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NCS 2023



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Event Type
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Science of Neurocritical CareClinical PracticeDelivery, Quality, and Safety
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Monday, August 14th MST MST expand all · collapse all

TimeTypeSession / PresentationPresentersLocationTagPlan 7:30am - 6:00pm
MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTMeal

Meal Continental Breakfast (in-person workshop attendees only)

Continental Breakfast Room 1


8:00am - 3:00pm MSTWorkshop

Workshop POCUS and Body Ultrasound (Hands-On) 

Aarti Sarwal
Erika Sigman
West 102 ABC

General Critical Care
Ultrasound
Introductory
DescriptionThis course will introduce image acquisition methods, ultrasound
techniques, and clinical applications of point of care ultrasound in
neurocritical care. We will employ live interactive didactic lectures that
expand upon the principles of ultrasound image capture and clinical applications
for echocardiography, lung ultrasound, and abdominal ultrasound. In-person
hands-on sessions will be led by ultrasound specialists with experience in
medical education techniques. Participants will learn how to acquire and
troubleshoot image acquisition for high quality images. Ultrasound pathology
observed in echocardiography, inferior vena cava evaluations, lung ultrasound,
and abdominal ultrasound that are pertinent to cardiopulmonary assessments in
critical care will be reviewed. EaNch participant should be able to perform
focused heart, lung, and abdominal ultrasounds for evaluation of shock or
respiratory failure by the end of this session.
Presentations

8:00am - 8:05am MSTPOCUS and Body Ultrasound—Course overview
Author
Aarti Sarwal

8:05am - 8:25am MSTLecture 1: Introduction / Knobology
Author
Chris Zammit

8:25am - 8:45am MSTStation: Knobology

8:45am - 9:05am MSTLecture 2: Parasternal Long Axis and Short Axis Views
Author
Vasisht Srinivasan
Ultrasound
9:05am - 9:30am MSTStation: Long Axis

9:30am - 9:45am MSTCoffee Break

9:45am - 10:05am MSTStation: Short Axis

10:05am - 10:25am MSTLecture 3: Apical 4 Chamber and Subcostal Views
Author
Firas Abdulmajeed
Ultrasound
10:25am - 10:45am MSTStation: Apical 4 Chamber

10:45am - 11:05am MSTStation: Subcostal IVC

11:05am - 11:25am MSTLecture 4: Lung Ultrasound and Diaphragm
Author
Mohammad Hirzallah
Ultrasound
11:25am - 11:45am MSTStation: Lung

11:45am - 12:00pm MSTStation: RV, LV function

12:00pm - 1:00pm MSTLunch

1:00pm - 1:20pm MSTLecture 5: eFAST and Algorithm Based Ultrasound Protocols
Author
Diane Mclaughlin
Ultrasound
1:20pm - 1:40pm MSTStation: eFAST protocol practice

1:40pm - 2:00pm MSTLecture 6: Applications of Ultrasound in Shock and
Respiratory Failure
Author
Carla Venegas
Ultrasound
2:00pm - 2:20pm MSTStation: Shock Protocol Practice

2:20pm - 2:40pm MSTStation: Respiratory Failure Protocol Practice

2:40pm - 3:00pm MSTPathology Review & Closeout
Author
Erika Sigman
Ultrasound

9:00am - 12:00pm MSTWorkshop

Workshop State of the Art in Imaging Science of Neurocritical Care (Lecture) 

Katharina Busl
West 101 ABC

Coma
Informatics
Intracerebral Hemorrhage
Intermediate
Advanced
DescriptionA lecture format discussion of the latest in scientific knowledge and
controversies on advanced imaging techniques in neurocritical care patients.
Presentations

9:00am - 9:05am MSTIntroduction: State of the Art in Imaging Science of
Neurocritical Care
Authors
Ryan Hakimi
Katharina Busl

9:05am - 9:25am MSTDo We Need to Use CTA/CTP in Acute Stroke Decisions?
Author
Gisele Sampaio Silva

9:25am - 9:45am MSTDoes MRI Improve Prognostication After Cardiac Arrest ?
Author
Karen Hirsch

9:45am - 10:05am MSTImaging Science Update for ICH: What Matters?
Author
Wendy Ziai

10:05am - 10:25am MSTBedside Systems for ICU Systems: What is the Evidence?
Author
Sung Min Cho

10:25am - 10:45am MSTWhat is the Future role of Imaging Combined with Biomarkers
in Pediatric Prognosis?
Author
Ericka Fink

10:45am - 11:05am MSTTraumatic Coma Imaging: What is Available and What Should
Be?
Author
Brian Edlow

11:05am - 11:25am MSTDo Noninvasive Devices Remove the Need for Invasive
Monitors?
Author
Ventakrishna Rajajee

11:25am - 11:45am MSTClosing by Moderators
Authors
Katharina Busl
Ryan Hakimi


12:00pm - 1:00pm MSTMeal

Meal Lunch on Own



1:00pm - 4:00pm MSTWorkshop

Workshop TCD Workshop for Beginner and Experienced Users (Hands-On) 

Mohammad Hirzallah
Mark Rubin
Jeff Mahan
West 101 ABC


DescriptionThis workshop will provide structured hands-on exposure as well as
opportunities to ask questions in small groups while learning and practicing
specific transcranial Doppler ultrasound (TCD) techniques including but not
limited to TCD complete studies, emboli detection, right-to-left shunt
detection, and assessment of vasomotor reactivity. Both the beginner and
experienced users are encouraged to attend. The workshop will also provide an
opportunity to try the latest equipment, to meet experts, and to discuss various
aspects of Neurosonology in small groups. The workshop is designed to meet the
need for basic and advanced knowledge of insonation techniques, technological
advances, and practical aspects of cerebrovascular testing. Additionally,
participants will obtain hands-on experience in imaging the optic nerve sheath
and calculating an Optic Nerve Sheath Diameter (ONSD). This technique is an easy
and safe way to serially evaluate patients with elevated intracranial pressure
and to monitor the treatment effects of various interventions aimed at treating
increased ICP.
Presentations

TCD hands-on workshop for beginner and experienced users
Author
Ryan Hakimi

TCD - Station 1
Author
Mark Rubin

TCD - Station 2
Author
Methil Pradeep

TCD - Station 3
Author
John Bennett

TCD - Station 4
Author
Gyanendra Kumar

TCD - Station 5
Author
Zsolt Garami

TCD - Station 6
Author
Mohammad Hirzallah

TCD - Station 7
Author
Ryan Hakimi


3:00pm - 4:00pm MSTNetworking Event

Networking Event First-Time Attendee and New Member Information Session

Networking Session Room 1


4:00pm - 6:00pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Welcome Reception

Exhibit Hall



Tuesday, August 15th MST MST expand all · collapse all

TimeTypeSession / PresentationPresentersLocationTagPlan 7:30am - 6:00pm
MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTMeal

Meal Continental Breakfast (in-person workshop attendees only)

Continental Breakfast Room 1


8:00am - 3:00pm MSTWorkshop

Workshop POCUS and Body Ultrasound (Hands-On) 

Aarti Sarwal
Erika Sigman
West 102 ABC

General Critical Care
Ultrasound
Introductory
DescriptionThis course will introduce image acquisition methods, ultrasound
techniques, and clinical applications of point of care ultrasound in
neurocritical care. We will employ live interactive didactic lectures that
expand upon the principles of ultrasound image capture and clinical applications
for echocardiography, lung ultrasound, and abdominal ultrasound. In-person
hands-on sessions will be led by ultrasound specialists with experience in
medical education techniques. Participants will learn how to acquire and
troubleshoot image acquisition for high quality images. Ultrasound pathology
observed in echocardiography, inferior vena cava evaluations, lung ultrasound,
and abdominal ultrasound that are pertinent to cardiopulmonary assessments in
critical care will be reviewed. EaNch participant should be able to perform
focused heart, lung, and abdominal ultrasounds for evaluation of shock or
respiratory failure by the end of this session.
Presentations

8:00am - 8:05am MSTPOCUS and Body Ultrasound—Course overview
Author
Aarti Sarwal

8:05am - 8:25am MSTLecture 1: Introduction / Knobology
Author
Chris Zammit

8:25am - 8:45am MSTStation: Knobology

8:45am - 9:05am MSTLecture 2: Parasternal Long Axis and Short Axis Views
Author
Vasisht Srinivasan
Ultrasound
9:05am - 9:30am MSTStation: Long Axis

9:30am - 9:45am MSTCoffee Break

9:45am - 10:05am MSTStation: Short Axis

10:05am - 10:25am MSTLecture 3: Apical 4 Chamber and Subcostal Views
Author
Firas Abdulmajeed
Ultrasound
10:25am - 10:45am MSTStation: Apical 4 Chamber

10:45am - 11:05am MSTStation: Subcostal IVC

11:05am - 11:25am MSTLecture 4: Lung Ultrasound and Diaphragm
Author
Mohammad Hirzallah
Ultrasound
11:25am - 11:45am MSTStation: Lung

11:45am - 12:00pm MSTStation: RV, LV function

12:00pm - 1:00pm MSTLunch

1:00pm - 1:20pm MSTLecture 5: eFAST and Algorithm Based Ultrasound Protocols
Author
Diane Mclaughlin
Ultrasound
1:20pm - 1:40pm MSTStation: eFAST protocol practice

1:40pm - 2:00pm MSTLecture 6: Applications of Ultrasound in Shock and
Respiratory Failure
Author
Carla Venegas
Ultrasound
2:00pm - 2:20pm MSTStation: Shock Protocol Practice

2:20pm - 2:40pm MSTStation: Respiratory Failure Protocol Practice

2:40pm - 3:00pm MSTPathology Review & Closeout
Author
Erika Sigman
Ultrasound

9:00am - 12:00pm MSTWorkshop

Workshop State of the Art in Imaging Science of Neurocritical Care (Lecture) 

Katharina Busl
West 101 ABC

Coma
Informatics
Intracerebral Hemorrhage
Intermediate
Advanced
DescriptionA lecture format discussion of the latest in scientific knowledge and
controversies on advanced imaging techniques in neurocritical care patients.
Presentations

9:00am - 9:05am MSTIntroduction: State of the Art in Imaging Science of
Neurocritical Care
Authors
Ryan Hakimi
Katharina Busl

9:05am - 9:25am MSTDo We Need to Use CTA/CTP in Acute Stroke Decisions?
Author
Gisele Sampaio Silva

9:25am - 9:45am MSTDoes MRI Improve Prognostication After Cardiac Arrest ?
Author
Karen Hirsch

9:45am - 10:05am MSTImaging Science Update for ICH: What Matters?
Author
Wendy Ziai

10:05am - 10:25am MSTBedside Systems for ICU Systems: What is the Evidence?
Author
Sung Min Cho

10:25am - 10:45am MSTWhat is the Future role of Imaging Combined with Biomarkers
in Pediatric Prognosis?
Author
Ericka Fink

10:45am - 11:05am MSTTraumatic Coma Imaging: What is Available and What Should
Be?
Author
Brian Edlow

11:05am - 11:25am MSTDo Noninvasive Devices Remove the Need for Invasive
Monitors?
Author
Ventakrishna Rajajee

11:25am - 11:45am MSTClosing by Moderators
Authors
Katharina Busl
Ryan Hakimi


12:00pm - 1:00pm MSTMeal

Meal Lunch on Own



1:00pm - 4:00pm MSTWorkshop

Workshop TCD Workshop for Beginner and Experienced Users (Hands-On) 

Mohammad Hirzallah
Mark Rubin
Jeff Mahan
West 101 ABC


DescriptionThis workshop will provide structured hands-on exposure as well as
opportunities to ask questions in small groups while learning and practicing
specific transcranial Doppler ultrasound (TCD) techniques including but not
limited to TCD complete studies, emboli detection, right-to-left shunt
detection, and assessment of vasomotor reactivity. Both the beginner and
experienced users are encouraged to attend. The workshop will also provide an
opportunity to try the latest equipment, to meet experts, and to discuss various
aspects of Neurosonology in small groups. The workshop is designed to meet the
need for basic and advanced knowledge of insonation techniques, technological
advances, and practical aspects of cerebrovascular testing. Additionally,
participants will obtain hands-on experience in imaging the optic nerve sheath
and calculating an Optic Nerve Sheath Diameter (ONSD). This technique is an easy
and safe way to serially evaluate patients with elevated intracranial pressure
and to monitor the treatment effects of various interventions aimed at treating
increased ICP.
Presentations

TCD hands-on workshop for beginner and experienced users
Author
Ryan Hakimi

TCD - Station 1
Author
Mark Rubin

TCD - Station 2
Author
Methil Pradeep

TCD - Station 3
Author
John Bennett

TCD - Station 4
Author
Gyanendra Kumar

TCD - Station 5
Author
Zsolt Garami

TCD - Station 6
Author
Mohammad Hirzallah

TCD - Station 7
Author
Ryan Hakimi


3:00pm - 4:00pm MSTNetworking Event

Networking Event First-Time Attendee and New Member Information Session

Networking Session Room 1


4:00pm - 6:00pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Welcome Reception

Exhibit Hall


5:00pm - 6:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 1: Serious Illness Communication and
Prognostic Uncertainty in Neurocritical Care- IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

5:00pm - 6:00pm MSTOasis Roundtable 1: Serious Illness Communication and
Prognostic Uncertainty in Neurocritical Care- IN PERSON ONLY
Table Leader
Hannah Kirsch


6:00pm - 7:30pm MSTNetworking Event

Networking Event Invite Only: Mentorship Mingle

Networking Session Room 1


6:00pm - 7:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 2: Global Neurocritical Care Training and
Education - IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

6:00pm - 7:00pm MSTOasis Roundtable 2: Global Neurocritical Care Training and
Education - IN PERSON ONLY
Table Leader
Morgan Prust


6:45am - 4:30pm MSTBreakfast Symposium

Breakfast Symposium Defining Blood Pressure Control in Acute Stroke 

West 106 ABC


DescriptionBreakfast will be provided to symposium attendees on a first-come,
first-serve basis as there is limited availability. Continental breakfast
provided by Zeenat Qureshi Stroke Institute.

Several measures of blood pressure (BP) control have been used including time to
reach target BP, maintaining BP within target range, reducing BP fluctuation,
achieving goals with monotherapy and avoiding multiple anti-hypertensive agents,
achieving goals with minimum dose adjustments, avoiding discontinuation due to
side effects, and preventing hypotension. There are multiple methods of
quantifying these measures. The clinical relevance of various measures
particularly relationship with acute kidney injury, and death or disability in
patients with acute stroke or traumatic brain injury is not well understood. A
better understanding of these measures is essential to identify the ideal
therapeutic agent and for comparison of effectiveness between various
antihypertensive agents. The proposed session will provide a better
understanding of various measures of BP control and their clinical relevance.
The clinical implications and selection of appropriate measures of BP control
within the neuro-intensive care unit setting will be discussed with
recommendations for defining the optimal BP control for various clinical
scenarios.

