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New NCS Guidelines Released: Read them Today! By Aaron Cook, PharmD and David Seder, MD Under the leadership of the previous co- Each guideline was developed by a diverse, multi-disciplinary team chairs, Jan Claassen and Gretchen Brophy, of practitioners from around the world. A librarian was utilized the NCS Guidelines Committee has to identify pertinent literature on each topic and the GRADE completed two clinical practice guidelines criteria were used to evaluate the strength and quality of evidence and one consensus statement. The process supporting each recommendation or suggestion in the guideline. of literature evaluation, grading, and writing of the recommendations culminated in Executive summaries of the ‘Guideline for Reversal of the publication of all three manuscripts in Antithrombotics in Intracranial Hemorrhage’ and ‘Prophylaxis of February 2016. Venous Thrombosis in Neurocritical Care Patients: An Evidence- Aaron Cook, Based Guideline’ will be co-published in the Critical Care Medicine PharmD The recommendations contained in each journal. Finally, these three guidelines will be submitted for of the guidelines and consensus statements distribution through the National Guidelines Clearinghouse. were presented at the NCS Annual Meeting in Scottsdale last October. These documents Readers can view all of the NCS guidelines and the individuals are intended to offer support to clinicians at involved in their development at the NCS website: http://www. the bedside, as well as some degree of practice neurocriticalcare.org/education-training/ncs-guidelines. standardization, and are a major contribution to clinical practice in our field. A new guideline is now underway focusing on the Practical Application of Targeted Temperature Management. The writing The three guidelines published in the committee co-chairs are Neeraj Badjatia, MD and Lori Madden, Neurocritical Care journal in February 2016 PhD, RN, ACNP-BC. David Seder, MD were: There will also be a call for topic recommendations later in 2016. • Guideline for Reversal of Antithrombotics in Intracranial As NCS members, you have the opportunity to contribute to these Hemorrhage (writing committee chaired by Jennifer processes – we hope you will “weigh-in” when the NCS sends out Frontera and John Lewin, III), in collaboration with the the call for ideas and let your opinions be known. Society of Critical Care Medicine • The Insertion and Management of External Ventricular Please also consider volunteering for the Guidelines Committee Drains: An Evidence-Based Consensus Statement (writing or getting involved in the writing group for future guidelines. Not committee chaired by Herbert Fried, Bart Nathan, Shaun all interested members can be accommodated, but expressing your Rowe, and Joseph Zabramski) interest is the first step to getting involved. • Prophylaxis of Venous Thrombosis in Neurocritical Care Patients: An Evidence-Based Guideline (writing committee Aaron Cook, PharmD is a clinical pharmacist at the University of chaired by Paul Nyquist, Cynthia Bautista, and Draga Kentucky and David Seder, MD is a neurointensivist at Maine Medical Jichici), in collaboration with the Society of Critical Care Center. They are co-chairs of the NCS Guidelines Committee and Medicine invited guest writers for Currents. 6


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To see the actual publication please follow the link above