Dr Ponniah Vanamoorthy

Neuroanesthesiologist and Neurointensivist , past President @NCSIofficial , Ex Secretary @ISNACCINDIA , Passionate about #CodeBrain #neurocritical #stroke

[Neurocritical Care Society of India @NCSIofficial]

Nice one by @startrek30 🙌
https://t.co/25yKfmjXnW

[Dr Ponniah Vanamoorthy @codebrainNCC]

Fascinating paper. It exposes how deeply we cling to pressure‑based dogma in TBI. Rigid CPP targets won’t move the field forward — evolving toward flow, oxygenation and metabolic monitoring will. Treat the brain, not the number.
#NeurocriticalCare #NeuroTrauma #CBF #PbtO2 #NeuroICU
@NCSIofficial @ISNACCINDIA @isccmnational @deepak_neuro @hhdashneuro @shobanarajan51 @girijarath @neurocritical

[Ashley Miller @icmteaching]

Pressure does not cause blood flow.

Circulation is still often taught as if pressure is the driver and flow simply follows. It doesn’t.

Pressure gradients are part of the description of a flowing system, not independent causes of flow. They emerge with flow from energy input, resistance, compliance, and dissipation.

In this review, we explain how:

• the heart supplies energy
• pressure reflects system state
• flow depends on delivery, acceptance, and dissipation

https://t.co/L19bsDCzr6

[Dr Ponniah Vanamoorthy @codebrainNCC]

In neurocritical care, extubation is not just about breathing — it’s about airway safety.

Many patients can ventilate adequately yet still fail because they cannot protect their airway, clear secretions, or maintain patency.

Tracheostomy should not be wrongly viewed as a tool for prolonged ventilation, but as a strategy for secure airway protection, uninterrupted oxygenation, EARLY Liberation from ventilation and safer high-dependency care.

The real question is not “Can the patient breathe?” but “Can the patient safely own their airway?”

https://t.co/QfJKBCMsDX

@ISNACCINDIA @NCSIofficial @neurocritical @isccmnational

#NeuroCriticalCare #ICU #NeuroICU #Tracheostomy #AirwayManagement #CriticalCare #MechanicalVentilation #Extubation #NeurocriticalCare #IntensiveCare #MedTwitter

[Neurocritical Care Society of India @NCSIofficial]

Gearing up for NCSI 2026 🙌
Have you registered for the conference? If not, visit the website and register 🔗
https://t.co/JTcDU4fhad

[Dr Ponniah Vanamoorthy @codebrainNCC]

A privilege to host Dr. Anil Nanda from @RutgersU today. Inspiring discussions with an eminent neurosurgeon whose clarity, skill and humility elevate every academic interaction. Grateful for the exchange of ideas and the collaborative spirit he brought to our faculty.
#neurocritical