6:45am - 4:30pm MSTRegistration

Registration Registration

Registration Desk


7:00am - 7:50am MSTMeal

Meal Breakfast on Own



8:00am - 9:45am MSTKeynote

Keynote Awards Ceremony, Presidential Address & Opening Keynote Session 

Sarah Livesay
West 301 BC


Presentations

8:00am - 8:15am MSTAwards Ceremony
Author
Sarah Livesay

8:15am - 8:45am MSTPresidential Address
Authors
Sarah Livesay
Paul Vespa

8:45am - 9:45am MSTAI in Critical Care: The New Horizon
Author
Azra Bihorac


9:30am - 12:00pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


10:30am - 12:00pm MSTGeneral Session

General Session Clinical Trials 

Wendy Ziai
Molly McNett
West 301 BC


Presentations

10:30am - 11:00am MSTENRICH Trial
Author
Jonathan Ratcliff

11:00am - 11:30am MSTINTREPID Study
Author
David Greer

11:30am - 12:00pm MSTEarly Drain
Author
Stefan Wolf


12:15pm - 1:15pm MSTMeal

Meal Lunch on Own



1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Advancing Coma Care through Multidisciplinary Global
Collaboration: Insights from the COMPOSE Study 

Sahar Zafar
West 301 BC

Science of Neurocritical Care
Coma
Global Neurocritical Care
Introductory
DescriptionThe COMPOSE study is a prospective observational study that is funded
by the Neurocritical Care Foundation. The primary aim of the study is to
understand the natural history of coma recovery and to evaluate the variability
in global practices for managing patients with coma. The study design includes
the creation of an international network of experts from various fields,
including neuroscience, clinical care, and rehabilitation sciences. COMPOSE
created a platform for the collection of data from a diverse group of patients
and healthcare providers, and provided a comprehensive understanding of the
brain's response to injury. The results of the study will be used to develop a
roadmap for improving the management of patients with coma and other severe
brain injuries. In this session, the methodology of the COMPOSE study would
likely be discussed, which includes the design of the study, the selection of
patients and healthcare providers to participate in the study, and the methods
used to collect and analyze data. The creation of COMPOSE network will also be
discussed, including the formation of the international network of experts and
the methods used to coordinate and collaborate with the various global partners.
Upcoming opportunities for collaborations will be presented from the Curing Coma
Campaign perspective.
Presentations

1:30pm - 1:50pm MSTBuilding a Global Collaborative Network in the COMPOSE Study:
Perspective on Coordinating International Experts and Partnerships
Presenter
Chethan Venkatasubba Rao

1:50pm - 2:10pm MSTPragmatic Outcomes assessment in Coma Patients: Insights from
the COMPOSE Study
Presenter
Yelena Bodien

2:10pm - 2:30pm MSTComa outcomes and variabilities influencing recovery: LATAM
perspective
Presenter
Cassia Righy


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Noninvasive neuromonitoring in brain injury - Is this the
Future of clinical Exam? 

Angela Hays Shapshak
West 301 D

Clinical Practice
Bedside Nursing
Multimodal Neuromonitoring (invasive/non-invasive)
Ultrasound
Intermediate
DescriptionThe quest for noninvasive tools to monitor the status of the brain in
critical illness has been underway for many years- so where are we now? While
invasive monitoring in the neuro ICU can provide critical information on
intracranial pressure, cerebral oxygenation, and cerebral perfusion, these
devices are not always available, and are associated with risk and expense. Do
reliable alternatives to invasive neuromonitoring devices exist? Who are the
contenders? Do venerable tools such as transcranial doppler have a role in the
modern neuroICU? Are tools such as optic nerve ultrasound, quantitative
pupillometry and near-infrared spectroscopy ready for prime-time? This session
will cover some of the major physiological variables we monitor in brain injury,
and the noninvasive tools that have been evaluated in recent years to monitor
these variables. The first topic will address one of the oldest of these quests,
for a noninvasive tool to detect elevated intracranial pressure. Noninvasive
assessment of cerebral perfusion, oximetry, and autoregulation will also be
discussed. Finally, we will discuss the evidence for the oldest neuromonitoring
tool of all- the clinical exam.
Presentations

1:30pm - 1:50pm MSTNoninvasive devices for the assessment of intracranial
pressure- are we there yet?
Presenter
Venkatakrishna Rajajee

1:50pm - 2:10pm MSTNoninvasive devices for the assessment of cerebral perfusion
and oxygenation
Presenter
Ryan Hakimi

2:10pm - 2:30pm MSTThe serial neurological exam- scores, evidence and utility
Presenter
Molly McNett


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Optimizing Neurorecovery in Neurocritical Care 

Ebonye Green
West 301 A

Delivery, Quality, and Safety
Informatics
Ischemic Stroke
Patient Education
Intermediate
DescriptionPost Intensive Care Unit (ICU) Clinics have existed in various forms
since the 1980s. Thus far, they have primarily followed post medical ICU
patients leading to the description of the Post ICU Syndrome (PICS). Now there
is recognition of need for further study to improve patient centered outcomes.
Recovery clinics have not been systematically evaluated in the post
neurocritical care population, but for many survivors of the neurocritical care
unit this is only the beginning of their recovery. Neurocritical care recovery
clinics can be an important point of evaluation and an opportunity to collect
valuable outcomes for feedback to a neurocritical care unit. However, a variety
of hurdles must be crossed when establishing a new clinic, which need to be
tailored to each clinician, institution, and population. This session will
introduce how to establish a post neurocritical care recovery clinic and their
applications in research and patient care. Neurorecovery clinics can be a place
for research outcomes data collection, follow-up on goals of care discussions,
time limited trials of care, and delivery of neuropalliative care. As the
survivorship of neurocritical care units grow, these types of neurorecovery
clinics will have an increasing role to play in delivery of optimal care.
Presentations

1:30pm - 1:50pm MSTDesign and Delivery of a Neurocritical Care Recovery Clinic
Presenter
Julia Carlson

1:50pm - 2:10pm MSTOutcome Measures in Neurocritical Care
Presenter
David Lin

2:10pm - 2:30pm MSTNeuroRecovery Clinic as Construct to Allow Time Limited
Trials of Restorative Care and Optimize Palliative Care Delivery
Presenter
Matthew Jaffa


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session Brain Death Collaborative Research: The Scientific Frontier 

Panayiotis Varelas
West 301 BC

Clinical Practice
Coma
Intermediate
DescriptionOne of the main challenges of brain death research is the relatively
low number of formal brain death declarations, even in large academic
institutions, which is likely related to early withdrawal of support in patients
with devastating neurological injuries. Because the majority of real-world data
on brain death science comes from single-center studies, there is an unmet need
to establish multi-center collaborations that provide large-scale data in order
to fill in the gaps in the available literature. To meet this need, the New
England Brain Death Research Collaboration Study (NEBD) was born with a primary
purpose to form a comprehensive multi-center registry of patients diagnosed with
brain death.

This session will focus on the means and the utilities to form such
collaborations, exploiting our experience with NEBD that is currently underway,
involving Boston Medical Center, Massachusetts General Hospital, and Brigham and
Women's Hospital under the leadership of Dr. David Greer, in collaboration with
Organ Procurement Organizations as sources of initial data to identify patients
diagnosed with brain death at the participating institutions.

This and future collaborations will be important sources of data to study
several aspects of brain death, which will be discussed in the session,
including 1) the physiological changes leading to brain death, 2) the
reliability of clinical brain death assessment including the apnea test, 3) the
validity of various ancillary studies to measure brain activity, function, or
cerebral blood flow, and 4) approaches to and conflicts in end-of-life care
among families of different backgrounds, faiths and cultures.
Presentations

2:45pm - 3:05pm MSTThe science of brain death
Presenter
David Greer

3:05pm - 3:25pm MSTThe practice and variability of brain death determination
Presenter
Ibrahim Migdady

3:25pm - 3:45pm MSTApproaches to and conflicts in end of life care
Presenter
Mathew Kirschen


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session The Future of High Value Neurocritical Care 

Sarah Livesay
West 301 A

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
Global Neurocritical Care
Introductory
DescriptionOveruse is a major problem affecting healthcare systems. An estimated
one-third of care delivered in the United States is considered wasteful,
resulting in both financial and medical harm. To combat this, the Choosing
Wisely campaign was introduced in 2010 by the American Board of Internal
Medicine, challenging medical societies to identify care interventions that are
overutilized and do not provide benefit. Choosing Wisely has now grown to
encompass more than 70 societies internationally, with the goal of improving
quality and costs of care on a global scale. A comprehensive set of Choosing
Wisely measures for the specialty of neurocritical care has not been developed
and defining high value care in neurocritical care remains largely unchartered
territory.

Neurocritical care disease conditions impose a major health burden worldwide
affecting the health and lives of many individuals and families, and result in
substantial costs for individuals, health systems and payers. Neurocritical care
professionals must understand how they can improve their practices to maximize
high value care. This requires interdisciplinary coordination, avoiding
low-value services at the point of care, conducting team-based value improvement
projects that incorporate evidence-based best practices, and launching high
value care programs bolstered by appropriate infrastructure. This presentation
sets the groundwork for implementing a high value patient centered approach to
neurocritical delivery within complex health systems, with the goal of improving
health outcomes and identifying opportunities to reduce waste.
Presentations

2:45pm - 3:05pm MSTDefining High Value Care: Quality, Costs and Health Outcomes
in Neurocritical Care
Presenter
Cynthia Bautista

3:05pm - 3:25pm MSTWhen More May Be Less: Opportunities to Reduce Harm, Cost and
Waste in Neurocritical Care
Presenter
Margaret Huynh

3:25pm - 3:45pm MSTPractical Approaches to Implementing High Value Care: an
Interactive Audience Discussion to Debate Targets for High Value Neurocritical
Care Delivery
Presenter
Casey Olm-Shipman


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session The Neuroscience of Mitochondria: Targeting Mitochrondial
Support in Pediatric Neurocritical Care 

Mark Wainwright
West 301 D

Science of Neurocritical Care
Pediatric
Post-Cardiac Arrest
Status Epilepticus
Advanced
DescriptionMitochondrial dysfunction is a common pathophysiologic process
implicated in multiple acute neurologic insults which affect children including
stroke, cardiac arrest, traumatic brain injury and refractory status
epilepticus. There are no current validated therapies which specifically restore
mitochondrial function after primary or secondary brain injury. Mitochondrial
physiology is also developmentally regulated, and contributes both to the
mechanisms of repair after brain injury and to the regulation of innate immune
responses. This session will focus on the developmental regulation of the
mitochondrion, its role in acute brain injuries and interactions with the immune
system. Last, this session will review potential clinical strategies to restore
mitochondrial function after brain injury.
Presentations

2:45pm - 3:05pm MSTMitochondrial Dysfunction: Causes and Effects of Acute Brain
Injury
Presenter
Divakar Mithal

3:05pm - 3:25pm MSTMitochondria and immune system interactions in pediatric
critical illness
Presenter
Nicole Coufal

3:25pm - 3:45pm MSTIncorporating mitochondrion-directed care into clinical
approaches to neuroprotection after acute brain injury in children
Presenter
Courtney Robertson


3:30pm - 5:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Reception

Exhibit Hall


4:00pm - 5:00pm MSTNetworking Event

Networking Event Poster Viewing & Distinguished Professor Rounds- IN PERSON ONLY

Poster Room



Wednesday, August 16th MST MST expand all · collapse all

TimeTypeSession / PresentationPresentersLocationTagPlan 7:30am - 6:00pm
MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTMeal

Meal Continental Breakfast (in-person workshop attendees only)

Continental Breakfast Room 1


8:00am - 3:00pm MSTWorkshop

Workshop POCUS and Body Ultrasound (Hands-On) 

Aarti Sarwal
Erika Sigman
West 102 ABC

General Critical Care
Ultrasound
Introductory
DescriptionThis course will introduce image acquisition methods, ultrasound
techniques, and clinical applications of point of care ultrasound in
neurocritical care. We will employ live interactive didactic lectures that
expand upon the principles of ultrasound image capture and clinical applications
for echocardiography, lung ultrasound, and abdominal ultrasound. In-person
hands-on sessions will be led by ultrasound specialists with experience in
medical education techniques. Participants will learn how to acquire and
troubleshoot image acquisition for high quality images. Ultrasound pathology
observed in echocardiography, inferior vena cava evaluations, lung ultrasound,
and abdominal ultrasound that are pertinent to cardiopulmonary assessments in
critical care will be reviewed. EaNch participant should be able to perform
focused heart, lung, and abdominal ultrasounds for evaluation of shock or
respiratory failure by the end of this session.
Presentations

8:00am - 8:05am MSTPOCUS and Body Ultrasound—Course overview
Author
Aarti Sarwal

8:05am - 8:25am MSTLecture 1: Introduction / Knobology
Author
Chris Zammit

8:25am - 8:45am MSTStation: Knobology

8:45am - 9:05am MSTLecture 2: Parasternal Long Axis and Short Axis Views
Author
Vasisht Srinivasan
Ultrasound
9:05am - 9:30am MSTStation: Long Axis

9:30am - 9:45am MSTCoffee Break

9:45am - 10:05am MSTStation: Short Axis

10:05am - 10:25am MSTLecture 3: Apical 4 Chamber and Subcostal Views
Author
Firas Abdulmajeed
Ultrasound
10:25am - 10:45am MSTStation: Apical 4 Chamber

10:45am - 11:05am MSTStation: Subcostal IVC

11:05am - 11:25am MSTLecture 4: Lung Ultrasound and Diaphragm
Author
Mohammad Hirzallah
Ultrasound
11:25am - 11:45am MSTStation: Lung

11:45am - 12:00pm MSTStation: RV, LV function

12:00pm - 1:00pm MSTLunch

1:00pm - 1:20pm MSTLecture 5: eFAST and Algorithm Based Ultrasound Protocols
Author
Diane Mclaughlin
Ultrasound
1:20pm - 1:40pm MSTStation: eFAST protocol practice

1:40pm - 2:00pm MSTLecture 6: Applications of Ultrasound in Shock and
Respiratory Failure
Author
Carla Venegas
Ultrasound
2:00pm - 2:20pm MSTStation: Shock Protocol Practice

2:20pm - 2:40pm MSTStation: Respiratory Failure Protocol Practice

2:40pm - 3:00pm MSTPathology Review & Closeout
Author
Erika Sigman
Ultrasound

9:00am - 12:00pm MSTWorkshop

Workshop State of the Art in Imaging Science of Neurocritical Care (Lecture) 

Katharina Busl
West 101 ABC

Coma
Informatics
Intracerebral Hemorrhage
Intermediate
Advanced
DescriptionA lecture format discussion of the latest in scientific knowledge and
controversies on advanced imaging techniques in neurocritical care patients.
Presentations

9:00am - 9:05am MSTIntroduction: State of the Art in Imaging Science of
Neurocritical Care
Authors
Ryan Hakimi
Katharina Busl

9:05am - 9:25am MSTDo We Need to Use CTA/CTP in Acute Stroke Decisions?
Author
Gisele Sampaio Silva

9:25am - 9:45am MSTDoes MRI Improve Prognostication After Cardiac Arrest ?
Author
Karen Hirsch

9:45am - 10:05am MSTImaging Science Update for ICH: What Matters?
Author
Wendy Ziai

10:05am - 10:25am MSTBedside Systems for ICU Systems: What is the Evidence?
Author
Sung Min Cho

10:25am - 10:45am MSTWhat is the Future role of Imaging Combined with Biomarkers
in Pediatric Prognosis?
Author
Ericka Fink

10:45am - 11:05am MSTTraumatic Coma Imaging: What is Available and What Should
Be?
Author
Brian Edlow

11:05am - 11:25am MSTDo Noninvasive Devices Remove the Need for Invasive
Monitors?
Author
Ventakrishna Rajajee

11:25am - 11:45am MSTClosing by Moderators
Authors
Katharina Busl
Ryan Hakimi


12:00pm - 1:00pm MSTMeal

Meal Lunch on Own



1:00pm - 4:00pm MSTWorkshop

Workshop TCD Workshop for Beginner and Experienced Users (Hands-On) 

Mohammad Hirzallah
Mark Rubin
Jeff Mahan
West 101 ABC


DescriptionThis workshop will provide structured hands-on exposure as well as
opportunities to ask questions in small groups while learning and practicing
specific transcranial Doppler ultrasound (TCD) techniques including but not
limited to TCD complete studies, emboli detection, right-to-left shunt
detection, and assessment of vasomotor reactivity. Both the beginner and
experienced users are encouraged to attend. The workshop will also provide an
opportunity to try the latest equipment, to meet experts, and to discuss various
aspects of Neurosonology in small groups. The workshop is designed to meet the
need for basic and advanced knowledge of insonation techniques, technological
advances, and practical aspects of cerebrovascular testing. Additionally,
participants will obtain hands-on experience in imaging the optic nerve sheath
and calculating an Optic Nerve Sheath Diameter (ONSD). This technique is an easy
and safe way to serially evaluate patients with elevated intracranial pressure
and to monitor the treatment effects of various interventions aimed at treating
increased ICP.
Presentations

TCD hands-on workshop for beginner and experienced users
Author
Ryan Hakimi

TCD - Station 1
Author
Mark Rubin

TCD - Station 2
Author
Methil Pradeep

TCD - Station 3
Author
John Bennett

TCD - Station 4
Author
Gyanendra Kumar

TCD - Station 5
Author
Zsolt Garami

TCD - Station 6
Author
Mohammad Hirzallah

TCD - Station 7
Author
Ryan Hakimi


3:00pm - 4:00pm MSTNetworking Event

Networking Event First-Time Attendee and New Member Information Session

Networking Session Room 1


4:00pm - 6:00pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Welcome Reception

Exhibit Hall


5:00pm - 6:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 1: Serious Illness Communication and
Prognostic Uncertainty in Neurocritical Care- IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

5:00pm - 6:00pm MSTOasis Roundtable 1: Serious Illness Communication and
Prognostic Uncertainty in Neurocritical Care- IN PERSON ONLY
Table Leader
Hannah Kirsch


6:00pm - 7:30pm MSTNetworking Event

Networking Event Invite Only: Mentorship Mingle

Networking Session Room 1


6:00pm - 7:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 2: Global Neurocritical Care Training and
Education - IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

6:00pm - 7:00pm MSTOasis Roundtable 2: Global Neurocritical Care Training and
Education - IN PERSON ONLY
Table Leader
Morgan Prust


6:45am - 4:30pm MSTBreakfast Symposium

Breakfast Symposium Defining Blood Pressure Control in Acute Stroke 

West 106 ABC


DescriptionBreakfast will be provided to symposium attendees on a first-come,
first-serve basis as there is limited availability. Continental breakfast
provided by Zeenat Qureshi Stroke Institute.

