Pharmacology
General spectrum of activity Antimicrobial Typical daily dosing range (admixture in preservative-free solutions) Common adverse effects Gram positive Vancomycin 10–20 mg /1 mL NS Headache, mental status changes, possible hyponatremia…
NEUROSURGERY
Aneurysmal Subarachnoid Hemorrhage
Fig. 4.1 This 61-year-old woman presented with a sudden-onset, severe headache. (a) A CT head (axial) demonstrates a starburst pattern of subarachnoid hemorrhage. (b) A 3D reconstruction of a CTA…
Spinal Cord Injury
Absolute indications Complete spinal cord injury above C5 level Respiratory distress Hypoxemia despite attempts at oxygenation Severe respiratory acidosis Relative indications Complaint of shortness of breath Development of quad breathinga…
Malignant Ischemic Stroke and Hemicraniectomy
Fig. 8.1 Left-sided malignant middle cerebral artery infarction evolving over 4 days (Images courtesy of Eric Jüttler) Fig. 8.2 Computed tomography (left, transversal) and magnetic resonance imaging (right, coronar) after…
Seizures and Status Epilepticus
Semiology for focal-onset seizures Frontal lobe Disinhibited behaviors Confusion Automatisms Temporal lobe Confusion Auditory hallucinations Chewing, lip smacking Parietal lobe Paresthesias (warmth, cold, tingling, numbness) Loss of awareness Confusion Occipital…
Traumatic Brain Injury
Fig. 10.1 Typical radiological appearance of the various primary injuries in TBI. (a) Non-contrast axial CT demonstrating right > left frontal lobe contusions with hemorrhage; (b) non-contrast axial CT demonstrating…
Helpful Links and Resources
© 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_24 24. Helpful Links and Resources David Tong1 and Jessica L. White1 (1) Yale University, New Haven, CT, USA …
Airway and Ventilation Management
Adjunct Liters per minute (LPM) FiO2 provided Nasal cannula Up to 6 Up to 50% Simple face mask Up to 10 Up to 60% Venturi mask Up to 12 Up…
Goals of Care and Difficult Conversations
© 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,…
Hypoxic-Ischemic Injury After Cardiac Arrest
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…
