Neurointensivism

Code:

OPT191

Acronym:

NEUROINTENS

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2020/2021 - 2S (of 08-02-2021 to 31-07-2021)

Active?	Yes
Responsible unit:	Department of Medicine
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	3	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	5	-	3	24	81

Teaching language

Suitable for English-speaking students

Objectives

- Acquire knowledge on the management of critically ill patients with acute brain injury.
- Learn concepts about the physiology of the cerebral blood flow and multimodal neuromonitoring.
- Learn to do clinical evaluation at the bedside and integration of neurological, systemic and ancilliary information.
- Be acquainted with the clinical evolution of the most frequent diagnoses admitted in the Neuro-ICU.

Learning outcomes and competences

NeuroIntensive care is aimed to improve the management of severe neurological emergencies in Intensive Care
Medicine. The percentage of patients with acute brain injury admitted to the Intensive Care almost reaches 30%.
Knowledge of acute brain injury and familiarization with its semiology, complementary research and clinical
guidance are essential in the context of emergency and intensive care.
In addition, the development of the hospital organization in this area with specialized neurointensive care units has greatly increased in recent years and, consequentely the improvement of accessibility to health care and the adequate treatment of these patients has improved morbility and mortality.
Therefore, this UC aims to provide a longer time of clinical contact of students with the severe neurological
patient and deepen the pre-graduate training in the area of Neurointensivism.

Working method

Presencial

Program

- Neuroanatomy applied to clinical neurological assessment
- Consciousness disorders and neurological examination of the comatose patient
- Basic concepts on cerebral blood flow physiology and its regulation
- Multimodal neuromonitoring: concepts and types of monitoring
- Evaluation and interpretation of autorregulation, vasorreactivity and cerebral compliance at the bedside
- Traumatic Brain Injury
- Aneurysmatic Subarachnoid Hemorrhage
- Intracerebral Hemorrhage
- Ischemic stroke in the Neuro-ICU
- Seizures and Status Epilepticus
- Post-op of cranial neurosurgery
- Brain death and organ donation

Mandatory literature

Eelco Wijdicks; Critical and Neurocritical Care Board Review, Oxford Press University. ISBN: 978019086292

Complementary Bibliography

Hal Blumenfeld; Neuroanatomy through Clinical Cases, Sinauer Associates. ISBN: 978-0-87893-058-6

Teaching methods and learning activities

Theoretical sessions (3 hours):
- Applied Neuroanatomy and clinical evaluation
- Primary and Secondary Acute Brain Injury: TBI, Acute Cerebrovascular Disease (TBI, ICH, SAH) and Status
Epilepticus
- Basic concepts on cerebral blood flow physiology and its regulation

Seminars (3 hours):
- Interpretation of cerebral autorregulation, vasorreactivity, compliance and oxygenation at the bedside
- Multimodal neuromonitoring: concepts and types of monitoring
- Brain Death and Organ Donor

Practical sessions (16 hours):
- SMI 8 Neurocríticos (8 hours for each groups of 2 students) with ratio tutor/student 1/2.

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	40,00
Apresentação/discussão de um trabalho científico	60,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Apresentação/discussão de um trabalho científico	59,00
Frequência das aulas	22,00
Total:	81,00

Eligibility for exams

Course unit attendance is conditioned to the presence of the student in 75% of the total number of practical classes.

Calculation formula of final grade

Evaluation (2 hours):
- Self-assessment: 40%
- Presentation and discussion of Clinical case or Published Paper: 60%

Final classification (0 to 20 Marks).