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Neuroscience
One-Hour Concurrent Session

Neuromonitoring: Fundamentals to Cutting Edge

Monday, January 22, 2024
9:45 AM – 10:45 AM MT
Location: North-122
CE: 1.0

From hepatic encephalopathy-related cerebral edema to severe meningitis, patients admitted to surgical and medical ICUs have significant neuropathology and are at risk of acute neurologic emergencies such as intracerebral hemorrhage, ischemic stroke, and seizures. This session will review the five most commonly used neuromonitoring devices: head CT, pupillometry, brain ultrasound, EEG, and invasive intracranial monitor. This session is geared toward the general intensivist but will also explore cutting-edge techniques in each modality and how the future of neuromonitoring is rapidly accelerating. This session will feature practical bedside tips and QR cards with take-home points.

Learning Objectives:

  • Recognize the different types of intracerebral hemorrhage, cerebral edema, and hydrocephalus and the role of CT perfusion and its pitfalls
  • Analyze the difference in invasive intracranial pressure (ICP) monitors and discuss how ICP data can be applied to optimize cerebral perfusion pressure
  • Review the role of orbital ultrasound for optic nerve sheath measurement for elevated ICP including how to obtain it at the bedside and explore transcranial Doppler analysis for noninvasive ICP monitoring
  • Review features of seizures in the intra-ictal continuum and how to direct treatment based on EEG findings

Presentations:

  • Too Much or Too Little? Blood, CSF, and the Role of the CT Scanner
  • Brain (Ultrasound) Waves: Optic Nerve Sheath Diameter and Transcranial Doppler for Noninvasive ICP Monitoring
  • Decoding the EEG: All That Spikes Does Not Seize