CriticalMindAI — NeuroICU Clinical Intelligence Platform

Bedside TPUG Checklist

An interactive pre-procedure verification checklist for bedside tracheostomy and percutaneous ultrasound gastrostomy (TPUG) in the NeuroICU. Covers patient scope, VISAGE scoring, eligibility criteria, safety sign-offs, and required documentation.

Patient Scope Verification

• Adult patient in NeuroICU setting confirmed
• Neurological diagnosis requiring prolonged ventilatory support
• Exclusion criteria reviewed and documented (coagulopathy, unstable hemodynamics, etc.)

VISAGE Assessment

• GCS on admission recorded
• Bulbar dysfunction documented
• Day 1 VISAGE score calculated
• Day 3 VISAGE score calculated
• High-risk threshold met on Day 1 or Day 3
• Neuroprognostication approach documented

Pre-Procedure Safety

• Neurology attending sign-off obtained
• Critical care and surgery consents complete
• Coagulation labs within acceptable range
• Ultrasound availability confirmed for PUG guidance
• Respiratory therapy notified and available
• Family informed consent documented

Related Resources

• VISAGE Score Calculator — eligibility scoring
• Clinical Protocols — full timeline and procedure guidance
• Combined Trach + PUG Pathway — evidence and technique
• Training Module 3 — Clinical Protocols & Safety

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