© Springer International Publishing AG 2018Jessica L. White and Kevin N. Sheth (eds.)Neurocritical Care for the Advanced Practice Clinicianhttps://doi.org/10.1007/978-3-319-48669-7_19 19. Goals of Care and Difficult Conversations Christine Hudoba1 and David Y. Hwang1 (1) Yale University, New Haven, CT,…
Fig. 17.1 Evaluation of hypoxic ischemic injury algorithm. S sedatives, A analgesics, B neuromuscular junction blockers, H hypothermia MRI may become abnormal if repeated, but there are patients with repeatedly…
© Springer International Publishing AG 2018Jessica L. White and Kevin N. Sheth (eds.)Neurocritical Care for the Advanced Practice Clinicianhttps://doi.org/10.1007/978-3-319-48669-7_1 1. The Role of Advanced Practice Clinicians in the Neuroscience ICU Jessica L. White1 and Kevin N. Sheth1 (1) Yale…
Fig. 13.1 Neurological infection workup and management algorithm 13.3.3 Empirical Antimicrobial Therapy The next step in the management of CNS infections is to start antibiotic treatment. Antibiotics should be started…
SSRI, selective serotonin reuptake inhibitors; MAO, monoamino oxidase. TABLE 14.2 Causes to Consider in Coma and Seizures Due to Toxins Coma Seizures Alcohols Tricyclic antidepressants Carbon monoxide Cocaine Benzodiazepines Amphetamines…
FIGURE 17.1 Assessment of level of sedation and delirium in the ICU. RASS, Richmond Agitation Sedation Scale (see Table 17.3); CAM-ICU, Confusion Assessment Method for the ICU: delirium is diagnosed…
Adapted from Wijdicks et al., 2010. ABG = arterial blood gas; BP = blood pressure; CPAP = continuous positive airway pressure; PEEP = positive end expiratory pressure; TMJ = temporomandibular…
FIGURE 25.1 Differential diagnosis between cerebral salt wasting (CSW) and syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Some patients with aSAH become extremely polyuric, and this tends to occur…
CT angiogram of the chestSepsis*White blood cell countBlood culturesSerum lactic acidSeizuresElectroencephalogramNeuroleptic malignant syndromeHistory of neuroleptic exposureSerum creatine kinaseResponse to dantroleneSerotonin syndromeHistory of use of proserotonin drugsSerum creatine kinaseResponse to cyproheptadineAlcohol…
FIGURE 7.1 CT perfusion revealing a large mismatch between the areas of reduced cerebral blood volume (A) and decreased cerebral blood flow (B). Our patient represents a common clinical scenario—major…
