The Tenth Annual Neuro ICU Symposium

Ten Years of Innovation and Education

May 10-12, 2023
The Westin Houston Medical Center
1709 Dryden Rd.
Houston, TX 77030

For questions, please email us.

2023 NeuroICUWelcome to the tenth annual Neuro ICU Symposium in Houston! Our conference continues to grow and evolve every year. We welcome attendees from diverse backgrounds and professions within the medical field, and our symposium is one of the most popular neurocritical care conferences in the country! This year, we celebrate our 10-year anniversary and a decade of innovation and education. We will host a record number of guest speakers, educators, and friends from multiple academic institutions in Houston and across the country.

Comprehensive sessions on vascular neurology, neurotrauma, and critical care medicine form the foundation of our 2 ½ day program. This year, we will feature a session dedicated to general neurology critical care and neurologic emergencies. We will discuss the rare but complex cerebrovascular complications of pregnancy. Our experts will update you on the cutting-edge management of cardiac arrest and advanced cardiac life support, including ECMO. Finally, we will focus on intracerebral pressure monitoring and the management of ICP crisis.

Nursing education has always been an important learning objective of our program. This year, we have added “nursing pearls” to review nursing tips in the lecture topics of the day. Real life patient experiences are always a highlight of our program and will be back by popular demand this year. These courageous stories will change your perspective on neurological illness. We will also present expert options on hot management topics from leaders in the field. This will include the popular “different viewpoints” and “cross-fire debate” sessions. Simulation sessions will allow for hands-on learning experiences in small groups with our faculty, designed for both physicians and nurses.

The Neuro ICU has become an exciting place for the clinicians, nurses, and staff who care for our patients. Each day of the symposium, our program is full of dynamic speakers with opportunities for audience involvement. Please join us for this exciting tenth annual Neuro ICU Symposium in Houston!

Tiffany R. Chang, M.D.Tiffany R. Chang, MD

Course Director and Committee Chair
Tenth Annual Neuro ICU Symposium
Associate Professor of Neurosurgery and Neurology
Director, Neurocritical Care Fellowship Program
Vivian L. Smith Department of Neurosurgery
McGovern Medical School at UTHealth
Houston, Texas


Featured Guest Speakers (in alphabetical order)

Ashley Aaroe, MD
Assistant Professor, Department of Neuro-Oncology,
Division of Cancer Medicine
The University of Texas MD Anderson Cancer Center

Bryce Bell, MD
Assistant Professor
Department of Orthopedic Surgery
Baylor College of Medicine
Texas Children’s Hospital

Gavin W. Britz, MD, MBBCH, MPH, MBA, FAANS
Candy and Tom Knudson Distinguished Centennial Chair in Neurosurgery,
Department of Neurosurgery
Director, Houston Methodist Neurological  Institute
Professor of Neurological Surgery,
Weill Cornell Medical College

Ira Chang, MD
Medical Director, Neurocritical Care
Blue Sky Neurology

Sung-Min Cho, DO
Assistant Professor of Neurology
Department of Anesthesiology and Critical Care
Medicine, Division of Neuroscience Critical Care
Johns Hopkins University

Melanie Kitagawa, MD
Assistant Professor, Section of Critical Care
Medical Director, Pediatric Intensive Care Unit
Baylor College of Medicine
Texas Children’s Hospital

Anh Nguyen, MD
Houston Methodist Hospital

Chethan Rao, MD
Associate Professor
Vascular Neurology and Neurocritical Care
Baylor College of Medicine

Khwaja Siddiqui, MBBS
Assistant Professor
Vascular Neurology and Critical Care
Baylor College of Medicine

David Victor III, MD
Assistant Professor of Clinical Medicine
Weill Cornell Medical College
Houston Methodist Hospital


