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DTSTAMP:20241017T183512Z
LOCATION:Harbor Ballrooms B-C
DTSTART;TZID=America/Los_Angeles:20241015T133000
DTEND;TZID=America/Los_Angeles:20241015T135000
UID:ncs_NCS 2024_sess103_ccrnt291@linklings.com
SUMMARY:Metabolism and Encephalopathy in Neurocritical Care – Traditional 
 Concepts and New Insights
DESCRIPTION:Breakout Session\n\nJulian Bösel (Neurology, Heidelberg Univer
 sity Hospital; Neurology, Neurocritical Care, Johns Hopkins University Hos
 pital)\n\nPatients suffering from acute brain injury exhibit great metabol
 ic vulnerability. Factors such as endocrinologic and metabolic derangement
 s due to primary insult, excessive flooding with stress hormones, multi-ph
 armacological ICU therapy, organ failure and altered nutritional regimens 
 render the brain prone to different types of encephalopathy. The latter co
 mprises a plethora of entities that is challenging to define and to grasp.
  Quite often, it is overlooked, diagnosed too late or neglected in neurocr
 itical care.\n\nThis talk will highlight the key traditional concepts of m
 etabolic encephalopathies encountered in the Neurocritical Care Unit and e
 xplore recent advances in the understanding of its pathophysiology, diagno
 stics and monitoring, clinical course, treatment, and outcome. Here, the c
 urrent data situation will be blended with the educational aims of the tal
 k. The presentation will explore the challenges of assessing and managing 
 metabolic encephalopathy in the NCCU, including when it co-exists with oth
 er, more dominant acute brain injury. It will eventually suggest a standar
 dized approach to metabolic encephalopathies via an SOP.\n\nTrack: Clinica
 l Practice\n\nFocus Area: Coma, General Critical Care, Global Neurocritica
 l Care, Hospitalist Practice, Multimodal Neuromonitoring (invasive/non-inv
 asive), Nerve and Muscle Disease, Nursing Pharmacology\n\nTarget Audience:
  Intermediate, Advanced\n\nSession Chair: Lori Shutter (UPMC, University o
 f Pittsburgh)
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