Research Surveys

ACTIVE SURVEYS

A Survey on Monitoring and Management of Cerebral Vasospasm and Delayed Cerebral Ischemia After Subarachnoid Hemorrhage: The MANTRA Study

Cerebral infarction from delayed cerebral ischemia (DCI) represents the leading cause of mortality and morbidity in patients surviving initial subarachnoid hemorrhage (SAH).The aim of this project is to perform an international survey about practical issues (i.e. diagnosis, monitoring, prophylaxis and management) of cerebral vasospasm associated with DCI in SAH adult (> 18 years old) patients, requiring intensive care unit (ICU) admission. Main endpoints will be to examine a) diagnostic procedures; b) monitoring tools, c) prevention strategies and d) management options.
Target Audience: All Members
Duration: 10 minutes
Survey Closes: May 31, 2022

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Post-acute Symptomatic Seizure Investigation and Outcome Network (PASSION)

Acute seizures often occur at the time of or in close proximity to brain or systemic insult. Clinical seizures alone account for 40% of all afebrile seizures, with a 3.6% lifetime risk. Last decade has seen a 10-fold increase in continuous EEG monitoring (cEEG) that has resulted in detection of non-convulsive seizures and several epileptiform patterns. A recent large multi-center study demonstrated that a large number of the patients undergoing cEEG receive anti-seizure medications (ASMs) during the acute hospitalization based on cEEG findings, with significant variability across the three centers. To date, there is no guidelines for the optimal duration of treatment after acute symptomatic seizures. Due to lack of direct evidence guiding the management practice of acute symptomatic seizures and EEG abnormalities, it is unclear how long these patients should be treated with ASM. The investigators of this survey have formed a consortium called post-acute symptomatic seizure investigation and outcomes network (PASSION) which has been funded to prospectively enroll patients with acute seizures to examine long-term seizures and neurocognitive outcomes. As part of their Our aim through this study is to evaluate the management practices across the United States and identify any common practices, which will assist with future study design for multi-center randomized control trial of ASM in this patient population.
Target Audience: All Members
Duration: 10 minutes
Contact:  Sahar Zafar
Survey Closes: May 31, 2022

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Knowledge and Clinical use of Externalized ventricular drains and lumbar drain

Background: Patients with neurologic compromise often require emergency measures to promote brain function. One established clinical practice for patients with neurological compromise may include monitored drainage of cerebrospinal fluid. Patients with cerebrospinal drainage, including externalized ventricular drains (EVDs) and lumbar drains (LD) may experience high rates of infection or other device related complications. The mortality rate of patients with these devices remains high, and according to some reports, may approach 40%. Although nurses in neuroscience intensive care units and stepdown units often care for these patients, specific practices are known to vary widely.

Purpose: The proposed survey, entitled “Clinician survey- Knowledge and Clinical use of Externalized ventricular drains and lumbar drain” intends to explore the specific practices of nurses in relation to care of EVDs in an effort to identify best practices.
Target Audience: All Members
Duration: 10 minutes
Survey Closes: May 31, 2022

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Milrinone use in Neurocritical Care Setting

Delayed cerebral ischemia (DCI) following aneurysmal subarachnoid hemorrhage continues to be associated with high levels of morbidity and mortality. This complication had long been thought to be secondary to severe cerebral vasospasm, but now expert opinion favors a multi-factorial etiology, opening the possibility of new therapies. To date, no definitive treatment option has been recommended as standard of care, highlighting a need for further research into potential therapies. Milrinone has been identified as a promising therapeutic agent possessing a mechanism of action for the reversal of cerebral vasospasm, as well as potentially anti-inflammatory effects to treat the underlying etiology of DCI. Both intraarterial and intravenous administration have been evaluated for the treatment of DCI in single center case series and cohorts, and both appear safe and associated with improved clinical outcomes. Recent results have also brought attention to the potential benefit of early, more aggressive dosing and titration of milrinone being associated with improved outcomes. Limitations exist within the available data, however, and questions remain about the generalizability of results across a broader spectrum of patients suffering from DCI. There is currently no standardized protocol for the use of milrinone for the DCI indication and the prevalence of use is unknown. The purpose of this survey is to assess the current utilization of milrinone and practice habits and determine future direction for larger clinical trials evaluating milrinone efficacy for DCI.
Target Audience: MDs, APs, Pharmacists, Trainees (fellows, residents, medical students)
Duration: 10 minutes
Survey Closes: June 30, 2022

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NCS Educational Product Needs Assessment Survey

This short survey is intended to provide NCS feedback on the development of a quality improvement educational product. Endorsed by the NCS' quality committee, this short survey examines the current landscape of NCC QI and requests input from multidisciplinary neurocritical care professionals on a product that would be neurocritical care centric, endorsed by NCS and industry-leading in specific curriculum related to neurocritical care. The results of the survey will inform creation of this educational product.
Target Audience: All Members
Duration: 5 minutes
Contact: Abhijit Lele
Survey Closes: May 31, 2022

Click here to complete the survey.

 

 



PAST APPROVED SURVEYS

Name of Survey
Survey Opened
Contact Name

Utilization and Impact on Fellowship Training of Non-Physician Advanced Practice Providers in Neuro-Intensive Care Units of Academic Medical Centers: A Survey of Neurocritical Care Program Directors and Trainees
July 7, 2021
Marc Alain Babi

Systems-Based Hospital Practices of Acute TBI
April 7, 2021
Roy Poblete

Early Post-traumatic Seizure Prophylaxis: A Worldwide Survey on Current Practice
April 7, 2021
Gretchen Brophy

Point-of-Care Ultrasound (POCUS)/Critical Care Ultrasound (CCU)
April 7, 2021
Judy Ch'ang

NCS' Assessment of the Advance Practice Provider (APP) Response to COVID-19
September 11, 2020
Lindsay Marchetti

COVID-19 and Telehealth in the Intensive Care Unit Setting
September 11, 2020
Sarah Nelson

Acute Stroke Management of Tandem Occlusions during Mechanical Thrombectomy (MT) Survey
August 23, 2020
Santiago Ortega-Gutierrez

Perceptions of Health Care Providers Worldwide Regarding COVID-19 Pandemic & Its Impact on Patient Care, Resources, and Clinical Education
April 28, 2020
Sarah Wahlster

Practice Changes for Acute Ischemic Stroke During COVID-19
April 16, 2020
Tamara Strohm

Moyamoya Disease Survey of International Perioperative Practices

March 13th, 2020

Carolina B Maciel

Hypotension in the ICU
January 16, 2020
Ward van der Ven

Career Satisfaction
October 7, 2019
Shyam Rao

Sedation Management in Patients with Severe Traumatic Brain Injury Survey
August 13, 2019
Victoria Mcredie

Drug Shortages
July 18, 2019
Emily Durr

Laboratory Values that Preclude Brain Death Diagnosis
July 9, 2019
David Lerner

Determination of the Inter Rater Reliability of the modified Fisher Scale
July 2, 2019
Christopher Melinosky

Pharmacogenomics of Calcium Channel Blocker Medication in Stroke and Subarachnoid Hemorrhage
May 16, 2019
David Freeman

SURVEY SUBMISSION REQUIREMENTS


Pending approval from the Research Operations Sub-Committee, NCS Members are allowed the opportunity to post surveys for free-will participation from the NCS Membership. Surveys are reviewed by the Committee on a monthly basis. Following submission of the form you will receive a follow up email from NCS staff regarding whether your survey has been approved.

If you would like to be considered to have your survey to be posted, please review the following requirements:
1. Complete the required Submission Form below.
2. If accepted, complete a Feedback Survey after the survey has closed.

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