Carolina Maciel, MD

Dr. Maciel is a neurointensivist with dedicated training in EEG monitoring in critically ill patients. Dr. Maciel received her medical degree with honors from Universidade Federal Fluminense in Brazil, and completed her Neurology residency at Weill Cornell Medical College and Memorial Sloan Kettering Cancer Center. She subsequently moved to New Haven, where she underwent Neurocritical Care and ICU EEG fellowship training at Yale-New Haven Hospital.

Dr. Maciel’s interests include the humbling task of predicting neurologic outcome following acute brain injury, the mechanisms related to secondary brain injury in the neurocritically ill, and the critical care management of the potential organ donor. Dr. Maciel’s research focuses on improving neuroprognostication techniques and understanding the impact of cortical electrical phenomena (seizures and cortical spreading depression) after acute brain injuries.  Dr. Maciel is working to elucidate mechanisms responsible for transient neuronal dysfunction which could lead to delayed recovery, so that the ideal time window for neuroprognostication assessments can be reliably identified.

As a native Brazilian, Dr. Maciel is fluent in Portuguese and enjoys spending time off soaking up the sunshine.

Accurate prediction of the neurologic outcome is of utmost importance to guide families when making decisions regarding goals of care. Merging the patient’s expectations and goals with their prognosis will elevate a sense of hope in some and alleviate thoughts of despair in others.

The critical care physician commonly faces this challenging question. As advances in the field of resuscitation increase the number of survivors of cardiac arrest, the worldwide incidence of acute brain injury is soaring. Other similar scenarios can occur following intracerebral and aneurysmal subarachnoid hemorrhages, ischemic stroke, traumatic brain injury, and multiple other conditions in the intensive care unit.

As the treatment and care for acute brain injury patients is improving, it is important to develop further understanding of the neurologic prognosis of our patients. When the current knowledge in medicine does not offer a possibility for a cure, a better understanding of the prognosis will empower patients and families.

Research Interests

Dr. Maciel’s research focuses on improving neuroprognostication techniques and understanding the impact of cortical electrical phenomena (seizures and cortical spreading depression) after acute brain injuries. Dr. Maciel is working to elucidate mechanisms responsible for transient neuronal dysfunction which could lead to delayed recovery, so that the ideal time window for neuroprognostication assessments can be reliably identified.

Teaching Interests

Dr. Maciel’s infectious enthusiasm and dedication to sharing knowledge with peers and students resulted in receiving a teaching award during residency. Examining a patient with impaired consciousness is an art that Dr. Maciel’s enjoys teaching.

Awards and Recognitions

Resident Teaching Award 2014
Distinguished Housestaff Award 2013

Professional Affiliations

American Academy of Neurology
American Epilepsy Society
Neurocritical Care Society
American Clinical Neurophysiology Society
Brazilian Medical Association

Medical Education

Fluminense Federal University, School of Medicine, Niteroi, Rio de Janeiro, Brazil 2009

Internship

Internal Medicine, New York-Presbyterian Hospital & Memorial  Sloan Kettering Cancer Center, Weill Cornell Medical College, New York NY 2011

Residency

Neurology Residency, New York-Presbyterian Hospital & Memorial  Sloan Kettering Cancer Center, Weill Cornell Medical College, New York NY 2014

Fellowships

Neurocritical Care Fellow, Yale New Haven Hospital, Yale University, New Haven, CT 2016
Critical Care Electrophysiology Fellow, Yale New Haven Hospital, Yale University, New Haven, CT 2017

Selected Publications

Maciel CB, Morawo AO, Tsao, CY, Youn TS, Labar DR, Rubems EO, Greer DM. SSEP in Therapeutic Hypothermia Era. J Clin Neurophysiol 2017 May 25. Epub ahead of print.

Gilmore EJ, Maciel CB, Hirsch LJ, Sheth KN Review of the utility of prophylactic anticonvulsant use in patients in the neurological critical care unit, with a focus on intracerebral hemorrhage. Stroke 2016 Oct;47(10):2666-72

Maciel CB, Greer DM ICU Management of the Potential Organ Donor: State of the Art Curr Neurol Neurosci Rep 2016 Sep;16(9):86

Maciel CB, Gilmore EJ Seizures and Epileptiform Patterns in SAH, Risk Factors and Their Relation to Outcomes J Clin Neurophysiol 2016 Epub ahead of print

Maciel CB, Sheth KN Malignant MCA Stroke: an Update on Surgical Decompression and Future Directions Curr Atheroscler Rep 2015 Jul;17(7):5197.

For a complete list of publications click here.

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