Several measures of blood pressure (BP) control have been used including time to
reach target BP, maintaining BP within target range, reducing BP fluctuation,
achieving goals with monotherapy and avoiding multiple anti-hypertensive agents,
achieving goals with minimum dose adjustments, avoiding discontinuation due to
side effects, and preventing hypotension. There are multiple methods of
quantifying these measures. The clinical relevance of various measures
particularly relationship with acute kidney injury, and death or disability in
patients with acute stroke or traumatic brain injury is not well understood. A
better understanding of these measures is essential to identify the ideal
therapeutic agent and for comparison of effectiveness between various
antihypertensive agents. The proposed session will provide a better
understanding of various measures of BP control and their clinical relevance.
The clinical implications and selection of appropriate measures of BP control
within the neuro-intensive care unit setting will be discussed with
recommendations for defining the optimal BP control for various clinical
scenarios.

6:45am - 4:30pm MSTRegistration

Registration Registration

Registration Desk


7:00am - 7:50am MSTMeal

Meal Breakfast on Own



8:00am - 9:45am MSTKeynote

Keynote Awards Ceremony, Presidential Address & Opening Keynote Session 

Sarah Livesay
West 301 BC


Presentations

8:00am - 8:15am MSTAwards Ceremony
Author
Sarah Livesay

8:15am - 8:45am MSTPresidential Address
Authors
Sarah Livesay
Paul Vespa

8:45am - 9:45am MSTAI in Critical Care: The New Horizon
Author
Azra Bihorac


9:30am - 12:00pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


10:30am - 12:00pm MSTGeneral Session

General Session Clinical Trials 

Wendy Ziai
Molly McNett
West 301 BC


Presentations

10:30am - 11:00am MSTENRICH Trial
Author
Jonathan Ratcliff

11:00am - 11:30am MSTINTREPID Study
Author
David Greer

11:30am - 12:00pm MSTEarly Drain
Author
Stefan Wolf


12:15pm - 1:15pm MSTMeal

Meal Lunch on Own



1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Advancing Coma Care through Multidisciplinary Global
Collaboration: Insights from the COMPOSE Study 

Sahar Zafar
West 301 BC

Science of Neurocritical Care
Coma
Global Neurocritical Care
Introductory
DescriptionThe COMPOSE study is a prospective observational study that is funded
by the Neurocritical Care Foundation. The primary aim of the study is to
understand the natural history of coma recovery and to evaluate the variability
in global practices for managing patients with coma. The study design includes
the creation of an international network of experts from various fields,
including neuroscience, clinical care, and rehabilitation sciences. COMPOSE
created a platform for the collection of data from a diverse group of patients
and healthcare providers, and provided a comprehensive understanding of the
brain's response to injury. The results of the study will be used to develop a
roadmap for improving the management of patients with coma and other severe
brain injuries. In this session, the methodology of the COMPOSE study would
likely be discussed, which includes the design of the study, the selection of
patients and healthcare providers to participate in the study, and the methods
used to collect and analyze data. The creation of COMPOSE network will also be
discussed, including the formation of the international network of experts and
the methods used to coordinate and collaborate with the various global partners.
Upcoming opportunities for collaborations will be presented from the Curing Coma
Campaign perspective.
Presentations

1:30pm - 1:50pm MSTBuilding a Global Collaborative Network in the COMPOSE Study:
Perspective on Coordinating International Experts and Partnerships
Presenter
Chethan Venkatasubba Rao

1:50pm - 2:10pm MSTPragmatic Outcomes assessment in Coma Patients: Insights from
the COMPOSE Study
Presenter
Yelena Bodien

2:10pm - 2:30pm MSTComa outcomes and variabilities influencing recovery: LATAM
perspective
Presenter
Cassia Righy


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Noninvasive neuromonitoring in brain injury - Is this the
Future of clinical Exam? 

Angela Hays Shapshak
West 301 D

Clinical Practice
Bedside Nursing
Multimodal Neuromonitoring (invasive/non-invasive)
Ultrasound
Intermediate
DescriptionThe quest for noninvasive tools to monitor the status of the brain in
critical illness has been underway for many years- so where are we now? While
invasive monitoring in the neuro ICU can provide critical information on
intracranial pressure, cerebral oxygenation, and cerebral perfusion, these
devices are not always available, and are associated with risk and expense. Do
reliable alternatives to invasive neuromonitoring devices exist? Who are the
contenders? Do venerable tools such as transcranial doppler have a role in the
modern neuroICU? Are tools such as optic nerve ultrasound, quantitative
pupillometry and near-infrared spectroscopy ready for prime-time? This session
will cover some of the major physiological variables we monitor in brain injury,
and the noninvasive tools that have been evaluated in recent years to monitor
these variables. The first topic will address one of the oldest of these quests,
for a noninvasive tool to detect elevated intracranial pressure. Noninvasive
assessment of cerebral perfusion, oximetry, and autoregulation will also be
discussed. Finally, we will discuss the evidence for the oldest neuromonitoring
tool of all- the clinical exam.
Presentations

1:30pm - 1:50pm MSTNoninvasive devices for the assessment of intracranial
pressure- are we there yet?
Presenter
Venkatakrishna Rajajee

1:50pm - 2:10pm MSTNoninvasive devices for the assessment of cerebral perfusion
and oxygenation
Presenter
Ryan Hakimi

2:10pm - 2:30pm MSTThe serial neurological exam- scores, evidence and utility
Presenter
Molly McNett


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Optimizing Neurorecovery in Neurocritical Care 

Ebonye Green
West 301 A

Delivery, Quality, and Safety
Informatics
Ischemic Stroke
Patient Education
Intermediate
DescriptionPost Intensive Care Unit (ICU) Clinics have existed in various forms
since the 1980s. Thus far, they have primarily followed post medical ICU
patients leading to the description of the Post ICU Syndrome (PICS). Now there
is recognition of need for further study to improve patient centered outcomes.
Recovery clinics have not been systematically evaluated in the post
neurocritical care population, but for many survivors of the neurocritical care
unit this is only the beginning of their recovery. Neurocritical care recovery
clinics can be an important point of evaluation and an opportunity to collect
valuable outcomes for feedback to a neurocritical care unit. However, a variety
of hurdles must be crossed when establishing a new clinic, which need to be
tailored to each clinician, institution, and population. This session will
introduce how to establish a post neurocritical care recovery clinic and their
applications in research and patient care. Neurorecovery clinics can be a place
for research outcomes data collection, follow-up on goals of care discussions,
time limited trials of care, and delivery of neuropalliative care. As the
survivorship of neurocritical care units grow, these types of neurorecovery
clinics will have an increasing role to play in delivery of optimal care.
Presentations

1:30pm - 1:50pm MSTDesign and Delivery of a Neurocritical Care Recovery Clinic
Presenter
Julia Carlson

1:50pm - 2:10pm MSTOutcome Measures in Neurocritical Care
Presenter
David Lin

2:10pm - 2:30pm MSTNeuroRecovery Clinic as Construct to Allow Time Limited
Trials of Restorative Care and Optimize Palliative Care Delivery
Presenter
Matthew Jaffa


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session Brain Death Collaborative Research: The Scientific Frontier 

Panayiotis Varelas
West 301 BC

Clinical Practice
Coma
Intermediate
DescriptionOne of the main challenges of brain death research is the relatively
low number of formal brain death declarations, even in large academic
institutions, which is likely related to early withdrawal of support in patients
with devastating neurological injuries. Because the majority of real-world data
on brain death science comes from single-center studies, there is an unmet need
to establish multi-center collaborations that provide large-scale data in order
to fill in the gaps in the available literature. To meet this need, the New
England Brain Death Research Collaboration Study (NEBD) was born with a primary
purpose to form a comprehensive multi-center registry of patients diagnosed with
brain death.

This session will focus on the means and the utilities to form such
collaborations, exploiting our experience with NEBD that is currently underway,
involving Boston Medical Center, Massachusetts General Hospital, and Brigham and
Women's Hospital under the leadership of Dr. David Greer, in collaboration with
Organ Procurement Organizations as sources of initial data to identify patients
diagnosed with brain death at the participating institutions.

This and future collaborations will be important sources of data to study
several aspects of brain death, which will be discussed in the session,
including 1) the physiological changes leading to brain death, 2) the
reliability of clinical brain death assessment including the apnea test, 3) the
validity of various ancillary studies to measure brain activity, function, or
cerebral blood flow, and 4) approaches to and conflicts in end-of-life care
among families of different backgrounds, faiths and cultures.
Presentations

2:45pm - 3:05pm MSTThe science of brain death
Presenter
David Greer

3:05pm - 3:25pm MSTThe practice and variability of brain death determination
Presenter
Ibrahim Migdady

3:25pm - 3:45pm MSTApproaches to and conflicts in end of life care
Presenter
Mathew Kirschen


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session The Future of High Value Neurocritical Care 

Sarah Livesay
West 301 A

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
Global Neurocritical Care
Introductory
DescriptionOveruse is a major problem affecting healthcare systems. An estimated
one-third of care delivered in the United States is considered wasteful,
resulting in both financial and medical harm. To combat this, the Choosing
Wisely campaign was introduced in 2010 by the American Board of Internal
Medicine, challenging medical societies to identify care interventions that are
overutilized and do not provide benefit. Choosing Wisely has now grown to
encompass more than 70 societies internationally, with the goal of improving
quality and costs of care on a global scale. A comprehensive set of Choosing
Wisely measures for the specialty of neurocritical care has not been developed
and defining high value care in neurocritical care remains largely unchartered
territory.

Neurocritical care disease conditions impose a major health burden worldwide
affecting the health and lives of many individuals and families, and result in
substantial costs for individuals, health systems and payers. Neurocritical care
professionals must understand how they can improve their practices to maximize
high value care. This requires interdisciplinary coordination, avoiding
low-value services at the point of care, conducting team-based value improvement
projects that incorporate evidence-based best practices, and launching high
value care programs bolstered by appropriate infrastructure. This presentation
sets the groundwork for implementing a high value patient centered approach to
neurocritical delivery within complex health systems, with the goal of improving
health outcomes and identifying opportunities to reduce waste.
Presentations

2:45pm - 3:05pm MSTDefining High Value Care: Quality, Costs and Health Outcomes
in Neurocritical Care
Presenter
Cynthia Bautista

3:05pm - 3:25pm MSTWhen More May Be Less: Opportunities to Reduce Harm, Cost and
Waste in Neurocritical Care
Presenter
Margaret Huynh

3:25pm - 3:45pm MSTPractical Approaches to Implementing High Value Care: an
Interactive Audience Discussion to Debate Targets for High Value Neurocritical
Care Delivery
Presenter
Casey Olm-Shipman


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session The Neuroscience of Mitochondria: Targeting Mitochrondial
Support in Pediatric Neurocritical Care 

Mark Wainwright
West 301 D

Science of Neurocritical Care
Pediatric
Post-Cardiac Arrest
Status Epilepticus
Advanced
DescriptionMitochondrial dysfunction is a common pathophysiologic process
implicated in multiple acute neurologic insults which affect children including
stroke, cardiac arrest, traumatic brain injury and refractory status
epilepticus. There are no current validated therapies which specifically restore
mitochondrial function after primary or secondary brain injury. Mitochondrial
physiology is also developmentally regulated, and contributes both to the
mechanisms of repair after brain injury and to the regulation of innate immune
responses. This session will focus on the developmental regulation of the
mitochondrion, its role in acute brain injuries and interactions with the immune
system. Last, this session will review potential clinical strategies to restore
mitochondrial function after brain injury.
Presentations

2:45pm - 3:05pm MSTMitochondrial Dysfunction: Causes and Effects of Acute Brain
Injury
Presenter
Divakar Mithal

3:05pm - 3:25pm MSTMitochondria and immune system interactions in pediatric
critical illness
Presenter
Nicole Coufal

3:25pm - 3:45pm MSTIncorporating mitochondrion-directed care into clinical
approaches to neuroprotection after acute brain injury in children
Presenter
Courtney Robertson


3:30pm - 5:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Reception

Exhibit Hall


4:00pm - 5:00pm MSTNetworking Event

Networking Event Poster Viewing & Distinguished Professor Rounds- IN PERSON ONLY

Poster Room


5:00pm - 6:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 3: Digital Health in Neurocritical Care: from
Big Data to Clinical Practice and Phenotyping Electronic Medical Data - IN
PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

5:00pm - 6:00pm MSTOasis Roundtable 3: Digital Health in Neurocritical Care:
from Big Data to Clinical Practice and Phenotyping Electronic Medical Data - IN
PERSON ONLY
Table Leader
Joao Andrade


5:30pm - 7:00pm MSTNetworking Event

Networking Event Wellness Activity: Field Day

Wellness Activity Room 1


6:00pm - 7:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 4: Multidisciplinary Approach and Challenges
of Providing Post-ICU Care for Neurocritical Care Patients- IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

6:00pm - 7:00pm MSTOasis Roundtable 4: Multidisciplinary Approach and Challenges
of Providing Post-ICU Care for Neurocritical Care Patients- IN PERSON ONLY
Table Leader
Grace Conroy


6:00am - 6:45am MSTNetworking Event

Networking Event Wellness Activity: Orangetheory Fitness® Class

Wellness Activity Room 2


7:00am - 7:50am MSTMeal

Meal Breakfast on Own



7:00am - 4:00pm MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTKeynote

Keynote Inclusion in Neurocritical Care (INCC) Keynote & DEI Award Winner

Paul Vespa
Tommy Thomas
West 301 BC

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
General Critical Care
Patient Education
Introductory
Intermediate
Advanced
9:00am - 10:00am MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


9:15am - 10:15am MSTConcurrent Session

Concurrent Session NCS Guideline Update 

Theresa Human
West 301 BC

Delivery, Quality, and Safety
APP Practice
Global Neurocritical Care
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionThis session will cover all updates to all new or updated NCS
Guidelines. This will be an opportunity for questions and comment to each
Guideline presented. Only Guidelines that have completed manuscripts and have
been reviewed by the GC will be presented.

