The Critical Care Scenarios podcast episode features Brandon Odo and Brian Bolling, along with neurocritical care expert Casey Albin, discussing the complexities of diagnosing and treating meningitis in the ICU. They delve into differentiating meningitis from septic encephalopathy, emphasizing key historical and clinical signs like headache, seizures, and vomiting. The discussion covers antimicrobial selection, the importance of lumbar punctures, interpreting CSF results, managing elevated intracranial pressure, and monitoring for seizures. The experts highlight the need for early diagnosis and tailored treatment to minimize mortality and long-term morbidity, especially in smaller centers where neurologic expertise may be limited.
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