DAY ONE: Wednesday, May 10, 2023
Acute Care of Neurologic Injury
7 a.m. Breakfast and Registration
8 a.m. Welcome Remarks: Celebrating 10 Years of the Neuro ICU Symposium
Tiffany Chang, MD
AM Session: Vascular Neurology
Vascular neurology is a continuously changing field. Catch up on what’s new and learn about the future direction of acute stroke management.
Moderators: Tiffany Chang, MD and James Grotta, MD
8:15 a.m. Thrombolysis and Intraarterial Thrombectomy: Where are we now?
James Grotta, MD and Mohammad Ahmad, MD
8:40 a.m. Current Approach to Carotid Revascularization
Ritvij Bowry, MD
9:05 a.m. Special Lecture 1:
Cerebrovascular Complications of Pregnancy
Ira Chang, MD
9:35 a.m. Panel Discussion/ Q&A
9:50 a.m. Break
10: 20 a.m. Advances in Monitoring and Management of Subarachnoid Hemorrhage
H. Alex Choi, MD
11:30 a.m. Special Lecture 2: Introduction by James Grotta, MD
Surgical Approach to Intracerebral Hemorrhage Due to Underlying Vascular Lesions
Gavin W. Britz, MBBCH, MPH, MBA, FAANS
Noon Panel Discussion / Q&A
12:10 p.m. Lunch
PM Session 1: Let’s mix it up!
Moderator: George Williams, MD
1:10 p.m. Neurocritical Care Trivia
George Williams, MD, and Jerah Stanford, ACNP
PM Session 2: Acute Care Neurosurgery and Neurotrauma
Management of neurosurgical emergencies is complex and requires a multidisciplinary team. Expert opinion and collaboration can help bridge the gap when there is a lack of evidence.
Moderator: Ryan Kitagawa, MD
1:40 p.m. Approach to Mild-Moderate TBI: Perspectives from a High-Volume Center
Ryan Kitagawa, MD
2:05 p.m. Management of Blunt Cerebrovascular Injury
Ashutosh Mahapatra, MD
2:30 p.m. Head Injury in Sports: Concussion Evaluation and Return to Play
James McCarthy, MD
2:55 p.m. Special Lecture 3: Common Orthopedic Injuries Encountered in Patients with TBI
Bryce Bell, MD
3:20 p.m. Panel Discussion / Q&A
3:35 p.m. Break
PM Session 3: Nursing Pearls for Day 1
4 p.m. Nursing Care for the Post-Thrombolysis and Post-Thrombectomy Patient
Anila Koshy, RN, BSN
4:25 p.m. Nursing Care for the Post-Op Neurosurgical Patient
Erika Quinn, ACNP
4:50 p.m. Panel Discussion / Q&A
5 p.m. Opening Night Welcome Reception and Exhibition
Poster Presentation (all invited)
DAY TWO: Thursday, May 11, 2023
Comprehensive Care for the Neuro ICU Patient
7 a.m. Breakfast and Registration
A.M. Session 1: Critical Care Medicine
Neurointensivists take care of the entire patient and not just the brain. Special considerations in management must be taken in the setting of brain injury and multiorgan failure.
Moderator: George Williams, MD
8 a.m. Special Lecture 4: Acute Respiratory Failure Related to COVID, RSV, and Influenza
Melanie Kitagawa, MD
8:25 a.m. Identification and Treatment of Toxidromes in the ER and ICU
Garret Winkler III, MD
8:50 a.m. Acute Liver Injury and Fulminant Hepatic Failure
David Victor III, MD
9:20 a.m. Renal Replacement Therapy in the Neuro ICU: Indications and Special Considerations
Dia Waguespack, MD
9:50 a.m. Panel Discussion / Q&A
10:05 a.m. Break
A.M. Session 2: Cardiac Arrest
Cardiac arrest is unfortunately a common indication for admission to the ICU. The care provided during and after the arrest is critical to the patient’s neurologic outcome.
Moderator: Luis Torres, MD
10:30 a.m. Different Viewpoints: Cardiac Arrest
10:30-10:50 Running the Code
Luis Torres, MD
10:50-11:10 a.m. Post-arrest Management
Aaron Gusdon, MD
11:10a.m. Special Lecture 5: Extracorporeal Life Support and Neurologic Monitoring
Sung-Min Cho, DO
11:40 a.m. Overview of Cardiac Assist Devices
Kha Dinh, MD
12:05p.m. Special Lecture 6: The Patient Experience: Cardiac Arrest
Introduction by Luis Torres, MD
12:30 p.m. Panel Discussion / Q&A
12:45 p.m. Lunch
P.M. Session 1: General Neurology and Neurologic Emergencies
