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unihemispherically. The main takeaway message from this amazing experimental paradigm is that the ability to sustain cognitive performance on limited sleep challenges the dominant view that large daily amounts of sleep are required to maintain adaptive performance. We arrived in San Cristobal Island on Thanksgiving Day and after the stimulating new information that we acquired and a delicious dinner prepared by the staff of the USFQ Culinary School (yes, we did have turkey brought from the mainland!), the mood was set to dive into the serious health issues related to neurocritical care disorders in Ecuador and the rest of South America. We set up four breakout sessions to be able to work in a more efficient manner (Picture 5). These sessions and investigators are presented below: 1. Traumatic brain injury: Michel Torbey, Chris Lewandowski, Christos Lazaridis, Walter Videtta, Corina Puppo, Manuel Jibaja, Tamer Abdelhak, and Eduardo Costa. 2. Stroke: Nelson Maldonado, Jose I Suarez, Chethan P Venkatasubba Rao, Stelios M Smirnakis, Jorge H Mejia, Gissele Sampaio, Brian Silver, and Airton Leonardo de Oliveira Manoel. 3. Status epilepticus and epilepsy: Panos Varelas, Marian Spanaki, Rhonna Shatz, and Peter Lewitt. 4. Endovascular therapy: Santiago Ortega, Alexandros Georgiadis, and Edgar Samaniego. Each group was tasked with discussing the current situation in Ecuador, followed by the South America scenario, and then contrasting those to North America and European Union care delivery models. We learned a great deal from those and the summary discussions at the end of the summit. Summary manuscripts are currently being prepared with recommendations for improvement of care in Ecuador and South America for neurocritically ill patients and will be submitted for consideration for publication in Neurocritical Care. Our goal is to have these articles in print by the inauguration of the IV International Symposium on Neurocritical Care and Research, which will take place in Quito Nov. 20-22, 2017, preceded by a pre-meeting ENLS course in Spanish. Picture 5. Stroke working group (from left to right): Jose I Suarez, Chethan P Venkatasubba Rao, Stelios M Smirnakis, Jorge H Mejia, Nelson J Maldonado, Gissele Sampaio, 14 Brian Silver, and Airton Leonardo de Oliveira Manoel.


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