Traumacast EAST/AAST/AAST-AMC: SCC Review Series - Neurologic Dysfunction II
Aug 25, 2025
Dr. Neeraj Badjatia, a leader in neurocritical care, joins critical care fellows Dr. Jennifer Brewer and Dr. Leah Aakjar for an engaging discussion on neurologic management. They dive into the critical aspects of status epilepticus, emphasizing the need for timely intervention. Pain management strategies in the ICU take center stage, exploring multimodal analgesia and novel non-pharmacologic approaches. The trio also tackles delirium screening tools and the complexities surrounding subarachnoid hemorrhage, providing evidence-based recommendations for enhanced patient outcomes.
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Limit Drugs For Delirium; Use DEX If Needed
- Avoid routine antipsychotics or statins to prevent or treat delirium.
- Reserve haloperidol or atypical antipsychotics for short-term distress or dangerous agitation; use dexmedetomidine if ventilator liberation is limited by delirium.
Use Multicomponent Nonpharmacologic Delirium Care
- Apply multicomponent nonpharmacologic strategies to reduce delirium.
- Optimize sleep, mobility, hearing/vision, and family engagement to lower delirium and mortality.
Initiate Early, Safe Mobilization
- Start early mobilization when safety criteria are met to improve strength and reduce ventilator days.
- Stop sessions for arrhythmia, chest pain, worsening vitals, desaturation, airway issues, or neurologic change.