Neurosurgery Procedures & Complications
Hospitalists will likely be increasingly responsible for the co-management of neurosurgical patients and should be familiar with the most common neurosurgical procedures and managing potential medical complications.
II. Identify the Goal Behavior.
III. Describe a Step-by-Step approach/method to this problem.
Step 1: Determine Revised Cardiac Risk Index (RCRI) score
Step 2: Assess patient's functional exercise capacity
Spinal Decompression and Fusion
IV. Common Pitfalls.
Anticoagulation and antiplatelet therapy:
- Discuss with neurosurgeon before starting anything that could increase bleeding risk
Volume management in patients with subarachnoid hemorrhages:
- Balancing risk of vasospasm with cardiopulmonary status
- Titrating BP meds too fast
Long-term steroid use:
- GI prophylaxis, glycemic control, counseling on muscle wasting/confusion/increased bleeding risk
V. National Standards, Core Indicators and Quality Measures.
No national standards/benchmarks established yet.
Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
Sign Up for Free e-newsletters
Infectious Disease Advisor Articles
- Many Linens Delivered To US Hospitals Contaminated With Mucorales Mold
- Oral Urinary Tract Infection Treatments
- Treating Pseudomonas aeruginosa Infections: Highlights From IDWeek 2018
- Local Gentamicin Application Ineffective in Treatment of Periprosthetic Joint Infection
- CDC Probe Continues as Cases of Acute Flaccid Myelitis Rise
- CDC: Increase Seen in Salmonella Illnesses From Ground Beef
- Hepatocellular Carcinoma Risk Following Antiviral Therapy for HCV Examined
- Does Obesity Impact Virological Response in HCV Patients on DAA Therapy?
- Direct-Acting Antiviral Therapy Uptake Examined Among HCV Patients
- HIV Seroconversion Despite PrEP Therapy