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New brain treatment at VCH

29/01/2019

Bradley Baylis doesn’t remember the day a moose crashed through his windshield. He doesn’t remember the first responders who found him in the ditch near Fraser Lake, BC, or the air ambulance flight to Vancouver General Hospital. “My first memory was waking up at VGH a few weeks later,” says Bradley. 

After being airlifted to VGH on August 26, 2018, doctors determined Bradley suffered a severe traumatic brain injury. His brain was extremely swollen. “He was on the verge of brain death,” says Dr. Mypinder Sekhon, Critical Care Medicine, VGH. The VGH care team deemed Bradley a good candidate for a new procedure known as brain microdialysis. He was the first patient in BC to receive the treatment.

Brain microdialysis

The technique allows doctors to optimize the cellular function of the brain. A quadruple lumen bolt is inserted through the skull.  A microdialysis catheter is then placed directly into the brain through one of the bolt lumens. A sterile solution is pumped into the brain via the microdialysis catheter with two lumens. The solution goes in one channel and comes out the other.  When it comes out, it contains molecules with important cellular function information indicating: neuron degradation, metabolism and cell functionality. The data is fed into an analyzer that gives a digital reading so medical teams can determine the optimal oxygen, glucose and other nutrients the patient needs to allow the brain to rest and recover. 


Photo above: Bradley Baylis in ICU at VGH.

Bradley's care team

Bradley was placed in a coma.  A month later he  went to GF Strong Rehabilitation Centre to receive the physical, cognitive and psychological supports he needed to get back to everyday living.  He’s now home in Prince George, recovering from his injuries. 

Photo above: Simmie Kalan (ICU Educator), Sphoa Goskyor (Social Worker), Jerrold Perrott (ICU Pharmacist), Allana Leblanc (ICU Nurse Specialist), Dr. Mypinder Sekhon, Tammy Wu (ICU Nurse). 

VGH’s specialized neurocritical care multi-disciplinary team is led by Dr. Mypinder Sekhon and Dr. Donald Griesdale, Critical Care Medicine. It is supported by an army of medical professionals including neurosurgeon Dr. Peter Gooderham and ICU educators Simmie Kalan and Jenny O'Mahony.  The research and clinical work has been able to expand thanks to generous funding from donors to the VGH & UBC Hospital Foundation and the VCH and PHC PLQI initiative. 

New tools and skilled teams 

“Bradley is an example of how new tools are saving lives,” says Dr. Sekhon. “But we have to remember it’s the people; in this case, the highly—skilled teams at VGH, who give patients like Bradley the best chance at survival and recovery.” 


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