SCCM Resource Library-My Patient Just Won't Wake Up: Now What? A Framework and Approach to Mystery Encephalopathy

My Patient Just Won't Wake Up: Now What? A Framework and Approach to Mystery Encephalopathy

Video Transcription

Video Summary

The speaker, a neurointensivist, discusses common issues faced with ICU patients who aren't waking up post-treatment, excluding those admitted for neurological reasons. They emphasize identifying reversible causes rather than labeling these as delirium or metabolic encephalopathy. Using the mnemonic "DOTS," they suggest checking for drug effects, osmotic demyelination (often post-sodium correction), thiamine deficiency, and assessing structural issues through a CT scan. They also recommend considering seizures via EEG testing. Key takeaways include reassessing medications, conducting simple tests like CT and EEG, and using thiamine generously.

Asset Caption

45-Minute Session | Difficult Diagnoses in the ICU

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

neurointensivist

ICU patients

reversible causes

DOTS mnemonic

thiamine deficiency

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