Any additional modifications or updates to the Guideline process will be
presented as well.
Presentations

9:15am - 9:35am MSTGuidelines for Neuroprognostication in Adults diagnosis with
Status Epilepticus
Presenter
Sara Hocker

9:35am - 9:55am MSTGuidelines for Neuroprognostication in Adults after Acute
Ischemic Stroke
Presenter
Shraddha Mainali

9:55am - 10:15am MSTGuidelines for Neuroprognostication in Adults after
Subarachnoid Hemorrhage
Presenter
Gabe Fontaine


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Neurocritical Care of the Cardiac Patient 

Ifeanyi Iwuchukwu
West 301 D

Clinical Practice
General Critical Care
Multimodal Neuromonitoring (invasive/non-invasive)
Pharmacist Practice
Intermediate
DescriptionAs the paradigm of cardiac care has evolved over the last couple of
decades, newer complications involving the nervous system have also unfolded.
However, there is a critical knowledge gap that exists in the understanding,
early diagnosis, management and prognostication of these complications. There is
a need for interdisciplinary education for neurologists, intensivists,
anesthesiologists, surgeons, and all providers involved in the care of
critically ill patients with these complex issues. This includes understanding
of common cardiac surgeries, basic understanding of different cardiac devices
(impella, ventricular assist devices, extracorporeal membranous oxygenation
devices (ECMO) etc.) and their physiologic interplay with the nervous system. We
aim to address this knowledge gap for all providers involved in serving the
unique needs of these patients. This session would focus on the interplay
between advanced cardiogenic shock and heart failure therapies and neurologic
injury. Specifically, we would focus on unique physiologic and pathophysiologic
processes that occur during ECMO, methods of monitoring patients undergoing
mechanical cardiac support, and the potential impact of these interventions on
neurological outcomes.
Presentations

9:15am - 9:35am MSTFundamentals of Mechanical Circulatory Support
Presenter
Ryan Craner

9:35am - 9:55am MSTHow to Monitor the Brain during ECMO
Presenter
Kara Melmed

9:55am - 10:15am MSTExtracorporeal life support and brain injury- is this cause
and effect, and is it preventable?
Presenter
Sung-Min Cho


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Platform Abstracts Presentations

Wendy Ziai
Molly McNett
West 301 A


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Health Equity in Neurocritical Care 

Susanne Muehlschlegel
West 301 D

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
Global Neurocritical Care
Introductory
DescriptionHealth disparities are perpetuated by low value care, which is
defined as health care interventions of little to no benefit, with the potential
to cause harm, generate unnecessary costs to patients, or result in waste of
limited resources. Unwarranted variations in care delivery and resource
utilization lead to worsening health disparities, and the burden of low value
care is disproportionately experienced by underserved populations. As the
profession of neurocritical care embarks on a transformative pathway to
eliminate health disparities, new frameworks are needed to facilitate high value
care. Addressing structural barriers and social determinants of health,
including poverty and racism, is key to achieving high value care for
neurocritically ill patients and their families. In addition, leveraging data
analytics to measure disparities, inform targeted interventions, and increase
access to neurocritical care is necessary to advance health equity and enhance
patient-centered outcomes. This presentation explores current disparities in
access to neurocritical care services, social determinants of health and their
impact on health equity, and strategies and infrastructure to combat barriers to
high value care in clinical practice.
Presentations

10:30am - 10:50am MSTSocial Determinants of Health and Their Impact on
Neurocritical Care Outcomes
Presenter
Pouya Tahsili Fahadan

10:50am - 11:10am MSTThe Burden of Low Value Care in Underserved Populations:
Opportunities to Improve Health Equity in Neurocritical Care and the Potential
Role of Quality Improvement Collaboratives
Presenter
Navaz Karanjia

11:10am - 11:30am MSTStrategies to Identify and Combat Health Disparities in
Daily Neurocritical Care Practice: A Practical Approach
Presenter
Dana Raines


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Late Breaking Science 

Wendy Ziai
Molly McNett
West 301 BC


Presentations

10:30am - 10:42am MST7: Delirium Among Critically Ill Stroke Patients: A
Prospective Observational Cohort Study Of Prevalence, Severity, Predisposing,
And Precipitating Factors
Authors
Thomas Lawson
Michele Balas
Mary Beth Happ
Molly McNett
Alai Tan
Judith Tate

10:42am - 10:54am MST8: Seizure Assessment and Forecasting with Efficient
Rapid-EEG (SAFER) Trial
Authors
Mariel Kalkach Aparicio
Atakan Selte
Safoora Fatima
Irfan Sheikh
Justine Cormier
Kaileigh Gallagher
Jorge Cespedes
Ahmed Abd Elazim
Parimala Velpula Krishnamurthy
Natasha Khan
Smitha Holla
Joshua LaRocque
Gayane Avagyan
Omar Hussein
Rama Maganti
Masoom Desai
Lawrence J. Hirsch
M. Brandon Westover
Aaron F. Struck

10:54am - 11:06am MST9: Selective Brain Cooling is possible via CSF Exchange
with double lumen EVD- proof of concept in porcine model
Authors
Behnam Rezai Jahromi
Niko Järveläinen
Jaakko Kauhanen
Nicholas Brandmeir
Mika Niemelä
Seppo Ylä-Herttuala

11:06am - 11:18am MST10: Improvements in a Machine-Learning Algorithm for
Detecting Status Epilepticus
Authors
Baharan Kamousi
Archit Gupta
Suganya Karunakaran
Ali Marjaninejad
Raymond Woo
Josef Parvizi

11:18am - 11:30am MST11: Multi-center comparison of the safety and efficacy of
clopidogrel versus ticagrelor for neuroendovascular stents
Authors
Casey May
Devin Holden
Blake Robbins
Aaron Cook


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Pharmacy Debates: The Role of Ketamine in Status Epilepticus 

Eljim Tesoro
West 301 A

Clinical Practice
Pharmacist Practice
Pro-Con Debate
Status Epilepticus
Intermediate
DescriptionThis is an engaging, controversial pharmacotherapy debate on novel
approaches to early phase management of refractory status epilepticus (RSE).
There is a focus on the use of ketamine, which will be debated by the first 2
speakers. The third presentation will review the use of ketamine in pediatric
neurocritical care.
Presentations

10:30am - 10:50am MSTEmerging Ketamine Literature, Favor use of Ketamine in RSE
Presenter
Caroline Der Nigoghossian

10:50am - 11:10am MSTKetamine Background, Avoid use of Ketamine in RSE
Presenter
Gabe Fontaine

11:10am - 11:30am MSTBeyond Sedation: the Emerging Use of Ketamine in Pediatric
Neurocritical Care
Presenter
Renad Abu-Sawwa


11:00am - 1:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


12:15pm - 1:15pm MSTLunch Symposium

Lunch Symposium DOACs and Intracranial Hemorrhage: Best Practices to Optimize
Outcomes

Joshua Goldstein
West 106 ABC


12:15pm - 1:15pm MSTMeal

Meal Lunch on Own



1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Critical Conversations: 360 Feedback in the ICU 

Susan Yeager
West 301 D

Delivery, Quality, and Safety
Bedside Nursing
NCC Fellowship/Training
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionCommunication breakdown has been repeatedly found to be a major
contributing factor in medical errors, and improving communication among
providers is often stressed as a mechanism to improve patient safety. This is
especially true in the ICU, where patients are medically complex, and various
disciplines are involved. However, communications surrounding patient safety
events can often be challenging and emotionally charged, especially when
opportunities for improvement are identified. Providing this type of
constructive criticism is critical, but it barriers to communication across
interdisciplinary lines may interfere with delivering feedback effectively.

This session is intended to be a panel discussion among nurses, advanced
practice providers, pharmacists and physicians at various career stages
regarding their experience giving and receiving feedback in the context of
patient care. The goal is to discuss the impact of 360 degree feedback on
constructing an effective clinical team, identify strategies to convey feedback
successfully, and create a culture of patient safety while respecting the
psychological needs of the healthcare workforce. Although the submission form
will only accommodate 3 speakers, we would like to incorporate a total of 5
panelists: an RN, an APP, a pharmacist, an early career physician, and a more
senior physician. I have included the names of the proposed RN, pharmacist and
junior physician panelists. Liz Fox (Stanford Health Care) has agreed to
represent the APP perspective, and Dr. Wendy Wright (Emory University) has
offered to provide her insight as a senior physician and medical director.
Presentations

1:30pm - 1:50pm MST360 Degree Feedback: The RN Perspective
Presenter
Nikki McLamb

1:50pm - 2:10pm MSTNavigating an Interdisciplinary Team as a Trainee
Presenter
Shweta Goswami

2:10pm - 2:30pm MSTThe Role of the Pharmacist in Preventing Medical Errors
Presenter
Hans Ang


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Prognosis and Palliation in Neurocritical Care 

Mark Wainwright
West 301 A

Clinical Practice
Coma
Patient Education
Intermediate
DescriptionPrognostication, communication of prognosis with patients’
surrogates, and decisions regarding goals of care can be some of the most
challenging tasks facing a neurointensivist. In this session, presenters will
discuss some unique aspects of serious-illness communication, beyond the topics
most commonly discussed in neurocritical care. The first speaker will address
the question of language used in conveying prognostic information, including the
cognitive approaches that providers employ when communicating with families. Dr.
Sampaio Silva will provide a perspective on geographical differences in goals of
care determinations among the neurocritically ill, and Dr. Carhuapoma will
discuss strategies and potential benefits of incorporating palliative care
providers into the neurocritical care team.
Presentations

1:30pm - 1:50pm MSTThe Language of NeuroPrognostication
Presenter
Matthew Jaffa

1:50pm - 2:10pm MSTGlobal Variations in Neurocritical Care Goals: a Journey
Around the World
Presenter
Gisele Sampaio Silva

2:10pm - 2:30pm MSTNeuropalliative Care is Not Just for the Dying: Identifying a
Distinct and Evolving Need in Neurocritical Care
Presenter
Lourdes Carhuapoma


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session The Road to the Future in Assessing the Unresponsive Patient 

Paul Vespa
West 301 BC

Science of Neurocritical Care
Coma
Informatics
Intermediate
DescriptionThe personal and societal cost of long-term disability after acute
brain injury is enormous, particularly for patients that remain unconscious.
Long term recovery is increasingly seen but the clinical trajectory is often
uncertain. Early prognostication is inaccurate but functional recovery is more
likely if unresponsive patients have minimal clinical signs of interaction with
the environment. Up to every fifth behaviorally unresponsive patient has
evidence of preserved consciousness when tested with motor paradigms utilized in
functional MRI or EEG paradigms. This state also known as covert consciousness
or cognitive motor dissociation has been associated with long term recovery in
patients that appear comatose, vegetative or minimally conscious on clinical
examination. Detection of covert consciousness challenges current practice of
caring for unconscious patients and creates new diagnostic, prognostic, and
interventional opportunities. At this time, EEG has emerged as the most
promising and scalable tool for bedside diagnosis but novel additional
technology is emerging. Integration into clinical practice has to be approached
with caution and shared decision making approaches may hold the best promise to
accomplish this goal.

The session will present an overview of the current state of detecting covert
consciousness, discuss proposed underlying mechanisms, provide insight into
emerging technology (i.e., eye tracking), and outline the path for future
integration into clinical practice.
Presentations

1:30pm - 1:50pm MSTThe Paved Road: Advancing Existing EEG Technology
Presenter
Ayham Alkhachroum

1:50pm - 2:10pm MSTBuilding a New Road: Active Engagement with a Patient’s Brain
Presenter
Jan Claassen

2:10pm - 2:30pm MSTThe Road that Matters: Integration of Existing and Novel
Metrics into Goals of Care Planning
Presenter
Susanne Muehlschlegel


2:45pm - 3:45pm MSTNetworking Event

Networking Event Poster Viewing- IN PERSON ONLY

Poster Room


3:30pm - 4:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Reception

Exhibit Hall



Thursday, August 17th MST MST expand all · collapse all

TimeTypeSession / PresentationPresentersLocationTagPlan 5:00pm - 6:00pm MSTOasis
Roundtable

Oasis Roundtable Oasis Roundtable 1: Serious Illness Communication and
Prognostic Uncertainty in Neurocritical Care- IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

5:00pm - 6:00pm MSTOasis Roundtable 1: Serious Illness Communication and
Prognostic Uncertainty in Neurocritical Care- IN PERSON ONLY
Table Leader
Hannah Kirsch


6:00pm - 7:30pm MSTNetworking Event

Networking Event Invite Only: Mentorship Mingle

Networking Session Room 1


6:00pm - 7:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 2: Global Neurocritical Care Training and
Education - IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

6:00pm - 7:00pm MSTOasis Roundtable 2: Global Neurocritical Care Training and
Education - IN PERSON ONLY
Table Leader
Morgan Prust


6:45am - 4:30pm MSTBreakfast Symposium

Breakfast Symposium Defining Blood Pressure Control in Acute Stroke 

West 106 ABC


DescriptionBreakfast will be provided to symposium attendees on a first-come,
first-serve basis as there is limited availability. Continental breakfast
provided by Zeenat Qureshi Stroke Institute.

Several measures of blood pressure (BP) control have been used including time to
reach target BP, maintaining BP within target range, reducing BP fluctuation,
achieving goals with monotherapy and avoiding multiple anti-hypertensive agents,
achieving goals with minimum dose adjustments, avoiding discontinuation due to
side effects, and preventing hypotension. There are multiple methods of
quantifying these measures. The clinical relevance of various measures
particularly relationship with acute kidney injury, and death or disability in
patients with acute stroke or traumatic brain injury is not well understood. A
better understanding of these measures is essential to identify the ideal
therapeutic agent and for comparison of effectiveness between various
antihypertensive agents. The proposed session will provide a better
understanding of various measures of BP control and their clinical relevance.
The clinical implications and selection of appropriate measures of BP control
within the neuro-intensive care unit setting will be discussed with
recommendations for defining the optimal BP control for various clinical
scenarios.

6:45am - 4:30pm MSTRegistration

Registration Registration

Registration Desk


7:00am - 7:50am MSTMeal

Meal Breakfast on Own



8:00am - 9:45am MSTKeynote

Keynote Awards Ceremony, Presidential Address & Opening Keynote Session 

Sarah Livesay
West 301 BC


Presentations

8:00am - 8:15am MSTAwards Ceremony
Author
Sarah Livesay

8:15am - 8:45am MSTPresidential Address
Authors
Sarah Livesay
Paul Vespa

8:45am - 9:45am MSTAI in Critical Care: The New Horizon
Author
Azra Bihorac


9:30am - 12:00pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


10:30am - 12:00pm MSTGeneral Session

General Session Clinical Trials 

Wendy Ziai
Molly McNett
West 301 BC


Presentations

10:30am - 11:00am MSTENRICH Trial
Author
Jonathan Ratcliff

11:00am - 11:30am MSTINTREPID Study
Author
David Greer

11:30am - 12:00pm MSTEarly Drain
Author
Stefan Wolf


12:15pm - 1:15pm MSTMeal

Meal Lunch on Own



1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Advancing Coma Care through Multidisciplinary Global
Collaboration: Insights from the COMPOSE Study 

Sahar Zafar
West 301 BC

Science of Neurocritical Care
Coma
Global Neurocritical Care
Introductory
DescriptionThe COMPOSE study is a prospective observational study that is funded
by the Neurocritical Care Foundation. The primary aim of the study is to
understand the natural history of coma recovery and to evaluate the variability
in global practices for managing patients with coma. The study design includes
the creation of an international network of experts from various fields,
including neuroscience, clinical care, and rehabilitation sciences. COMPOSE
created a platform for the collection of data from a diverse group of patients
and healthcare providers, and provided a comprehensive understanding of the
brain's response to injury. The results of the study will be used to develop a
roadmap for improving the management of patients with coma and other severe
brain injuries. In this session, the methodology of the COMPOSE study would
likely be discussed, which includes the design of the study, the selection of
patients and healthcare providers to participate in the study, and the methods
used to collect and analyze data. The creation of COMPOSE network will also be
discussed, including the formation of the international network of experts and
the methods used to coordinate and collaborate with the various global partners.
Upcoming opportunities for collaborations will be presented from the Curing Coma
Campaign perspective.
Presentations

1:30pm - 1:50pm MSTBuilding a Global Collaborative Network in the COMPOSE Study:
Perspective on Coordinating International Experts and Partnerships
Presenter
Chethan Venkatasubba Rao

1:50pm - 2:10pm MSTPragmatic Outcomes assessment in Coma Patients: Insights from
the COMPOSE Study
Presenter
Yelena Bodien

2:10pm - 2:30pm MSTComa outcomes and variabilities influencing recovery: LATAM
perspective
Presenter
Cassia Righy


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Noninvasive neuromonitoring in brain injury - Is this the
Future of clinical Exam? 

