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FEATURED PROGRAM State-of-the-Art Neuro ICU Launches at New Parkland Memorial Hospital By Michael Rubin, MD Its dimensions and price tag are Texas-sized, University of Illinois at Chicago. His research interests comparable in size and cost to the Dallas include blood pressure management in stroke, osmotic Cowboys’ AT&T Stadium. The massive therapy, and quality improvement in the ICU. new Parkland Memorial Hospital in Dallas opened for patient care on Aug. 20, 2015, Christiana Hall, MD, FNCS established the UT launchinga new chapter in the 121-year Southwestern neurocritical care fellowship and garnered history of the legendary hospital. The largest its UCNS Certification in 2009. She formerly served healthcare construction project in the nation, on the NCS Board of Directors and is a member of the the new medical complex encompasses 2.8 NCS Research Committee. She is currently the Medical million square feet, has 862 private patient Director of the Parkland Neurocritical Care Unit and now rooms, and cost $1.326 billion. leads our installation into our new free-standing Neuro ICU. She is the PI for recruitment for the 1,400-patient, One of the busiest hospitals in the U.S., Parkland is also a teaching 60-site SHINE trial of glucose management in acute hospital for The University of Texas Southwestern Medical ischemic stroke (NIH/NINDS U01 NS069498). Center. State-of-the-art technology, evidence-based healing design concepts, and sustainability are hallmarks of the new David McDonagh, MD is a recent addition to the UT safety net hospital that replaced the aging 60-year-old hospital. Southwestern group and is vice chair of Anesthesia The new Parkland promotes excellence in clinical care, teaching, for Neuroanesthesia in addition to appointments in and research in a technologically-advanced and easily accessible Neurological Surgery and Neurology &Neurotherapeutics. environment. The hospital was designed and built with input He attended medical school at Georgetown University from physicians, nurses, and other clinical staff along with patients and trained at Duke University in neurology, and a community advisory committee. anesthesiology, and neurocritical care where he was fellowship director before taking a position at UT All of the neurosciences are housed together on the 16th floor of Southwestern. the massive 17-floor hospital, offering 66 private patient rooms, including 12 rooms dedicated to the Neuro ICU. Step down beds Michael Rubin, MD, MA trained in neurology at can be easily converted into ICU beds in the case of overflow. UT Southwestern before moving to St. Louis for his fellowship in neurocritical care at Washington University, Among the features of the new Neuro ICU: where he also took his first academic appointment while • Single, private patient rooms, each with large windows and concurrently earning a master’s degree in Bioethics and abundant natural light, private bathroom with shower, and a Health Policy from Loyola, Chicago. He currently serves as the NCS Ethics Committee co-chair and is Chair of family area with sleep-sofa to encourage family involvement with their loved one’s care the UT Southwestern Ethics Committee. His research • Each ICU room is equipped with ceiling-mounted EVD includes brain death, medical futility, and end-of-life booms designed to specifications of the Neuro ICU team decision making. that can be easily moved out of the way to facilitate care Stephen Figueroa, MD is a graduate of Saint Louis such as placing ventricular drains • A dedicated CT scanner located on the unit University Medical School, trained in neurology and • On-stage, off-stage model provides comfort for patients as neurocritical care at UT Southwestern, and is the current well as efficiency for staff fellowship director of neurocritical care. He has an • Advanced technology includes patient footwall digital interest in clinical research in traumatic brain injury and intracranial monitoring, as well as fellow and resident display screens in each room • Nurses and fellows carry special phones allowing secure training with previous recognition for excellence in texting of PHI, eliminating need for time-consuming paging teaching. He is leading our efforts as site PI for the and callback BOOST trial. • Open work areas facilitate staff interactions across Sankalp Gokhale, MD, is an assistant professor in disciplines neurology and neurotherapeutics and trained at Beth The neurocritical care group works in close collaboration with Israel Deaconess Medical Center/Harvard University as nursing leadership and the renowned neurological surgeons well as Duke University. He is interested in translational of UT Southwestern. Both groups have the same collaborative acute brain injury research. His research is currently relationship at the Zale Lipshy University Hospital of UT supported by Center for Translational Medicine (NIH Southwestern Medical Center. The new Neuro ICU at Parkland KL2) in the Neurorepair lab. In addition, he is PI for Memorial Hospital is staffed by six attending physicians from a randomized controlled trial evaluating the effect the UT Southwestern Division of Neurocritical Care within of noninvasive brain stimulation in stroke recovery, the departments of Neurology &Neurotherapeutics and supported by the American Heart Association. Neurological Surgery. Daiwai Olson, PhD, RN, FNCS is a researcher and clinician, Venkatesh Aiyagari, MBBS, DM is the Director of the Division of Director of the Neuroscience Nursing Research Center, co- Neurocritical Care at the UT Southwestern Medical Center and chair of the NCS Research Committee, and a member of the the Medical Director of the Zale Lipshy University Hospital. He NCS Board of Directors. Dr. Olson was recently appointed the received his neurology training at the National Institute of Mental editor-in-chief for the Journal of Neuroscience Nursing. He Health and Neurosciences in Bengaluru, India and at New York is an integral part of the Division of Neurocritical Care and University and then completed a neurocritical care fellowship mentors resident, nursing, and junior attending research. at Washington University in St. Louis. He has previously held academic faculty positions at Washington University and at the 26


232747_NCS Currents_December_2_eMag
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