HOT TOPICS: Updated ICH Antithrombotic Reversal Guideline

In this episode of the NCS Podcast Hot Topic series, host Eric Lawson, MD, is joined by Mona Kumar, MD, of the University of Pennsylvania, Lori Kennedy,  PhD, RN, ACNP-BC, of UC Davis Health, and Meghan Vallejo, PharmD, BCCCP, of Temple University Hospital: three members of the multidisciplinary panel behind the newly published "Treatment of Antithrombotic Associated Intracranial Hemorrhage in Adults: A Focused Guideline Update from the Neurocritical Care Society and Society of Critical Care Medicine."

The conversation opens with how this focused update differs from the society's 2016 guideline, including a narrower set of clinical questions and a considerably more rigorous review process built around systematic reviews, formal risk of bias tools and a diverse voting panel that included a patient representative. From there, Drs. Kumar, Kennedy and Vallejo talk through several of the panel's toughest calls, weighing where the evidence was strong enough to guide practice and where long standing bedside habits are still running ahead of the data.

The conversation then turns to where these recommendations fit into broader ICH care pathways, what still needs to be studied, and where the panel sees a role, and a limit, for AI in future guideline development.

The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.