Jeffrey J. Fletcher

TL;DR: Bedside ONSD measurement, performed by neurointensivists, is an accurate, non-invasive method to identify ICP > 20 mmHg in a heterogeneous group of patients with acute brain injury.

TL;DR: Percutaneous tracheostomy performed under real-time US guidance with visualization of needle path during tracheal puncture is feasible and appears accurate and safe, including in patients with morbid obesity and cervical spine precautions.

TL;DR: Specificity and PPV of ONSD for ICP >20 mmHg are substantially decreased in patients demonstrating acute fluctuation of ICP between high and normal, which may be because of delayed reversal of nerve sheath distension.

TL;DR: Overall, the development of an ICH significantly reduced survival compared with the natural history of patients on LVAD therapy and the authors' data suggest that withholding aspirin for 1 week and warfarin for 10 days is sufficient to reduce the risk of hemorrhage expansion or rehemorrhage while minimizing therisk of thromboembolic events and pump failure.

TL;DR: Alterations in blood flow and consistency, but not vessel injury, appear associated with symptomatic thrombosis following placement of PICCs in neurological intensive care patients.