Neuro-Intensive Care
The Neuro-Intensive Care section is led by Romain Sonneville.
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Education
Courses
Mastering the Brain in Critical Conditions
Webinars and Podcasts
Webinars
– Transfusion in Acute Brain Injury
– TTC in Vascular Brain Injury
– TTC – Traumatic Brain Injury
– TTP Centenary 4: The sickest TTP patients
– Cerebral oxygenation in critical care
– Coma of unknown origin
– Stroke Management
Podcasts
– Evolution of sedation management in the ICU
– The brain in paediatric critical care
– Prophylactic melatonin for delirium in intensive care (Pro-MEDIC)
Free webinars and podcasts are available for members & non members on LIVES-STREAM.
Use your ESICM credentials or create an account
Research
Projects
EABI Study
The Extubation in Acute Brain Injury (EABI) Study aims to develop expert consensus guidance on “readiness to extubate” criteria for extubation of patients with acute brain injury.
CIRCULATE – MCS
Cerebrovascular Investigation Related to Circulatory parameters Using Longitudinal Assessments on Transcranial Doppler based Evaluation in Mechanical Circulatory Support.
MINIMAL
Use of Non-Invasive Methods for Intracranial Pressure (ICP) Monitoring in Traumatic Brain Injury when invasive ICP is not available (in Low income countries). The Minimal TBI study.
USEFUL
Use & management of non-invasive methods to assess intracranial pressure in TBI patients in LMIC (+ in HIC when there are contraindications to invasive methods): a consensus & clinical recommendation
Surveys
aSAH Survey
Decision-Making in Aneurysmal Subarachnoid Haemorrhage: International Survey of Triggers and Management Strategies of Delayed Cerebral Ischemia ()
The aim of this survey was to investigate the current practice and timing of neurological prognostication after cardiac arrest in European ICUs.
Guidelines and consensus statement
2025
Chiara Robba, Edoardo Picetti, Sebastián Vásquez-García et al. The Brussels consensus for non-invasive ICP monitoring when invasive systems are not available in the care of TBI patients (the B-ICONIC consensus, recommendations, and management algorithm). Intensive Care Med, 2025 Jan;51(1):4-20. doi: 10.1007/s00134-024-07756-2. Epub 2025 Jan 23. https://link.springer.com/article/10.1007/s00134-024-07756-2
2024
– Lavinio, A., Coles, J.P., Robba, C. et al. Targeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendations. Crit Care 28, 170 (2024).https://doi.org/10.1186/s13054-024-04951-x
– Wieruszewski, Patrick M.; Leone, Marc; Kaas-Hansen, Benjamin Skov et al. Reporting of Norepinephrine Formulations in Critical Care from the Society of Critical Care Medicine and European Society of Intensive Care Medicine Joint Task Force. Critical Care Medicine (2024) 52(4). p.521-530.
Relevant Literature
– Thakur, K.T., Legouy, C. & Sonneville, R. Treating acute encephalitis. Intensive Care Med 50, 1916–1919 (2024).
– Wu, L., Citerio, G. & Gao, G. Neuromodulation in the intensive care unit. Intensive Care Med 50, 1523–1525 (2024).
– da Hora Passos, R., Lourenço, I.D., de Medeiros Silva, C.S. et al. Navigating the ventilator in acute brain injury: a forceful call for clarity and caution. Intensive Care Med 50, 1959–1960 (2024).
Article Reviews
Fever control in critically ill adults
TTM: Is 48 hours at 33ºC better than 24?
Modifiable factors contributing to sepsis-associated encephalopathy?
Decompressive Craniectomy for Traumatic Intracranial Hypertension?
Mens sana in corpore sano: new guidelines on delirium, analgesia and sedation in the ICU
Continuous Monitoring of Spinal Cord Pressure Possible after Spinal Cord Injury