuro-Intensive Care it patients and association with Outcomes (ENIO) – a multicentre international observational study
If you want to participate, please contact Raphael Cinotti.
Research – Surveys
Current Practices for Neurological Prognostication after Cardiac Arrest. The aim of this survey was to investigate the current practice and timing of neurological prognostication after cardiac arrest in European ICUs.
Publication:
Friberg H et al., Survey on current practices for neurological prognostication after cardiac arrest.
SUMMA: SUrvey on Fever Monitoring and Management in Patients with Acute Brain Injury
Results soon
The aim of this ESICM-endorsed survey was to explore knowledge about the bundle and its implementation in intensive care units worldwide.
The aim of the survey was to investigate the practices of RBC transfusion in patients with primary acute brain injury and the exact haemoglobin thresholds that trigger RBC transfusion in this specific ICU population.
Relevant research
Nicolas Weisset al. Understanding haepatic encephalopathy.
> Read more
Ary Serpa Neto et al. Known and unknown potentially modifiable factors contributing to outcome in brain-injured patients who need mechanical ventilatory support. Discussion on ‘The BI-VILI project: a nationwide quality improvement project’.
> Read more
Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals.
> Read more
Article Reviews
TTM: Is 48 hours at 33ºC better than 24?
The current resuscitation guidelines recommend a target temperature of between 33-36°C for at least 24 hours
> Read this article review
Modifiable factors contributing to sepsis-associated encephalopathy?
Data on potentially modifiable contributing factors (severe hypoxia, systemic hypotension, metabolic disturbances, use of sedative agents, antibiotics and steroids) to SAE are scarce
> Read this article review
Decompressive Craniectomy for Traumatic Intracranial Hypertension?
> Read this article review
Mens sana in corpore sano: new guidelines on delirium, analgesia and sedation in the ICU
> Read this article review
Continuous Monitoring of Spinal Cord Pressure Possible after Spinal Cord Injury
> Read this article review
Is fever suppression beneficial or not?
> Read this article review
Do myoclonic jerks in post-cardiac arrest patients signal futility?
> Read this article review
Suggested talks
Neuromonitoring tips and tricks
KEYNOTE ~ Nino Stocchetti
Visit our e-LIVES platform to see more…
EPO-TBI RESULTS
What effect does Erythropoetin have in TBI patients?
Craig French provides us with the results of his EPO-TBI trial in this icTV video. These results were presented for the first time during the HOT TOPICS session at LIVES 2015 and published simultaneously in The Lancet.
Visit our e-LIVES platform to see more…
Visualising intracranial hypertension in adult and paediatric TBI
Geert Meyfroidt discusses results from a multicentre study aimed to assess the impact of the duration and intensity of episodes of increased intracranial pressure on 6-month neurological outcome in adult and paediatric TBI.
> Read this article in ICM’s June 2015 issue
