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01-06-2020 | Brainstem Contusion | Editorial

The neurologic consultation: pointers and takeaways for intensivists

Author: Eelco F. M. Wijdicks

Published in: Intensive Care Medicine | Issue 6/2020

Excerpt

Inevitably, critically ill patients in intensive care units exhibit neurologic manifestations [1]. Neurologic examination of the critically ill patient is complicated, but it is rarely taught, audited, or debated. Point-of-care diagnostic devices tempt over-reliance. The physician-directed neurologic examination cannot become passé. When a patient changes neurologically, established principles inform and guide intensivists. The examination has its demands—ten of them, actually. …

Wijdicks EFM (2016) Solving critical consults, 1st edn. Oxford University Press, New York

Saposnik G, Redelmeier D, Ruff CC, Tobler PN (2016) Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak 16:138CrossRef

Vickrey BG, Samuels MA, Ropper AH (2010) How neurologists think: A cognitive psychology perspective on missed diagnoses. Ann Neurol 67:425–433CrossRef

Edlow BL, Chatelle C, Spencer CA et al (2017) Early detection of consciousness in patients with acute severe traumatic brain injury. Brain 140:2399–2414CrossRef

Slooter AJC, Otte WM, Devlin JW et al (2020) Updated nomenclature of delirium and acute encephalopathy: statement of ten societies. Intensive Care Med. https://doi.org/10.1007/s00134-019-05907-4 CrossRefPubMedPubMedCentral

Chanques G, Conseil M, Roger C et al (2017) Immediate interruption of sedation compared with usual sedation care in critically ill postoperative patients (SOS-Ventilation): a randomised, parallel-group clinical trial. Lancet Respir Med 5:795–805CrossRef

Olsen HT, Nedergaard HK, Strom T et al (2020) Nonsedation or light sedation in critically Ill, mechanically ventilated patients. N Engl J Med 382:1103–1111CrossRef

Oddo M, Sandroni C, Citerio G et al (2018) Quantitative versus standard pupillary light reflex for early prognostication in comatose cardiac arrest patients: an international prospective multicenter double-blinded study. Intensive Care Med 44:2102–2111CrossRef

Braksick SA, Wijdicks EF (2014) Moisture and mydriasis. Pract Neurol 14:187–188CrossRef

10.

Kamel H, Betjemann JP, Navi BB et al (2013) Diagnostic yield of electroencephalography in the medical and surgical intensive care unit. Neurocrit Care 19:336–341CrossRef

11.

Kurtz P, Gaspard N, Wahl AS et al (2014) Continuous electroencephalography in a surgical intensive care unit. Intensive Care Med 40:228–234CrossRef

12.

Robottom BJ, Factor SA, Weiner WJ (2011) Movement disorders emergencies Part 2: hyperkinetic disorders. Arch Neurol 68:719–724PubMed

13.

Robottom BJ, Weiner WJ, Factor SA (2011) Movement disorders emergencies. Part 1: Hypokinetic disorders. Arch Neurol 68:567–572PubMed

14.

Giacino JT, Katz DI, Schiff ND et al (2018) Practice guideline update recommendations summary: disorders of consciousness: report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research. Neurology 91:450–460CrossRef

15.

Wade DT (2018) How often is the diagnosis of the permanent vegetative state incorrect? A review of the evidence. Eur J Neurol 25:619–625CrossRef

Title: The neurologic consultation: pointers and takeaways for intensivists
Author: Eelco F. M. Wijdicks
Publication date: 01-06-2020
Publisher: Springer Berlin Heidelberg
Keyword: Brainstem Contusion
Published in: Intensive Care Medicine / Issue 6/2020
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-020-06055-w

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The neurologic consultation: pointers and takeaways for intensivists

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