From commonly encountered consults to rare neurologic emergencies, we will cover the spectrum of general neurology in the ICU.
Moderators: Chethan Rao, MD, and Sarah Wall, ACNP
1:45 p.m. Special Lecture 7: Diagnostic Pathway for Encephalopathy in the ICU
Khwaja Siddiqui, MBBS
2:10 p.m. Special Lecture 8: Continuous EEG in the ICU: Indications and Interpretation of the Data
Anh Nguyen, MD
2:35 p.m. Special lecture 9: Advanced Management of Super Refractory Status Epilepticus
Chethan Rao, MD
3:05 p.m. Special Lecture 10: Neurologic Emergencies in Neuro-Oncology Patients
Ashley Aaroe, MD
3:35 p.m. Panel Discussion / Q&A
3:50 p.m. Break
PM Session 2: Nursing Pearls for Day 2
Moderator: Sarah Wall, ACNP
4:15 p.m. Nursing Care for Patients with Cardiac Assist Devices or on ECMO
Alfredo Castro, RN, and Brandy Snipe, RN
4:40 p.m. Nursing Care for Patients in Pharmacologic Coma
Sarah Wall, ACNP
5:05 p.m. Panel Discussion / Q&A
5:15 p.m. Adjourn
Faculty Dinner Reception
6:30 p.m. Invited Speakers Dinner
DAY THREE: Friday, May 12, 2023
7 a.m. Breakfast and Registration
A.M. Session 1: Simulation Labs and Workshops
Join us for fun and interactive simulation labs and workshops. In just an hour, you will familiarize yourself with ventilator and airway management, IV/IO access, and bedside cranial procedures.
Moderator: George Williams, MD
8:00 a.m. Bedside Ventilator Troubleshooting and Airway Devices: Luis Torres, MD, and George Williams, MD
Obtaining IV Access, Ultrasound Guidance, and IO Access: Heather Hull, RN, and Haley Hendricks, RN
Bedside Intracranial Procedures and Monitoring: Ryan Kitagawa, MD, and Mark Dannenbaum, MD
A.M. Session 2: Focus on Intracranial Pressure: ICP Crisis
ICP is often monitored and treated in the neuro ICU. Learn more about what the numbers mean and how to use them in the context of clinical findings.
Moderators: Tiffany Chang, MD, and Lucy Zhang, MD
9 a.m. Intracranial Pressure and Advanced Neuromonitoring
George Williams, MD
9:25 a.m. Herniation Syndromes and Brain Code
Tiffany Chang, MD
9:50 a.m. Medications for the Treatment of Elevated ICP
Ngan Vo, PharmD
10:15 a.m. Role of Surgery in ICP Management
Ryan Kitagawa, MD
10:40 a.m. Panel Discussion / Q&A
10:50 a.m. Break
A.M. Session 3: Crossfire Debates- Hot Topics and Controversies
The main event: Experts in neurocritical care will argue both sides of these current issues. You get to hear them and vote for winners!
Moderator: Tiffany Chang, MD
Panel: George Williams, MD, Swathi Kondapalli, MD, Ryan Kitagawa, MD, Aaron Gusdon, MD, and Luis Torres, MD
11:20 a.m. Blood Pressure Should Be Aggressively Controlled with SBP Goal <140 mmHg After Successful Thrombectomy—Yes or No?
Yes – Ira Chang, MD
No – P. Roc Chen, MD
11:50 a.m. Asymptomatic Carotid Stenosis Should Be Treated Medically, Not Surgically—Yes or No?
Yes – James Grotta, MD
No – Joseph Cochran, MD
12:20 p.m. Adjourn

Hotel Accommodations

The Westin Houston Medical Center
1709 Dryden Rd.
Houston, Texas 77030

CME/CE Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Antidote Education Company and UTHealth Houston Neurosciences.

Antidote is accredited by the ACCME to provide continuing medical education for physicians. Antidote designates this live activity for a maximum of 18.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This nursing continuing professional development activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.

The Neuro ICU Symposium adheres strictly to the regulations and policies set forth by the ACCME and the Texas Medical Association. In order to maintain independence, fair balance, and validity, all program content is reviewed by Antidote Education Company. All faculty speakers, annual meeting committee members, and coordinators are obligated to fully disclose any potential conflicts of interest in providing support and/or content for this educational event.