Acute Pulmonary Edema After Major Trauma
FIGURE 19.1 Note displaced femur fracture. (A) Serial chest X-rays in patient example: B) normal on admission and C) diffuse pulmonary edema 12 hours later. What do you do now?…
Approach to Organ Donation
31 Approach to Organ Donation A 51-year-old man with poorly controlled hypertension and severe congestive heart failure was admitted with a devastating ganglionic hemorrhage. Soon after arrival he was intubated…
Do-Not-Resuscitate Orders and Withdrawal of Life Support
FIGURE 29.1 CT scan showing a massive right intraparenchymal hematoma with intraventricular extension, hydrocephalus (A), and brain tissue displacement causing complete effacement of the basilar cisterns (B). End-of-life care in…
Drug Interactions
Decreases effectPhenytoinTheophyllineCorticosteroids(dexamethasone)WarfarinCarbamazepinePhenytoinWarfarinBarbituratesPhenytoinCorticosteroidsTricyclicantidepressantsWarfarinIncreases effectValproic acidWarfarin Related posts: Surgery for Cerebral Hemorrhage Failure to Awaken After Surgery Choices in Refractory Status Epilepticus Do-Not-Resuscitate Orders and Withdrawal of Life Support Acute Delirium Hyponatremia…
Decisions in Persistent Vegetative State
28 Decisions in Persistent Vegetative State A 17-year-old teenager remained comatose 2 weeks after a severe traumatic brain injury. During the first days following the accident, he was treated for…
Diabetes Insipidus After Brain Tumor Surgery
FIGURE 26.1 A) Preoperative MRI scan showing a large suprasellar enhancing mass with associated obstructive hydrocephalus. B) Postoperative MRI scan showing complete resection of the previously observed suprasellar mass. (Both…
Choices in Refractory Status Epilepticus
FIGURE 11.1 Algorithm for the management of status epilepticus. ABC, airway, breathing, circulation; CSF, cerebrospinal fluid; ED, emergency department; EEG, electroencephalography; ICU, intensive care unit; MV, mechanical ventilation. * The…
Weaning of the Ventilator in Myasthenia Gravis
FIGURE 24.1 Hypersecretion and neuromuscular respiratory failure in myasthenia gravis. Serial X-chest showing marked left atelectasis from a mucus plug (A) and gradual improvement after intubation and bronchoscopy (B, C)….
Acute Cardiac Arrhythmia After Acute Brain Injury
FIGURE 22.1 EKG: Atrial fibrillation and rapid ventricular response (A) with resolution (B). Cardiac arrhythmias and EKG changes are quite common in patients with critical neurologic illness, often need more…
Autonomic Failure After Guillain-Barr Syndrome
FIGURE 23.1 Marked dilated colonic loops on abdominal X-ray (A) and confirmed on abdominal CT scan (B). The treatment of patients with adynamic ileus is mostly parenteral nutrition for several…
