Neurocognitive changes are common in the intensive care unit (ICU) setting. The post-operative period is a critical time when significant changes may be detected. However, a comprehensive and thorough neurologic examination can be impractical. The clinical context should focus the examination on features relevant to acute diagnosis and management.

Introduction to Webcast
Case One: Evaluation of Unexplained Stupor and Coma - Fred Rincon, MD, MS
Neuromonitoring: Continuous Electroencephalograph (EEG) and Lumbar Puncture - David B. Seder, MD
Case Wrap-Up: Putting It All Together - Fred Rincon, MD, MS
Case Two: Acute Deterioration in Aneurysmal Subarachnoid Hemorrhage (SAH) Case/Clinical Exam/Localization: Motor Exam, Eye Movements, SAH Grading, Classifications - Fred Rincon, MD, MS
Neuromonitoring and Neuroimaging: Computed Tomography Angiography (CTA)/Perfusion, Transcranial Doppler (TCD), Perfusion of Oxygen to the Injured Brain (PbtO2), Continuous EEG, Angiography - David B. Seder, MD
Case Wrap-Up: Putting It All Together - David B. Seder, MD
Case Three: Neuromuscular Respiratory Failure Case/Clinical Examination and Localization - David B. Seder, MD
Neuromonitoring and Pulmonary Function Tests (PFT) - Fred Rincon, MD, MS
Case Wrap-Up: Putting It All Together

Faculty

	Fred Rincon, MD, MS, FACP Assistant Professor Thomas Jefferson University Hospital Philadelphia, Pennsylvania, USA
	David B. Seder, MD Director of Neurocritical Care Maine Medical Center Portland, Maine, USA

Type of Activity:
This activity is intended to apply best practice methods for managing the ICU patient.

Competencies:
SCCM supports recommendations that will promote lifelong learning through continuing education. SCCM promotes activities that encourage the highest quality in education that will enhance knowledge, competence or performance in critical care practice. This activity will meet the following competencies:

• Practice Applications 
• Quality Improvement 
• Multiprofessional Teamwork

Course Objectives:

• Review standard tools and techniques for neurological evaluation of the unconscious patient
• Identify common clinical syndromes using case-based studies
• Discuss the interplay between neurological examination findings, neuroimaging and functional neuromonitoring