Angela Hays Shapshak
West 301 D

Clinical Practice
Bedside Nursing
Multimodal Neuromonitoring (invasive/non-invasive)
Ultrasound
Intermediate
DescriptionThe quest for noninvasive tools to monitor the status of the brain in
critical illness has been underway for many years- so where are we now? While
invasive monitoring in the neuro ICU can provide critical information on
intracranial pressure, cerebral oxygenation, and cerebral perfusion, these
devices are not always available, and are associated with risk and expense. Do
reliable alternatives to invasive neuromonitoring devices exist? Who are the
contenders? Do venerable tools such as transcranial doppler have a role in the
modern neuroICU? Are tools such as optic nerve ultrasound, quantitative
pupillometry and near-infrared spectroscopy ready for prime-time? This session
will cover some of the major physiological variables we monitor in brain injury,
and the noninvasive tools that have been evaluated in recent years to monitor
these variables. The first topic will address one of the oldest of these quests,
for a noninvasive tool to detect elevated intracranial pressure. Noninvasive
assessment of cerebral perfusion, oximetry, and autoregulation will also be
discussed. Finally, we will discuss the evidence for the oldest neuromonitoring
tool of all- the clinical exam.
Presentations

1:30pm - 1:50pm MSTNoninvasive devices for the assessment of intracranial
pressure- are we there yet?
Presenter
Venkatakrishna Rajajee

1:50pm - 2:10pm MSTNoninvasive devices for the assessment of cerebral perfusion
and oxygenation
Presenter
Ryan Hakimi

2:10pm - 2:30pm MSTThe serial neurological exam- scores, evidence and utility
Presenter
Molly McNett


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Optimizing Neurorecovery in Neurocritical Care 

Ebonye Green
West 301 A

Delivery, Quality, and Safety
Informatics
Ischemic Stroke
Patient Education
Intermediate
DescriptionPost Intensive Care Unit (ICU) Clinics have existed in various forms
since the 1980s. Thus far, they have primarily followed post medical ICU
patients leading to the description of the Post ICU Syndrome (PICS). Now there
is recognition of need for further study to improve patient centered outcomes.
Recovery clinics have not been systematically evaluated in the post
neurocritical care population, but for many survivors of the neurocritical care
unit this is only the beginning of their recovery. Neurocritical care recovery
clinics can be an important point of evaluation and an opportunity to collect
valuable outcomes for feedback to a neurocritical care unit. However, a variety
of hurdles must be crossed when establishing a new clinic, which need to be
tailored to each clinician, institution, and population. This session will
introduce how to establish a post neurocritical care recovery clinic and their
applications in research and patient care. Neurorecovery clinics can be a place
for research outcomes data collection, follow-up on goals of care discussions,
time limited trials of care, and delivery of neuropalliative care. As the
survivorship of neurocritical care units grow, these types of neurorecovery
clinics will have an increasing role to play in delivery of optimal care.
Presentations

1:30pm - 1:50pm MSTDesign and Delivery of a Neurocritical Care Recovery Clinic
Presenter
Julia Carlson

1:50pm - 2:10pm MSTOutcome Measures in Neurocritical Care
Presenter
David Lin

2:10pm - 2:30pm MSTNeuroRecovery Clinic as Construct to Allow Time Limited
Trials of Restorative Care and Optimize Palliative Care Delivery
Presenter
Matthew Jaffa


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session Brain Death Collaborative Research: The Scientific Frontier 

Panayiotis Varelas
West 301 BC

Clinical Practice
Coma
Intermediate
DescriptionOne of the main challenges of brain death research is the relatively
low number of formal brain death declarations, even in large academic
institutions, which is likely related to early withdrawal of support in patients
with devastating neurological injuries. Because the majority of real-world data
on brain death science comes from single-center studies, there is an unmet need
to establish multi-center collaborations that provide large-scale data in order
to fill in the gaps in the available literature. To meet this need, the New
England Brain Death Research Collaboration Study (NEBD) was born with a primary
purpose to form a comprehensive multi-center registry of patients diagnosed with
brain death.

This session will focus on the means and the utilities to form such
collaborations, exploiting our experience with NEBD that is currently underway,
involving Boston Medical Center, Massachusetts General Hospital, and Brigham and
Women's Hospital under the leadership of Dr. David Greer, in collaboration with
Organ Procurement Organizations as sources of initial data to identify patients
diagnosed with brain death at the participating institutions.

This and future collaborations will be important sources of data to study
several aspects of brain death, which will be discussed in the session,
including 1) the physiological changes leading to brain death, 2) the
reliability of clinical brain death assessment including the apnea test, 3) the
validity of various ancillary studies to measure brain activity, function, or
cerebral blood flow, and 4) approaches to and conflicts in end-of-life care
among families of different backgrounds, faiths and cultures.
Presentations

2:45pm - 3:05pm MSTThe science of brain death
Presenter
David Greer

3:05pm - 3:25pm MSTThe practice and variability of brain death determination
Presenter
Ibrahim Migdady

3:25pm - 3:45pm MSTApproaches to and conflicts in end of life care
Presenter
Mathew Kirschen


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session The Future of High Value Neurocritical Care 

Sarah Livesay
West 301 A

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
Global Neurocritical Care
Introductory
DescriptionOveruse is a major problem affecting healthcare systems. An estimated
one-third of care delivered in the United States is considered wasteful,
resulting in both financial and medical harm. To combat this, the Choosing
Wisely campaign was introduced in 2010 by the American Board of Internal
Medicine, challenging medical societies to identify care interventions that are
overutilized and do not provide benefit. Choosing Wisely has now grown to
encompass more than 70 societies internationally, with the goal of improving
quality and costs of care on a global scale. A comprehensive set of Choosing
Wisely measures for the specialty of neurocritical care has not been developed
and defining high value care in neurocritical care remains largely unchartered
territory.

Neurocritical care disease conditions impose a major health burden worldwide
affecting the health and lives of many individuals and families, and result in
substantial costs for individuals, health systems and payers. Neurocritical care
professionals must understand how they can improve their practices to maximize
high value care. This requires interdisciplinary coordination, avoiding
low-value services at the point of care, conducting team-based value improvement
projects that incorporate evidence-based best practices, and launching high
value care programs bolstered by appropriate infrastructure. This presentation
sets the groundwork for implementing a high value patient centered approach to
neurocritical delivery within complex health systems, with the goal of improving
health outcomes and identifying opportunities to reduce waste.
Presentations

2:45pm - 3:05pm MSTDefining High Value Care: Quality, Costs and Health Outcomes
in Neurocritical Care
Presenter
Cynthia Bautista

3:05pm - 3:25pm MSTWhen More May Be Less: Opportunities to Reduce Harm, Cost and
Waste in Neurocritical Care
Presenter
Margaret Huynh

3:25pm - 3:45pm MSTPractical Approaches to Implementing High Value Care: an
Interactive Audience Discussion to Debate Targets for High Value Neurocritical
Care Delivery
Presenter
Casey Olm-Shipman


2:45pm - 3:45pm MSTConcurrent Session

Concurrent Session The Neuroscience of Mitochondria: Targeting Mitochrondial
Support in Pediatric Neurocritical Care 

Mark Wainwright
West 301 D

Science of Neurocritical Care
Pediatric
Post-Cardiac Arrest
Status Epilepticus
Advanced
DescriptionMitochondrial dysfunction is a common pathophysiologic process
implicated in multiple acute neurologic insults which affect children including
stroke, cardiac arrest, traumatic brain injury and refractory status
epilepticus. There are no current validated therapies which specifically restore
mitochondrial function after primary or secondary brain injury. Mitochondrial
physiology is also developmentally regulated, and contributes both to the
mechanisms of repair after brain injury and to the regulation of innate immune
responses. This session will focus on the developmental regulation of the
mitochondrion, its role in acute brain injuries and interactions with the immune
system. Last, this session will review potential clinical strategies to restore
mitochondrial function after brain injury.
Presentations

2:45pm - 3:05pm MSTMitochondrial Dysfunction: Causes and Effects of Acute Brain
Injury
Presenter
Divakar Mithal

3:05pm - 3:25pm MSTMitochondria and immune system interactions in pediatric
critical illness
Presenter
Nicole Coufal

3:25pm - 3:45pm MSTIncorporating mitochondrion-directed care into clinical
approaches to neuroprotection after acute brain injury in children
Presenter
Courtney Robertson


3:30pm - 5:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Reception

Exhibit Hall


4:00pm - 5:00pm MSTNetworking Event

Networking Event Poster Viewing & Distinguished Professor Rounds- IN PERSON ONLY

Poster Room


5:00pm - 6:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 3: Digital Health in Neurocritical Care: from
Big Data to Clinical Practice and Phenotyping Electronic Medical Data - IN
PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

5:00pm - 6:00pm MSTOasis Roundtable 3: Digital Health in Neurocritical Care:
from Big Data to Clinical Practice and Phenotyping Electronic Medical Data - IN
PERSON ONLY
Table Leader
Joao Andrade


5:30pm - 7:00pm MSTNetworking Event

Networking Event Wellness Activity: Field Day

Wellness Activity Room 1


6:00pm - 7:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 4: Multidisciplinary Approach and Challenges
of Providing Post-ICU Care for Neurocritical Care Patients- IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

6:00pm - 7:00pm MSTOasis Roundtable 4: Multidisciplinary Approach and Challenges
of Providing Post-ICU Care for Neurocritical Care Patients- IN PERSON ONLY
Table Leader
Grace Conroy


6:00am - 6:45am MSTNetworking Event

Networking Event Wellness Activity: Orangetheory Fitness® Class

Wellness Activity Room 2


7:00am - 7:50am MSTMeal

Meal Breakfast on Own



7:00am - 4:00pm MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTKeynote

Keynote Inclusion in Neurocritical Care (INCC) Keynote & DEI Award Winner

Paul Vespa
Tommy Thomas
West 301 BC

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
General Critical Care
Patient Education
Introductory
Intermediate
Advanced
9:00am - 10:00am MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


9:15am - 10:15am MSTConcurrent Session

Concurrent Session NCS Guideline Update 

Theresa Human
West 301 BC

Delivery, Quality, and Safety
APP Practice
Global Neurocritical Care
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionThis session will cover all updates to all new or updated NCS
Guidelines. This will be an opportunity for questions and comment to each
Guideline presented. Only Guidelines that have completed manuscripts and have
been reviewed by the GC will be presented.

Any additional modifications or updates to the Guideline process will be
presented as well.
Presentations

9:15am - 9:35am MSTGuidelines for Neuroprognostication in Adults diagnosis with
Status Epilepticus
Presenter
Sara Hocker

9:35am - 9:55am MSTGuidelines for Neuroprognostication in Adults after Acute
Ischemic Stroke
Presenter
Shraddha Mainali

9:55am - 10:15am MSTGuidelines for Neuroprognostication in Adults after
Subarachnoid Hemorrhage
Presenter
Gabe Fontaine


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Neurocritical Care of the Cardiac Patient 

Ifeanyi Iwuchukwu
West 301 D

Clinical Practice
General Critical Care
Multimodal Neuromonitoring (invasive/non-invasive)
Pharmacist Practice
Intermediate
DescriptionAs the paradigm of cardiac care has evolved over the last couple of
decades, newer complications involving the nervous system have also unfolded.
However, there is a critical knowledge gap that exists in the understanding,
early diagnosis, management and prognostication of these complications. There is
a need for interdisciplinary education for neurologists, intensivists,
anesthesiologists, surgeons, and all providers involved in the care of
critically ill patients with these complex issues. This includes understanding
of common cardiac surgeries, basic understanding of different cardiac devices
(impella, ventricular assist devices, extracorporeal membranous oxygenation
devices (ECMO) etc.) and their physiologic interplay with the nervous system. We
aim to address this knowledge gap for all providers involved in serving the
unique needs of these patients. This session would focus on the interplay
between advanced cardiogenic shock and heart failure therapies and neurologic
injury. Specifically, we would focus on unique physiologic and pathophysiologic
processes that occur during ECMO, methods of monitoring patients undergoing
mechanical cardiac support, and the potential impact of these interventions on
neurological outcomes.
Presentations

9:15am - 9:35am MSTFundamentals of Mechanical Circulatory Support
Presenter
Ryan Craner

9:35am - 9:55am MSTHow to Monitor the Brain during ECMO
Presenter
Kara Melmed

9:55am - 10:15am MSTExtracorporeal life support and brain injury- is this cause
and effect, and is it preventable?
Presenter
Sung-Min Cho


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Platform Abstracts Presentations

Wendy Ziai
Molly McNett
West 301 A


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Health Equity in Neurocritical Care 

Susanne Muehlschlegel
West 301 D

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
Global Neurocritical Care
Introductory
DescriptionHealth disparities are perpetuated by low value care, which is
defined as health care interventions of little to no benefit, with the potential
to cause harm, generate unnecessary costs to patients, or result in waste of
limited resources. Unwarranted variations in care delivery and resource
utilization lead to worsening health disparities, and the burden of low value
care is disproportionately experienced by underserved populations. As the
profession of neurocritical care embarks on a transformative pathway to
eliminate health disparities, new frameworks are needed to facilitate high value
care. Addressing structural barriers and social determinants of health,
including poverty and racism, is key to achieving high value care for
neurocritically ill patients and their families. In addition, leveraging data
analytics to measure disparities, inform targeted interventions, and increase
access to neurocritical care is necessary to advance health equity and enhance
patient-centered outcomes. This presentation explores current disparities in
access to neurocritical care services, social determinants of health and their
impact on health equity, and strategies and infrastructure to combat barriers to
high value care in clinical practice.
Presentations

10:30am - 10:50am MSTSocial Determinants of Health and Their Impact on
Neurocritical Care Outcomes
Presenter
Pouya Tahsili Fahadan

10:50am - 11:10am MSTThe Burden of Low Value Care in Underserved Populations:
Opportunities to Improve Health Equity in Neurocritical Care and the Potential
Role of Quality Improvement Collaboratives
Presenter
Navaz Karanjia

11:10am - 11:30am MSTStrategies to Identify and Combat Health Disparities in
Daily Neurocritical Care Practice: A Practical Approach
Presenter
Dana Raines


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Late Breaking Science 

Wendy Ziai
Molly McNett
West 301 BC


Presentations

10:30am - 10:42am MST7: Delirium Among Critically Ill Stroke Patients: A
Prospective Observational Cohort Study Of Prevalence, Severity, Predisposing,
And Precipitating Factors
Authors
Thomas Lawson
Michele Balas
Mary Beth Happ
Molly McNett
Alai Tan
Judith Tate

10:42am - 10:54am MST8: Seizure Assessment and Forecasting with Efficient
Rapid-EEG (SAFER) Trial
Authors
Mariel Kalkach Aparicio
Atakan Selte
Safoora Fatima
Irfan Sheikh
Justine Cormier
Kaileigh Gallagher
Jorge Cespedes
Ahmed Abd Elazim
Parimala Velpula Krishnamurthy
Natasha Khan
Smitha Holla
Joshua LaRocque
Gayane Avagyan
Omar Hussein
Rama Maganti
Masoom Desai
Lawrence J. Hirsch
M. Brandon Westover
Aaron F. Struck

