Neuro-critical care   

Considering the short half-life, at what point would it be deemed too late to administer any reversal agent, and to consider withholding it?

When would you consider using anticoagulation and for how long?

Have recent trials (TRAIN trial and HEMOTION trial) influenced your approach? 

Blood pressure targets for ischemic stroke and intracerebral hemorrhage are described in several guidelines. However, in patients with acute stroke wh...

For example, in the setting of TBI, how do you guide the duration of the medical treatment?

In the span between the HACA trial and the Targeted Temperature Management in Out-of-Hospital Cardiac Arrest study (Dankiewicz et al., PMID 34133859),...

What are the sources for this and are they reliable by today’s standards? Numerous case series report various abnormal movements but how reliabl...

E.g., a patient has an intracranial hemorrhage after TBI with convulsive status epilepticus.

Plasmapheresis first or IVIG first in GBS? What other treatment options are there for severe disabling GBS?

Given the risk of elevated ICP, would you attempt a brain MRI to further characterize the lesion? Or would CT imaging suffice prior to intervention?

For patients who are unable to have complete brain stem testing, would you recommend apnea testing prior to ancillary tests in case of suspected brain...

For instance, if the patient doesn’t tolerate apnea testing, is too unstable to go for ancillary testing outside the ICU, and TCDs/EEG are unava...

What modality do you prefer?

What factors influence your thinking?

Is there any benefit to starting hyperosmolar therapy prior to the development of depressed level of consciousness or midline shift?

What modality do you prefer?