Upstate Neurocritical Care Fellowship

28 bed unit within a Level I Trauma Center and Comprehensive Stroke Center with referrals from Canada to PA. Six Neuro-intensivists with diverse backgrounds.

[Upstate Neurocritical Care Fellowship @perfuseincuse]

@perfuseincuse Neuro ICU Fellowship
💪Level I trauma
🫁 Independent airway management
🧠EVD and intraparenchymal monitor insertion and management
🧠Comprehensive stroke center with high thrombectomy volume
💻Portable CT scanner and robotic TCD

https://t.co/NCAQvGPWOx

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Congrats to all that matched for neurocritical care yesterday!

We have 1 spot available for an interested candidate in neurology, neurosurgery, anesthesia, IM, EM to start in July 2026

Please DM with interest

#ncc #neurocriticalcare #criticalcare #neurocrit

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Upstate NCC attendings, Drs Latorre, Otite, and Burke reminding you to eat your omega 3 fatty acids which are excellent for Brain Health! @oliverotite @DevinJBurkeMD @upstateneuro #lakeontario #Salmon

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Great 2nd Upstate NY NCC Journal club with Dr. Steph Zyck presenting the ENRICH Trial. Encouraged by the excellent data on minimally invasive surgical evacuation of superficial ICH and taking steps for implementation. @AmcNeurology @URMC_Neurology @CHSBuffalo @UBNeurosci

[Upstate Neurocritical Care Fellowship @perfuseincuse]

@ikhan3485

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Excited to participate in the First Upstate NY Neurocritical Care Journal Club reviewing the PROPHY-VAP Trial! @AmcNeurology @URMC_Neurology @CHSBuffalo @UBNeurosci @upstateneuro @neurocritical #neurocrit #ncc

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Check us out! @neurocritical #ncs #nicu #ncc #neurology

[Upstate Neurocritical Care Fellowship @perfuseincuse]

@perfuseincuse Neuro ICU Fellowship
💪Level I trauma
🫁 Independent airway management
🧠EVD and intraparenchymal monitor insertion and management
🧠Comprehensive stroke center with high thrombectomy volume
💻Portable CT scanner and robotic TCD

https://t.co/NCAQvGPWOx

[Upstate Neurocritical Care Fellowship @perfuseincuse]

We are happy to report that we have been selected as a site for the BOOST-3 Trial - a RCT investigating two strategies for management of severe traumatic brain injury in the ICU. @upstateneuro @UpstateNews @UpstateNSurg @gkouts8 #TBI #traumaticbraininjury https://t.co/2l47Ek33et

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Excellent Grand Rounds on cSDH and MMA embo today by Dr Gould! @upstateneuro @UpstateNSurg @gkouts8

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Categorizing ICH based on MRI and associated recurrence rates. Interesting clinical implication

[Neurology Journal @GreenJournal]

This single-center study found that MRI-based phenotyping of intracerebral hemorrhage according to the likely underlying causal arteriopathy is helpful in the stratification of recurrence risk. Read more: https://t.co/vDAjMSRjBe

#NeuroTwitter

[Columbia NeuroCriticalCare @ColumbiaNCC]

Delphi consensus on Standards for Multimodality NeuroMonitoring (MNM). Overdue and important step to define core technology and skillsets for practice & training. Kudos to @NeuroLlama et al! @soojin_soojin @neurocritical @ACGME @CMSgov
https://t.co/jmlhVgHwpB

[NEJM @NEJM]

The use of video laryngoscopy for tracheal intubation in critically ill adults has increased over time, but whether outcomes are better with this approach than with direct laryngoscopy is uncertain.

Read the full DEVICE trial Research Summary: https://t.co/hi5TdfTZwG

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Congrats to all that matched today! For those that didn't, we have an open spot for July 2024. Send us a DM or email if interested #neurocritical #neurocrit #NCCmatch #matchday @oliverotite @DevinJBurkeMD

https://t.co/a7wGCtoCIV

[Devin Burke @DevinJBurkeMD]

Great to throw out the first pitch tonight at @SyracuseMets ! #stroke #strikesforstroke #baseball @perfuseincuse @UpstateNews @upstateneuro @UpstateNeur

[Devin Burke @DevinJBurkeMD]

Appreciate the mentorship and efforts of @merkler_alex, @hoomankamel @BaigTehniyat @NealSParikhMD on this project evaluating ischemic stroke after acute heart failure hospitalization @perfuseincuse https://t.co/1rAz2NpDAC

[Devin Burke @DevinJBurkeMD]

Had a great time lecturing the @UpstateEM residency on neurologic emergency FAQ, aka questions @sarah_mahonski asks me at the dinner table after a shift. @perfuseincuse @upstateneuro

[Upstate Neurocritical Care Fellowship @perfuseincuse]

More from our own @oliverotite !

[Stroke AHA/ASA @StrokeAHA_ASA]

Brief Report: Contemporary Incidence and Burden of Cerebral Venous Sinus Thrombosis in Children of the United States #stroke #AHAjournals https://t.co/Qqm2JpEyhv @chaturvedineuro @oliverotite @pracmeh @perfuseincuse @anikpezie

[Oliver Otite @oliverotite]

Contemporary Incidence and Burden of Cerebral Venous Sinus Thrombosis in Children of the United States https://t.co/87yJCJtRet @ChaturvediNeuro @perfuseincuse @SmitdPat

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Takeaways
- Large, well conducted trial on tx of delirium in the ICU
- Large portion of patients are hypoactive delirium
- Nonsig trend towards improved outcome in pt tx w/ haloperidol
- Primary outcome is clinically meaningful but difficult to impact with one intervention

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Does standing haloperidol 2.5 mg q8h for patients with delirium improve # of days alive and out of hospital at 90 days?
RCT, ~1000 patients, Europe
No difference in primary outcome, no diff in adverse events
~55% patients with hypoactive delirium
https://t.co/5UUjBfxVQl

[Upstate Neurocritical Care Fellowship @perfuseincuse]

Trend towards benefit - albeit not statistically significant - especially in the hyperactive delirium subgroup
Interestingly, there was a small statistically significant decrease in mortality in the haloperidol group