10:54am - 11:06am MST9: Selective Brain Cooling is possible via CSF Exchange
with double lumen EVD- proof of concept in porcine model
Authors
Behnam Rezai Jahromi
Niko Järveläinen
Jaakko Kauhanen
Nicholas Brandmeir
Mika Niemelä
Seppo Ylä-Herttuala

11:06am - 11:18am MST10: Improvements in a Machine-Learning Algorithm for
Detecting Status Epilepticus
Authors
Baharan Kamousi
Archit Gupta
Suganya Karunakaran
Ali Marjaninejad
Raymond Woo
Josef Parvizi

11:18am - 11:30am MST11: Multi-center comparison of the safety and efficacy of
clopidogrel versus ticagrelor for neuroendovascular stents
Authors
Casey May
Devin Holden
Blake Robbins
Aaron Cook


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Pharmacy Debates: The Role of Ketamine in Status Epilepticus 

Eljim Tesoro
West 301 A

Clinical Practice
Pharmacist Practice
Pro-Con Debate
Status Epilepticus
Intermediate
DescriptionThis is an engaging, controversial pharmacotherapy debate on novel
approaches to early phase management of refractory status epilepticus (RSE).
There is a focus on the use of ketamine, which will be debated by the first 2
speakers. The third presentation will review the use of ketamine in pediatric
neurocritical care.
Presentations

10:30am - 10:50am MSTEmerging Ketamine Literature, Favor use of Ketamine in RSE
Presenter
Caroline Der Nigoghossian

10:50am - 11:10am MSTKetamine Background, Avoid use of Ketamine in RSE
Presenter
Gabe Fontaine

11:10am - 11:30am MSTBeyond Sedation: the Emerging Use of Ketamine in Pediatric
Neurocritical Care
Presenter
Renad Abu-Sawwa


11:00am - 1:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


12:15pm - 1:15pm MSTLunch Symposium

Lunch Symposium DOACs and Intracranial Hemorrhage: Best Practices to Optimize
Outcomes

Joshua Goldstein
West 106 ABC


12:15pm - 1:15pm MSTMeal

Meal Lunch on Own



1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Critical Conversations: 360 Feedback in the ICU 

Susan Yeager
West 301 D

Delivery, Quality, and Safety
Bedside Nursing
NCC Fellowship/Training
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionCommunication breakdown has been repeatedly found to be a major
contributing factor in medical errors, and improving communication among
providers is often stressed as a mechanism to improve patient safety. This is
especially true in the ICU, where patients are medically complex, and various
disciplines are involved. However, communications surrounding patient safety
events can often be challenging and emotionally charged, especially when
opportunities for improvement are identified. Providing this type of
constructive criticism is critical, but it barriers to communication across
interdisciplinary lines may interfere with delivering feedback effectively.

This session is intended to be a panel discussion among nurses, advanced
practice providers, pharmacists and physicians at various career stages
regarding their experience giving and receiving feedback in the context of
patient care. The goal is to discuss the impact of 360 degree feedback on
constructing an effective clinical team, identify strategies to convey feedback
successfully, and create a culture of patient safety while respecting the
psychological needs of the healthcare workforce. Although the submission form
will only accommodate 3 speakers, we would like to incorporate a total of 5
panelists: an RN, an APP, a pharmacist, an early career physician, and a more
senior physician. I have included the names of the proposed RN, pharmacist and
junior physician panelists. Liz Fox (Stanford Health Care) has agreed to
represent the APP perspective, and Dr. Wendy Wright (Emory University) has
offered to provide her insight as a senior physician and medical director.
Presentations

1:30pm - 1:50pm MST360 Degree Feedback: The RN Perspective
Presenter
Nikki McLamb

1:50pm - 2:10pm MSTNavigating an Interdisciplinary Team as a Trainee
Presenter
Shweta Goswami

2:10pm - 2:30pm MSTThe Role of the Pharmacist in Preventing Medical Errors
Presenter
Hans Ang


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Prognosis and Palliation in Neurocritical Care 

Mark Wainwright
West 301 A

Clinical Practice
Coma
Patient Education
Intermediate
DescriptionPrognostication, communication of prognosis with patients’
surrogates, and decisions regarding goals of care can be some of the most
challenging tasks facing a neurointensivist. In this session, presenters will
discuss some unique aspects of serious-illness communication, beyond the topics
most commonly discussed in neurocritical care. The first speaker will address
the question of language used in conveying prognostic information, including the
cognitive approaches that providers employ when communicating with families. Dr.
Sampaio Silva will provide a perspective on geographical differences in goals of
care determinations among the neurocritically ill, and Dr. Carhuapoma will
discuss strategies and potential benefits of incorporating palliative care
providers into the neurocritical care team.
Presentations

1:30pm - 1:50pm MSTThe Language of NeuroPrognostication
Presenter
Matthew Jaffa

1:50pm - 2:10pm MSTGlobal Variations in Neurocritical Care Goals: a Journey
Around the World
Presenter
Gisele Sampaio Silva

2:10pm - 2:30pm MSTNeuropalliative Care is Not Just for the Dying: Identifying a
Distinct and Evolving Need in Neurocritical Care
Presenter
Lourdes Carhuapoma


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session The Road to the Future in Assessing the Unresponsive Patient 

Paul Vespa
West 301 BC

Science of Neurocritical Care
Coma
Informatics
Intermediate
DescriptionThe personal and societal cost of long-term disability after acute
brain injury is enormous, particularly for patients that remain unconscious.
Long term recovery is increasingly seen but the clinical trajectory is often
uncertain. Early prognostication is inaccurate but functional recovery is more
likely if unresponsive patients have minimal clinical signs of interaction with
the environment. Up to every fifth behaviorally unresponsive patient has
evidence of preserved consciousness when tested with motor paradigms utilized in
functional MRI or EEG paradigms. This state also known as covert consciousness
or cognitive motor dissociation has been associated with long term recovery in
patients that appear comatose, vegetative or minimally conscious on clinical
examination. Detection of covert consciousness challenges current practice of
caring for unconscious patients and creates new diagnostic, prognostic, and
interventional opportunities. At this time, EEG has emerged as the most
promising and scalable tool for bedside diagnosis but novel additional
technology is emerging. Integration into clinical practice has to be approached
with caution and shared decision making approaches may hold the best promise to
accomplish this goal.

The session will present an overview of the current state of detecting covert
consciousness, discuss proposed underlying mechanisms, provide insight into
emerging technology (i.e., eye tracking), and outline the path for future
integration into clinical practice.
Presentations

1:30pm - 1:50pm MSTThe Paved Road: Advancing Existing EEG Technology
Presenter
Ayham Alkhachroum

1:50pm - 2:10pm MSTBuilding a New Road: Active Engagement with a Patient’s Brain
Presenter
Jan Claassen

2:10pm - 2:30pm MSTThe Road that Matters: Integration of Existing and Novel
Metrics into Goals of Care Planning
Presenter
Susanne Muehlschlegel


2:45pm - 3:45pm MSTNetworking Event

Networking Event Poster Viewing- IN PERSON ONLY

Poster Room


3:30pm - 4:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Reception

Exhibit Hall


6:00am - 6:45am MSTNetworking Event

Networking Event Wellness Activity: Yoga

Wellness Activity Room 3


7:00am - 8:00am MSTMeal

Meal Continental Breakfast (in-person workshop attendees only)

Continental Breakfast Room 1


8:00am - 9:00am MSTConcurrent Session

Concurrent Session Hot Topics in Neurocritical Care Pharmacotherapeutics 

Devin Holden
West 301 A

Clinical Practice
General Critical Care
Global Neurocritical Care
Pharmacist Practice
Intermediate
DescriptionIn this rapid-fire session, presenters will discuss 3 hot topics that
influence pharmacotherapuetic management in the neurocritical care population.

1. Augmented renal clearance (ARC) is a manifestation of enhanced renal function
seen in critically ill patients, and has been described in patients with
traumatic brain injury, meningitis, subarachnoid hemorrhage and intracerebral
hemorrhage with prevalence exceeding the general critically ill population. ARC
has a significant impact on clearance of renally eliminated medications,
including antibiotics, ASMs and antithrombotics. The potential implications for
patient management will be discussed. 2. Electrolyte abnormalities including
hyperchloremia and hypernatremia have been identified as risk factors for
morbidity in critical care patients, and recent studies have indicated that
balanced chrystalloids, which have a lower chloride load, may be preferable for
use in general critical care populations. However, neurocritical care patients
were generally underrepresented in these studies; in one study which did include
a subset of patients with TBI, mortality was lower in patients who received
normal saline (14% versus 15%) compared with those who received balanced
chrystalloids. In this session, a speaker will address the implications of
osmolarity and chloride load in neurocritical care populations, with
recommendations for selecting the optimal IV fluids for various clinical
scenarios. 3. In this session, we aim to review the pharmacology and
pharmacokinetics of novel ASMs, review practical tips on how to decide when to
utilize these agents using the principles of rational polytherapy, and explore
the principles of targeted therapeutic drug monitoring in status epilepticus.
Presentations

8:00am - 8:20am MSTImpact of Augmented Renal Clearance on Antiseizure and
Anticoagulant Therapies: Should we revise our protocols?
Presenter
Colleen Barthol

8:20am - 8:40am MSTOptimizing the composition of hypertonic saline in the
Neuro-ICU
Presenter
Michael Erdman

8:40am - 9:00am MSTThe Latest and Greatest: Pharmacology and pharmacokinetics of
novel antiseizure medications and their role in the NeuroICU
Presenter
Andrew Webb


8:00am - 9:00am MSTConcurrent Session

Concurrent Session NCS Consensus Statement on Teleneurocritical Care (TNCC) 

Angela Hays Shapshak
West 301 D

Delivery, Quality, and Safety
Basic/Neurocritical Care 101
Global Neurocritical Care
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionThis session delivers the NCS Consensus Statement on the Principles
and Practice of Teleneurocritical care, which was prepared by the writing group
and the NCS Guidelines Committee. This is the first time the statement will be
shared with the NCS membership. Opportunities for comment and feedback will be
encouraged.
Presentations

8:00am - 8:20am MSTTeleneurocritical Care Standard Practice and Monitoring
Benchmarks
Presenter
Abhay Kumar

8:20am - 8:40am MSTStrategies of Teleneurocritical Care, as the in-person
non-neurointensivist; and a global feedback opportunity
Presenter
Maranda Nelson

8:40am - 9:00am MSTTeleneurocritical Care NCS Consensus Statement - Background
and Overview
Presenter
Nick Murray


8:00am - 11:00am MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTConcurrent Session

Concurrent Session The Future of Treating Status Epilepticus 

Panayiotis Varelas
West 301 BC

Clinical Practice
Bedside Nursing
Diversity, Equity and Inclusion
Status Epilepticus
Advanced
DescriptionThe treatment of status epilepticus has many challenges and requires
a change in framework which emphasizes time-based interventions similar to acute
stroke. This session will review the evidence for time mattering in status
epilepticus, the future essential steps to ensure rapid treatment, and the
future of treatments for refractory status epilepticus.
Presentations

8:00am - 8:20am MSTTime is brain in status epilepticus
Presenter
MaryKay Bader

8:20am - 8:40am MSTHow to utilize therapeutic drug monitoring to optimize
medication use in status epilepticus
Presenter
Brooke Barlow

8:40am - 9:00am MSTFuture treatments for refractory status epilepticus
Presenter
Paul Vespa


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Debate: Should Regional Normothermic Perfusion be the future
of Organ Donation? 

Michelle Schober
West 301 BC

Clinical Practice
Pro-Con Debate
Intermediate
DescriptionIn DCD organ transplantation, normothermic regional perfusion (NRP)
reverses warm ischemia and has been used to help recover DCD hearts and
abdominal organs. NRP could thus increase organ supply for heart transplants.
NRP may violate the dead donor rule, in light of potential brain perfusion,
posing ethical concerns.
Presentations

9:15am - 9:35am MSTIntroduction to Normothermic Regional Perfusion and Organ
Donation: Ethical and Medical Considerations
Presenter
Julia Durrant

9:35am - 9:55am MSTNRP is not the solution: why we shouldn't induce brain death
for organs
Presenter
Panayiotis Varelas

9:55am - 10:15am MSTNRP is the solution: why we shouldn't further limit organ
availability for transplantation
Presenter
Marc Alain Babi


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Diversity, Equity and Inclusion: Embracing Sustainable
Change 

Ines Koerner
West 301 A

Clinical Practice
Diversity, Equity and Inclusion
Introductory
DescriptionMost healthcare workers have likely been exposed to one form of
training in the principles of diversity, equity, and inclusion. However, these
trainings are just the beginning. This session aims to help attendees move
beyond awareness and into action. Attendees will learn how improving diversity
in the healthcare field is the first step to a more developing an inclusive
healthcare work force. Real-life examples of the implementation of DEI
initiatives will be explored. Attendees will be empowered to continue their
journey of becoming an ally and explore ways they can implement meaningful
changes in their institutions.
Presentations

9:15am - 9:35am MSTEmbracing sustainable change in the DEI realm in NCC- the Ted
Lasso Way
Presenter
Christa O'Hana Nobleza

9:35am - 9:55am MSTRethinking Recruitment into Neurocritical Care: How to
Embrace Diversity and Minimize Bias at the Highest Levels within the Field
Presenter
Marin Darsie

9:55am - 10:15am MSTFrom Aspiration to Actualization: How to Create a
Sustainable DEI Program at Your Institution
Presenter
Ebonye Green


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Non-Invasive ICP Monitoring 

Mark Wainwright
West 301 D

Science of Neurocritical Care
Multimodal Neuromonitoring (invasive/non-invasive)
Ultrasound
Intermediate
DescriptionSérgio Brasil is an early career male neurosurgeon at the University
of São Paulo, Brazil. Mohammad Hirzallah is an early career male
neurologist/neuro-intensivist at Baylor college of medicine, Houston, Texas. Ava
Puccio, RN, PhD Associate Professor, is an advanced career female (preferred
pronouns she/her) neurotrauma nurse with a PhD in neuroscience/clinical research
at the Department of Neurological Surgery, University of Pittsburgh, Pittsburgh,
Pennsylvania. Dr. Puccio’s career trajectory is to research innovative treatment
paradigms and improve neurological outcomes by individualizing the care of TBI
patients, with an emphasis on ameliorating secondary injury.
Presentations

9:15am - 9:35am MSTICP waveforms automated analysis in the real world of
neurocritical care
Presenter
Sérgio Brasil

9:35am - 9:55am MSTImproving the utility of optic nerve sheath diameter as a
non-invasive intracranial pressure measurement through standardization and
automation
Presenter
Mohammad Hirzallah

9:55am - 10:15am MSTComparison of a novel non-invasive to invasive technology to
estimate intracranial pressure in severe TBI
Presenter
Ava Puccio


10:30am - 12:00pm MSTKeynote

Keynote Closing Panel: Leadership Vision for the Strategic Future of
Neurocrtical Care: Paul Vespa and Panel of Officers and Past President & Closing
Remarks 

Paul Vespa
West 301 BC

Science of Neurocritical Care
Diversity, Equity and Inclusion
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Quality
Introductory
Intermediate
Advanced
DescriptionThis session provides a behind-the-scenes view of the leadership
process for the NCS. The session will feature a visionary presentation of the
leadership direction for the society and an in-depth discussion of the
challenges facing the NCS, the field, and our patients.
Presentations

10:30am - 12:00pm MSTClosing Panel: Leadership Vision for the Strategic Future
of Neurocritical Care
Authors
Paul Vespa
David Greer
Cherylee Chang
Thomas Bleck
Mary Kay Bader
Panos Varelas


Friday, August 18th MST MST expand all · collapse all

TimeTypeSession / PresentationPresentersLocationTagPlan 5:00pm - 6:00pm MSTOasis
Roundtable

Oasis Roundtable Oasis Roundtable 3: Digital Health in Neurocritical Care: from
Big Data to Clinical Practice and Phenotyping Electronic Medical Data - IN
PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

5:00pm - 6:00pm MSTOasis Roundtable 3: Digital Health in Neurocritical Care:
from Big Data to Clinical Practice and Phenotyping Electronic Medical Data - IN
PERSON ONLY
Table Leader
Joao Andrade


5:30pm - 7:00pm MSTNetworking Event

Networking Event Wellness Activity: Field Day

Wellness Activity Room 1


6:00pm - 7:00pm MSTOasis Roundtable

Oasis Roundtable Oasis Roundtable 4: Multidisciplinary Approach and Challenges
of Providing Post-ICU Care for Neurocritical Care Patients- IN PERSON ONLY 

Paul Vespa
Exhibitor Hallway Foyer


DescriptionThe Oasis interactive discussion format will enable a dialogue
between experts and attendees and facilitate engagement in a way that
conventional lectures cannot.
Presentations

6:00pm - 7:00pm MSTOasis Roundtable 4: Multidisciplinary Approach and Challenges
of Providing Post-ICU Care for Neurocritical Care Patients- IN PERSON ONLY
Table Leader
Grace Conroy


6:00am - 6:45am MSTNetworking Event

Networking Event Wellness Activity: Orangetheory Fitness® Class

Wellness Activity Room 2


7:00am - 7:50am MSTMeal

Meal Breakfast on Own



7:00am - 4:00pm MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTKeynote

Keynote Inclusion in Neurocritical Care (INCC) Keynote & DEI Award Winner

Paul Vespa
Tommy Thomas
West 301 BC

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
General Critical Care
Patient Education
Introductory
Intermediate
Advanced
9:00am - 10:00am MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


9:15am - 10:15am MSTConcurrent Session

Concurrent Session NCS Guideline Update 

Theresa Human
West 301 BC

Delivery, Quality, and Safety
APP Practice
Global Neurocritical Care
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionThis session will cover all updates to all new or updated NCS
Guidelines. This will be an opportunity for questions and comment to each
Guideline presented. Only Guidelines that have completed manuscripts and have
been reviewed by the GC will be presented.

