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NCS Currents June 2016

Virginia Commonwealth University Medical Center Neurocritical Care Program By Ahmad Bayrlee, MD, Warren Felton, MD, and Gretchen Brophy, BCPS, FNCS Virginia Commonwealth University (VCU) Medical Center’s Neuroscience Intensive Care Unit (NSICU) is state-of-the-art and the largest in the state of Virginia, equipped with 24 beds dedicated to providing outstanding neurocritical care for a variety of challenging conditions 24 hours a day, 7 days a week. Drs. Courtenay Leahman and Ahmad Bayrlee serve as NSICU co-directors. Every patient in the NSICU is managed by a highly trained, specialized, multidisciplinary team that provides a collaborative effort between neurointensivists, neurosurgeons, neurologists, radiologists, pharmacists, critical care nurses, respiratory therapists, nutritionists, rehabilitation therapists, and social workers who all work together to achieve coordinated care for the critically ill patient. Patients in the NSICU are co-managed by board certified NSICU attending physicians and the attending physicians and residents of the admitting service – the Department of Neurology and the Department of Neurosurgery. The NSICU is staffed by four attending physician neurointensivists (Departments of Neurology, Anesthesia and Critical Care Medicine), who provide care 24 hours a day, 7 days a week, supplemented by additional resource intensivists. Neurosurgeons and neurologists admit patients to the NSICU 24/7. Resident physicians from the Departments of Neurology, Neurosurgery, and Anesthesiology work to foster an environment of safety and recovery. The NSICU has received the Beacon Award for critical care excellence from the American Association of Critical Care Nurses since 2010. The NSICU is an essential component of the VCU Comprehensive Stroke Center. VCU is Virginia’s first and only Comprehensive Stroke Center certified by The Joint Commission and is directed by Dr. Warren L. Felton III, Professor of Neurology, and Stacie Stevens, PhD, FNP-BC, RN, Stroke Program Coordinator. VCU is an academic referral center providing comprehensive diagnosis, treatment, and care for over 750 patients annually with ischemic stroke, transient ischemic attack, subarachnoid hemorrhage, brain aneurysms, intracerebral hemorrhage, extracranial and intracranial arterial disease, arteriovenous malformations, and other cerebrovascular diseases. The American Heart Association recognizes VCU as a Get WithThe Guidelines Gold/Gold Plus Performance Achievement Hospital for stroke since 2010 and an inaugural Target Stroke Honor Roll/ Elite Plus Hospital since 2011. VCU multidisciplinary comprehensive stroke care includes faculty vascular neurologists, cerebrovascular neurosurgery specialists, emergency medicine stroke champion physicians, neurointensivists, neurocritical care nurses and pharmacists, advanced practice providers, neuroradiologists, vascular surgeons, and physicians specializing in stroke physical medicine and rehabilitation. VCU LifeEvac provides air ambulance transfer for central Virginia and beyond. VCU delivers thrombolytic treatment in a median time of 30 minutes from ED arrival for patients with acute ischemic stroke. Multimodal CT and MRI neuroimaging is used in the diagnosis of ischemic and hemorrhagic stroke patients, including two spiral CT units in the Emergency Department and another adjacent to the NSICU. VCU cerebrovascular neurosurgeons perform emergency thrombectomy for acute ischemic stroke and endovascular and surgical management of cerebral aneurysms and AVMs in the East Coast’s first hybrid OR/endovascular suite. John Reavey-Cantwell, MS, MD is Director of Cerebrovascular Neurosurgery. FEATURED PROGRAM 24


NCS Currents June 2016
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