Spinal Epidural Abscess is rare, but it is increasingly encountered (especially within the context of the opioid epidemic, and an aging population with increasing comorbidity). SEA may be part of the patient’s initial presentation to the ICU, or it may arise during the course of a prolonged ICU admission. The IBCC chapter is located 👉 […]
Baclofen is one of the most effective treatments for spasticity, but also perhaps the most toxic. Baclofen intoxication may lead to severe mental status suppression requiring intubation and occasionally hemodialysis. However, intrathecal baclofen withdrawal is more difficult to treat if it’s not possible to immediately re-institute intrathecal therapy. The IBCC chapter is located 👉 here. […]
Friends, Over the next several months we’ll be adding ~26 additional chapters to the neurology section of the IBCC. The ultimate goal is to create a complete neurocritical care textbook that is fully integrated into the IBCC. (You can preview the final table of contents here.) Why more neurocrit? The brain is one of the […]
It has been a while since we did a sepsis and septic shock update, so the time has come! No better framework for the discussion than the most recent iteration of the Surviving Sepsis Campaign Guidelines. Foreshadowing: they don’t suck as hard as in prior years.
the question Some patients with HSV encephalitis may initially have a negative CSF PCR for HSV, with a repeat being positive some days later. This has led to confusion regarding who, exactly, needs a repeat lumbar puncture? Montmollin E et al: HSV encephalitis with initial negative PCR: Prevalence, associated factors, and clinical impact. This is […]