Any additional modifications or updates to the Guideline process will be
presented as well.
Presentations

9:15am - 9:35am MSTGuidelines for Neuroprognostication in Adults diagnosis with
Status Epilepticus
Presenter
Sara Hocker

9:35am - 9:55am MSTGuidelines for Neuroprognostication in Adults after Acute
Ischemic Stroke
Presenter
Shraddha Mainali

9:55am - 10:15am MSTGuidelines for Neuroprognostication in Adults after
Subarachnoid Hemorrhage
Presenter
Gabe Fontaine


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Neurocritical Care of the Cardiac Patient 

Ifeanyi Iwuchukwu
West 301 D

Clinical Practice
General Critical Care
Multimodal Neuromonitoring (invasive/non-invasive)
Pharmacist Practice
Intermediate
DescriptionAs the paradigm of cardiac care has evolved over the last couple of
decades, newer complications involving the nervous system have also unfolded.
However, there is a critical knowledge gap that exists in the understanding,
early diagnosis, management and prognostication of these complications. There is
a need for interdisciplinary education for neurologists, intensivists,
anesthesiologists, surgeons, and all providers involved in the care of
critically ill patients with these complex issues. This includes understanding
of common cardiac surgeries, basic understanding of different cardiac devices
(impella, ventricular assist devices, extracorporeal membranous oxygenation
devices (ECMO) etc.) and their physiologic interplay with the nervous system. We
aim to address this knowledge gap for all providers involved in serving the
unique needs of these patients. This session would focus on the interplay
between advanced cardiogenic shock and heart failure therapies and neurologic
injury. Specifically, we would focus on unique physiologic and pathophysiologic
processes that occur during ECMO, methods of monitoring patients undergoing
mechanical cardiac support, and the potential impact of these interventions on
neurological outcomes.
Presentations

9:15am - 9:35am MSTFundamentals of Mechanical Circulatory Support
Presenter
Ryan Craner

9:35am - 9:55am MSTHow to Monitor the Brain during ECMO
Presenter
Kara Melmed

9:55am - 10:15am MSTExtracorporeal life support and brain injury- is this cause
and effect, and is it preventable?
Presenter
Sung-Min Cho


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Platform Abstracts Presentations

Wendy Ziai
Molly McNett
West 301 A


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Health Equity in Neurocritical Care 

Susanne Muehlschlegel
West 301 D

Delivery, Quality, and Safety
Diversity, Equity and Inclusion
Global Neurocritical Care
Introductory
DescriptionHealth disparities are perpetuated by low value care, which is
defined as health care interventions of little to no benefit, with the potential
to cause harm, generate unnecessary costs to patients, or result in waste of
limited resources. Unwarranted variations in care delivery and resource
utilization lead to worsening health disparities, and the burden of low value
care is disproportionately experienced by underserved populations. As the
profession of neurocritical care embarks on a transformative pathway to
eliminate health disparities, new frameworks are needed to facilitate high value
care. Addressing structural barriers and social determinants of health,
including poverty and racism, is key to achieving high value care for
neurocritically ill patients and their families. In addition, leveraging data
analytics to measure disparities, inform targeted interventions, and increase
access to neurocritical care is necessary to advance health equity and enhance
patient-centered outcomes. This presentation explores current disparities in
access to neurocritical care services, social determinants of health and their
impact on health equity, and strategies and infrastructure to combat barriers to
high value care in clinical practice.
Presentations

10:30am - 10:50am MSTSocial Determinants of Health and Their Impact on
Neurocritical Care Outcomes
Presenter
Pouya Tahsili Fahadan

10:50am - 11:10am MSTThe Burden of Low Value Care in Underserved Populations:
Opportunities to Improve Health Equity in Neurocritical Care and the Potential
Role of Quality Improvement Collaboratives
Presenter
Navaz Karanjia

11:10am - 11:30am MSTStrategies to Identify and Combat Health Disparities in
Daily Neurocritical Care Practice: A Practical Approach
Presenter
Dana Raines


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Late Breaking Science 

Wendy Ziai
Molly McNett
West 301 BC


Presentations

10:30am - 10:42am MST7: Delirium Among Critically Ill Stroke Patients: A
Prospective Observational Cohort Study Of Prevalence, Severity, Predisposing,
And Precipitating Factors
Authors
Thomas Lawson
Michele Balas
Mary Beth Happ
Molly McNett
Alai Tan
Judith Tate

10:42am - 10:54am MST8: Seizure Assessment and Forecasting with Efficient
Rapid-EEG (SAFER) Trial
Authors
Mariel Kalkach Aparicio
Atakan Selte
Safoora Fatima
Irfan Sheikh
Justine Cormier
Kaileigh Gallagher
Jorge Cespedes
Ahmed Abd Elazim
Parimala Velpula Krishnamurthy
Natasha Khan
Smitha Holla
Joshua LaRocque
Gayane Avagyan
Omar Hussein
Rama Maganti
Masoom Desai
Lawrence J. Hirsch
M. Brandon Westover
Aaron F. Struck

10:54am - 11:06am MST9: Selective Brain Cooling is possible via CSF Exchange
with double lumen EVD- proof of concept in porcine model
Authors
Behnam Rezai Jahromi
Niko Järveläinen
Jaakko Kauhanen
Nicholas Brandmeir
Mika Niemelä
Seppo Ylä-Herttuala

11:06am - 11:18am MST10: Improvements in a Machine-Learning Algorithm for
Detecting Status Epilepticus
Authors
Baharan Kamousi
Archit Gupta
Suganya Karunakaran
Ali Marjaninejad
Raymond Woo
Josef Parvizi

11:18am - 11:30am MST11: Multi-center comparison of the safety and efficacy of
clopidogrel versus ticagrelor for neuroendovascular stents
Authors
Casey May
Devin Holden
Blake Robbins
Aaron Cook


10:30am - 11:30am MSTConcurrent Session

Concurrent Session Pharmacy Debates: The Role of Ketamine in Status Epilepticus 

Eljim Tesoro
West 301 A

Clinical Practice
Pharmacist Practice
Pro-Con Debate
Status Epilepticus
Intermediate
DescriptionThis is an engaging, controversial pharmacotherapy debate on novel
approaches to early phase management of refractory status epilepticus (RSE).
There is a focus on the use of ketamine, which will be debated by the first 2
speakers. The third presentation will review the use of ketamine in pediatric
neurocritical care.
Presentations

10:30am - 10:50am MSTEmerging Ketamine Literature, Favor use of Ketamine in RSE
Presenter
Caroline Der Nigoghossian

10:50am - 11:10am MSTKetamine Background, Avoid use of Ketamine in RSE
Presenter
Gabe Fontaine

11:10am - 11:30am MSTBeyond Sedation: the Emerging Use of Ketamine in Pediatric
Neurocritical Care
Presenter
Renad Abu-Sawwa


11:00am - 1:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Open and Networking Coffee

Exhibit Hall


12:15pm - 1:15pm MSTLunch Symposium

Lunch Symposium DOACs and Intracranial Hemorrhage: Best Practices to Optimize
Outcomes

Joshua Goldstein
West 106 ABC


12:15pm - 1:15pm MSTMeal

Meal Lunch on Own



1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Critical Conversations: 360 Feedback in the ICU 

Susan Yeager
West 301 D

Delivery, Quality, and Safety
Bedside Nursing
NCC Fellowship/Training
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionCommunication breakdown has been repeatedly found to be a major
contributing factor in medical errors, and improving communication among
providers is often stressed as a mechanism to improve patient safety. This is
especially true in the ICU, where patients are medically complex, and various
disciplines are involved. However, communications surrounding patient safety
events can often be challenging and emotionally charged, especially when
opportunities for improvement are identified. Providing this type of
constructive criticism is critical, but it barriers to communication across
interdisciplinary lines may interfere with delivering feedback effectively.

This session is intended to be a panel discussion among nurses, advanced
practice providers, pharmacists and physicians at various career stages
regarding their experience giving and receiving feedback in the context of
patient care. The goal is to discuss the impact of 360 degree feedback on
constructing an effective clinical team, identify strategies to convey feedback
successfully, and create a culture of patient safety while respecting the
psychological needs of the healthcare workforce. Although the submission form
will only accommodate 3 speakers, we would like to incorporate a total of 5
panelists: an RN, an APP, a pharmacist, an early career physician, and a more
senior physician. I have included the names of the proposed RN, pharmacist and
junior physician panelists. Liz Fox (Stanford Health Care) has agreed to
represent the APP perspective, and Dr. Wendy Wright (Emory University) has
offered to provide her insight as a senior physician and medical director.
Presentations

1:30pm - 1:50pm MST360 Degree Feedback: The RN Perspective
Presenter
Nikki McLamb

1:50pm - 2:10pm MSTNavigating an Interdisciplinary Team as a Trainee
Presenter
Shweta Goswami

2:10pm - 2:30pm MSTThe Role of the Pharmacist in Preventing Medical Errors
Presenter
Hans Ang


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session Prognosis and Palliation in Neurocritical Care 

Mark Wainwright
West 301 A

Clinical Practice
Coma
Patient Education
Intermediate
DescriptionPrognostication, communication of prognosis with patients’
surrogates, and decisions regarding goals of care can be some of the most
challenging tasks facing a neurointensivist. In this session, presenters will
discuss some unique aspects of serious-illness communication, beyond the topics
most commonly discussed in neurocritical care. The first speaker will address
the question of language used in conveying prognostic information, including the
cognitive approaches that providers employ when communicating with families. Dr.
Sampaio Silva will provide a perspective on geographical differences in goals of
care determinations among the neurocritically ill, and Dr. Carhuapoma will
discuss strategies and potential benefits of incorporating palliative care
providers into the neurocritical care team.
Presentations

1:30pm - 1:50pm MSTThe Language of NeuroPrognostication
Presenter
Matthew Jaffa

1:50pm - 2:10pm MSTGlobal Variations in Neurocritical Care Goals: a Journey
Around the World
Presenter
Gisele Sampaio Silva

2:10pm - 2:30pm MSTNeuropalliative Care is Not Just for the Dying: Identifying a
Distinct and Evolving Need in Neurocritical Care
Presenter
Lourdes Carhuapoma


1:30pm - 2:30pm MSTConcurrent Session

Concurrent Session The Road to the Future in Assessing the Unresponsive Patient 

Paul Vespa
West 301 BC

Science of Neurocritical Care
Coma
Informatics
Intermediate
DescriptionThe personal and societal cost of long-term disability after acute
brain injury is enormous, particularly for patients that remain unconscious.
Long term recovery is increasingly seen but the clinical trajectory is often
uncertain. Early prognostication is inaccurate but functional recovery is more
likely if unresponsive patients have minimal clinical signs of interaction with
the environment. Up to every fifth behaviorally unresponsive patient has
evidence of preserved consciousness when tested with motor paradigms utilized in
functional MRI or EEG paradigms. This state also known as covert consciousness
or cognitive motor dissociation has been associated with long term recovery in
patients that appear comatose, vegetative or minimally conscious on clinical
examination. Detection of covert consciousness challenges current practice of
caring for unconscious patients and creates new diagnostic, prognostic, and
interventional opportunities. At this time, EEG has emerged as the most
promising and scalable tool for bedside diagnosis but novel additional
technology is emerging. Integration into clinical practice has to be approached
with caution and shared decision making approaches may hold the best promise to
accomplish this goal.

The session will present an overview of the current state of detecting covert
consciousness, discuss proposed underlying mechanisms, provide insight into
emerging technology (i.e., eye tracking), and outline the path for future
integration into clinical practice.
Presentations

1:30pm - 1:50pm MSTThe Paved Road: Advancing Existing EEG Technology
Presenter
Ayham Alkhachroum

1:50pm - 2:10pm MSTBuilding a New Road: Active Engagement with a Patient’s Brain
Presenter
Jan Claassen

2:10pm - 2:30pm MSTThe Road that Matters: Integration of Existing and Novel
Metrics into Goals of Care Planning
Presenter
Susanne Muehlschlegel


2:45pm - 3:45pm MSTNetworking Event

Networking Event Poster Viewing- IN PERSON ONLY

Poster Room


3:30pm - 4:30pm MSTExhibit Hall, Networking Event

Exhibit Hall, Networking Event Exhibit Hall Reception

Exhibit Hall


6:00am - 6:45am MSTNetworking Event

Networking Event Wellness Activity: Yoga

Wellness Activity Room 3


7:00am - 8:00am MSTMeal

Meal Continental Breakfast (in-person workshop attendees only)

Continental Breakfast Room 1


8:00am - 9:00am MSTConcurrent Session

Concurrent Session Hot Topics in Neurocritical Care Pharmacotherapeutics 

Devin Holden
West 301 A

Clinical Practice
General Critical Care
Global Neurocritical Care
Pharmacist Practice
Intermediate
DescriptionIn this rapid-fire session, presenters will discuss 3 hot topics that
influence pharmacotherapuetic management in the neurocritical care population.

1. Augmented renal clearance (ARC) is a manifestation of enhanced renal function
seen in critically ill patients, and has been described in patients with
traumatic brain injury, meningitis, subarachnoid hemorrhage and intracerebral
hemorrhage with prevalence exceeding the general critically ill population. ARC
has a significant impact on clearance of renally eliminated medications,
including antibiotics, ASMs and antithrombotics. The potential implications for
patient management will be discussed. 2. Electrolyte abnormalities including
hyperchloremia and hypernatremia have been identified as risk factors for
morbidity in critical care patients, and recent studies have indicated that
balanced chrystalloids, which have a lower chloride load, may be preferable for
use in general critical care populations. However, neurocritical care patients
were generally underrepresented in these studies; in one study which did include
a subset of patients with TBI, mortality was lower in patients who received
normal saline (14% versus 15%) compared with those who received balanced
chrystalloids. In this session, a speaker will address the implications of
osmolarity and chloride load in neurocritical care populations, with
recommendations for selecting the optimal IV fluids for various clinical
scenarios. 3. In this session, we aim to review the pharmacology and
pharmacokinetics of novel ASMs, review practical tips on how to decide when to
utilize these agents using the principles of rational polytherapy, and explore
the principles of targeted therapeutic drug monitoring in status epilepticus.
Presentations

8:00am - 8:20am MSTImpact of Augmented Renal Clearance on Antiseizure and
Anticoagulant Therapies: Should we revise our protocols?
Presenter
Colleen Barthol

8:20am - 8:40am MSTOptimizing the composition of hypertonic saline in the
Neuro-ICU
Presenter
Michael Erdman

8:40am - 9:00am MSTThe Latest and Greatest: Pharmacology and pharmacokinetics of
novel antiseizure medications and their role in the NeuroICU
Presenter
Andrew Webb


8:00am - 9:00am MSTConcurrent Session

Concurrent Session NCS Consensus Statement on Teleneurocritical Care (TNCC) 

Angela Hays Shapshak
West 301 D

Delivery, Quality, and Safety
Basic/Neurocritical Care 101
Global Neurocritical Care
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionThis session delivers the NCS Consensus Statement on the Principles
and Practice of Teleneurocritical care, which was prepared by the writing group
and the NCS Guidelines Committee. This is the first time the statement will be
shared with the NCS membership. Opportunities for comment and feedback will be
encouraged.
Presentations

8:00am - 8:20am MSTTeleneurocritical Care Standard Practice and Monitoring
Benchmarks
Presenter
Abhay Kumar

8:20am - 8:40am MSTStrategies of Teleneurocritical Care, as the in-person
non-neurointensivist; and a global feedback opportunity
Presenter
Maranda Nelson

8:40am - 9:00am MSTTeleneurocritical Care NCS Consensus Statement - Background
and Overview
Presenter
Nick Murray


8:00am - 11:00am MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTConcurrent Session

Concurrent Session The Future of Treating Status Epilepticus 

Panayiotis Varelas
West 301 BC

Clinical Practice
Bedside Nursing
Diversity, Equity and Inclusion
Status Epilepticus
Advanced
DescriptionThe treatment of status epilepticus has many challenges and requires
a change in framework which emphasizes time-based interventions similar to acute
stroke. This session will review the evidence for time mattering in status
epilepticus, the future essential steps to ensure rapid treatment, and the
future of treatments for refractory status epilepticus.
Presentations

8:00am - 8:20am MSTTime is brain in status epilepticus
Presenter
MaryKay Bader

8:20am - 8:40am MSTHow to utilize therapeutic drug monitoring to optimize
medication use in status epilepticus
Presenter
Brooke Barlow

8:40am - 9:00am MSTFuture treatments for refractory status epilepticus
Presenter
Paul Vespa


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Debate: Should Regional Normothermic Perfusion be the future
of Organ Donation? 

Michelle Schober
West 301 BC

Clinical Practice
Pro-Con Debate
Intermediate
DescriptionIn DCD organ transplantation, normothermic regional perfusion (NRP)
reverses warm ischemia and has been used to help recover DCD hearts and
abdominal organs. NRP could thus increase organ supply for heart transplants.
NRP may violate the dead donor rule, in light of potential brain perfusion,
posing ethical concerns.
Presentations

9:15am - 9:35am MSTIntroduction to Normothermic Regional Perfusion and Organ
Donation: Ethical and Medical Considerations
Presenter
Julia Durrant

9:35am - 9:55am MSTNRP is not the solution: why we shouldn't induce brain death
for organs
Presenter
Panayiotis Varelas

9:55am - 10:15am MSTNRP is the solution: why we shouldn't further limit organ
availability for transplantation
Presenter
Marc Alain Babi


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Diversity, Equity and Inclusion: Embracing Sustainable
Change 

Ines Koerner
West 301 A

Clinical Practice
Diversity, Equity and Inclusion
Introductory
DescriptionMost healthcare workers have likely been exposed to one form of
training in the principles of diversity, equity, and inclusion. However, these
trainings are just the beginning. This session aims to help attendees move
beyond awareness and into action. Attendees will learn how improving diversity
in the healthcare field is the first step to a more developing an inclusive
healthcare work force. Real-life examples of the implementation of DEI
initiatives will be explored. Attendees will be empowered to continue their
journey of becoming an ally and explore ways they can implement meaningful
changes in their institutions.
Presentations

9:15am - 9:35am MSTEmbracing sustainable change in the DEI realm in NCC- the Ted
Lasso Way
Presenter
Christa O'Hana Nobleza

9:35am - 9:55am MSTRethinking Recruitment into Neurocritical Care: How to
Embrace Diversity and Minimize Bias at the Highest Levels within the Field
Presenter
Marin Darsie

9:55am - 10:15am MSTFrom Aspiration to Actualization: How to Create a
Sustainable DEI Program at Your Institution
Presenter
Ebonye Green


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Non-Invasive ICP Monitoring 

Mark Wainwright
West 301 D

Science of Neurocritical Care
Multimodal Neuromonitoring (invasive/non-invasive)
Ultrasound
Intermediate
DescriptionSérgio Brasil is an early career male neurosurgeon at the University
of São Paulo, Brazil. Mohammad Hirzallah is an early career male
neurologist/neuro-intensivist at Baylor college of medicine, Houston, Texas. Ava
Puccio, RN, PhD Associate Professor, is an advanced career female (preferred
pronouns she/her) neurotrauma nurse with a PhD in neuroscience/clinical research
at the Department of Neurological Surgery, University of Pittsburgh, Pittsburgh,
Pennsylvania. Dr. Puccio’s career trajectory is to research innovative treatment
paradigms and improve neurological outcomes by individualizing the care of TBI
patients, with an emphasis on ameliorating secondary injury.
Presentations

9:15am - 9:35am MSTICP waveforms automated analysis in the real world of
neurocritical care
Presenter
Sérgio Brasil

9:35am - 9:55am MSTImproving the utility of optic nerve sheath diameter as a
non-invasive intracranial pressure measurement through standardization and
automation
Presenter
Mohammad Hirzallah

9:55am - 10:15am MSTComparison of a novel non-invasive to invasive technology to
estimate intracranial pressure in severe TBI
Presenter
Ava Puccio


10:30am - 12:00pm MSTKeynote

Keynote Closing Panel: Leadership Vision for the Strategic Future of
Neurocrtical Care: Paul Vespa and Panel of Officers and Past President & Closing
Remarks 

Paul Vespa
West 301 BC

Science of Neurocritical Care
Diversity, Equity and Inclusion
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Quality
Introductory
Intermediate
Advanced
DescriptionThis session provides a behind-the-scenes view of the leadership
process for the NCS. The session will feature a visionary presentation of the
leadership direction for the society and an in-depth discussion of the
challenges facing the NCS, the field, and our patients.
Presentations

10:30am - 12:00pm MSTClosing Panel: Leadership Vision for the Strategic Future
of Neurocritical Care
Authors
Paul Vespa
David Greer
Cherylee Chang
Thomas Bleck
Mary Kay Bader
Panos Varelas


Saturday, August 19th MST MST expand all · collapse all

TimeTypeSession / PresentationPresentersLocationTagPlan 6:00am - 6:45am
MSTNetworking Event

Networking Event Wellness Activity: Yoga

Wellness Activity Room 3


7:00am - 8:00am MSTMeal

Meal Continental Breakfast (in-person workshop attendees only)

Continental Breakfast Room 1


8:00am - 9:00am MSTConcurrent Session

Concurrent Session Hot Topics in Neurocritical Care Pharmacotherapeutics 

Devin Holden
West 301 A

Clinical Practice
General Critical Care
Global Neurocritical Care
Pharmacist Practice
Intermediate
DescriptionIn this rapid-fire session, presenters will discuss 3 hot topics that
influence pharmacotherapuetic management in the neurocritical care population.

1. Augmented renal clearance (ARC) is a manifestation of enhanced renal function
seen in critically ill patients, and has been described in patients with
traumatic brain injury, meningitis, subarachnoid hemorrhage and intracerebral
hemorrhage with prevalence exceeding the general critically ill population. ARC
has a significant impact on clearance of renally eliminated medications,
including antibiotics, ASMs and antithrombotics. The potential implications for
patient management will be discussed. 2. Electrolyte abnormalities including
hyperchloremia and hypernatremia have been identified as risk factors for
morbidity in critical care patients, and recent studies have indicated that
balanced chrystalloids, which have a lower chloride load, may be preferable for
use in general critical care populations. However, neurocritical care patients
were generally underrepresented in these studies; in one study which did include
a subset of patients with TBI, mortality was lower in patients who received
normal saline (14% versus 15%) compared with those who received balanced
chrystalloids. In this session, a speaker will address the implications of
osmolarity and chloride load in neurocritical care populations, with
recommendations for selecting the optimal IV fluids for various clinical
scenarios. 3. In this session, we aim to review the pharmacology and
pharmacokinetics of novel ASMs, review practical tips on how to decide when to
utilize these agents using the principles of rational polytherapy, and explore
the principles of targeted therapeutic drug monitoring in status epilepticus.
Presentations

8:00am - 8:20am MSTImpact of Augmented Renal Clearance on Antiseizure and
Anticoagulant Therapies: Should we revise our protocols?
Presenter
Colleen Barthol

8:20am - 8:40am MSTOptimizing the composition of hypertonic saline in the
Neuro-ICU
Presenter
Michael Erdman

8:40am - 9:00am MSTThe Latest and Greatest: Pharmacology and pharmacokinetics of
novel antiseizure medications and their role in the NeuroICU
Presenter
Andrew Webb


8:00am - 9:00am MSTConcurrent Session

Concurrent Session NCS Consensus Statement on Teleneurocritical Care (TNCC) 

Angela Hays Shapshak
West 301 D

Delivery, Quality, and Safety
Basic/Neurocritical Care 101
Global Neurocritical Care
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Intermediate
DescriptionThis session delivers the NCS Consensus Statement on the Principles
and Practice of Teleneurocritical care, which was prepared by the writing group
and the NCS Guidelines Committee. This is the first time the statement will be
shared with the NCS membership. Opportunities for comment and feedback will be
encouraged.
Presentations

8:00am - 8:20am MSTTeleneurocritical Care Standard Practice and Monitoring
Benchmarks
Presenter
Abhay Kumar

8:20am - 8:40am MSTStrategies of Teleneurocritical Care, as the in-person
non-neurointensivist; and a global feedback opportunity
Presenter
Maranda Nelson

8:40am - 9:00am MSTTeleneurocritical Care NCS Consensus Statement - Background
and Overview
Presenter
Nick Murray


8:00am - 11:00am MSTRegistration

Registration Registration

Registration Desk


8:00am - 9:00am MSTConcurrent Session

Concurrent Session The Future of Treating Status Epilepticus 

Panayiotis Varelas
West 301 BC

Clinical Practice
Bedside Nursing
Diversity, Equity and Inclusion
Status Epilepticus
Advanced
DescriptionThe treatment of status epilepticus has many challenges and requires
a change in framework which emphasizes time-based interventions similar to acute
stroke. This session will review the evidence for time mattering in status
epilepticus, the future essential steps to ensure rapid treatment, and the
future of treatments for refractory status epilepticus.
Presentations

8:00am - 8:20am MSTTime is brain in status epilepticus
Presenter
MaryKay Bader

8:20am - 8:40am MSTHow to utilize therapeutic drug monitoring to optimize
medication use in status epilepticus
Presenter
Brooke Barlow

8:40am - 9:00am MSTFuture treatments for refractory status epilepticus
Presenter
Paul Vespa


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Debate: Should Regional Normothermic Perfusion be the future
of Organ Donation? 

Michelle Schober
West 301 BC

Clinical Practice
Pro-Con Debate
Intermediate
DescriptionIn DCD organ transplantation, normothermic regional perfusion (NRP)
reverses warm ischemia and has been used to help recover DCD hearts and
abdominal organs. NRP could thus increase organ supply for heart transplants.
NRP may violate the dead donor rule, in light of potential brain perfusion,
posing ethical concerns.
Presentations

9:15am - 9:35am MSTIntroduction to Normothermic Regional Perfusion and Organ
Donation: Ethical and Medical Considerations
Presenter
Julia Durrant

9:35am - 9:55am MSTNRP is not the solution: why we shouldn't induce brain death
for organs
Presenter
Panayiotis Varelas

9:55am - 10:15am MSTNRP is the solution: why we shouldn't further limit organ
availability for transplantation
Presenter
Marc Alain Babi


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Diversity, Equity and Inclusion: Embracing Sustainable
Change 

Ines Koerner
West 301 A

Clinical Practice
Diversity, Equity and Inclusion
Introductory
DescriptionMost healthcare workers have likely been exposed to one form of
training in the principles of diversity, equity, and inclusion. However, these
trainings are just the beginning. This session aims to help attendees move
beyond awareness and into action. Attendees will learn how improving diversity
in the healthcare field is the first step to a more developing an inclusive
healthcare work force. Real-life examples of the implementation of DEI
initiatives will be explored. Attendees will be empowered to continue their
journey of becoming an ally and explore ways they can implement meaningful
changes in their institutions.
Presentations

9:15am - 9:35am MSTEmbracing sustainable change in the DEI realm in NCC- the Ted
Lasso Way
Presenter
Christa O'Hana Nobleza

9:35am - 9:55am MSTRethinking Recruitment into Neurocritical Care: How to
Embrace Diversity and Minimize Bias at the Highest Levels within the Field
Presenter
Marin Darsie

9:55am - 10:15am MSTFrom Aspiration to Actualization: How to Create a
Sustainable DEI Program at Your Institution
Presenter
Ebonye Green


9:15am - 10:15am MSTConcurrent Session

Concurrent Session Non-Invasive ICP Monitoring 

Mark Wainwright
West 301 D

Science of Neurocritical Care
Multimodal Neuromonitoring (invasive/non-invasive)
Ultrasound
Intermediate
DescriptionSérgio Brasil is an early career male neurosurgeon at the University
of São Paulo, Brazil. Mohammad Hirzallah is an early career male
neurologist/neuro-intensivist at Baylor college of medicine, Houston, Texas. Ava
Puccio, RN, PhD Associate Professor, is an advanced career female (preferred
pronouns she/her) neurotrauma nurse with a PhD in neuroscience/clinical research
at the Department of Neurological Surgery, University of Pittsburgh, Pittsburgh,
Pennsylvania. Dr. Puccio’s career trajectory is to research innovative treatment
paradigms and improve neurological outcomes by individualizing the care of TBI
patients, with an emphasis on ameliorating secondary injury.
Presentations

9:15am - 9:35am MSTICP waveforms automated analysis in the real world of
neurocritical care
Presenter
Sérgio Brasil

9:35am - 9:55am MSTImproving the utility of optic nerve sheath diameter as a
non-invasive intracranial pressure measurement through standardization and
automation
Presenter
Mohammad Hirzallah

9:55am - 10:15am MSTComparison of a novel non-invasive to invasive technology to
estimate intracranial pressure in severe TBI
Presenter
Ava Puccio


10:30am - 12:00pm MSTKeynote

Keynote Closing Panel: Leadership Vision for the Strategic Future of
Neurocrtical Care: Paul Vespa and Panel of Officers and Past President & Closing
Remarks 

Paul Vespa
West 301 BC

Science of Neurocritical Care
Diversity, Equity and Inclusion
Provider Education Topics (eg. fellowship training, competency assessment, etc)
Quality
Introductory
Intermediate
Advanced
DescriptionThis session provides a behind-the-scenes view of the leadership
process for the NCS. The session will feature a visionary presentation of the
leadership direction for the society and an in-depth discussion of the
challenges facing the NCS, the field, and our patients.
Presentations

10:30am - 12:00pm MSTClosing Panel: Leadership Vision for the Strategic Future
of Neurocritical Care
Authors
Paul Vespa
David Greer
Cherylee Chang
Thomas Bleck
Mary Kay Bader
Panos Varelas


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