Pharmacology
Pharmacology ▪Minimal Alveolar Concentration (MAC) Effects of Common Anesthetics on MAC Halothane Isoflurane Enflurane Sevoflurane Desflurane Nitrous Oxide Odor − + − − ++ − MAC 0.75 1.17 1.63 1.80…
Intravenous Fluids
Intravenous Fluids ▪Fluid Maintenance Maintenance rate Maintenance requirements: (4-2-1 Rule) 1-10 kg = 4 cc/kg/hr 40 cc (110 cc for a 70 kg pt) 11-20 kg = 2 cc/kg/hr 20…
Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit
Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit Neurologists and neurosurgeons in the neurological intensive care unit (neuro-ICU) frequently must decide on the level of care to…
Spinal Cord Injury
Spinal Cord Injury Approximately 10,000 patients a year in the United States are rendered paraplegic or quadriplegic as a result or injuries to the spinal cord. There are an estimated…
Viral Encephalitis and Bacterial Meningitis
Viral Encephalitis and Bacterial Meningitis In the past 20 years the complexity of caring for patients with acute encephalitis and meningitis in the critical care setting has increased. This is…
Status Epilepticus
Status Epilepticus Status epilepticus (called “status” throughout this chapter) is a life-threatening neurological emergency with a high mortality and morbidity. In several series it accounts for 1% to 8% of…
Treatment of the Critically Ill Patient with Myasthenia Gravis
Treatment of the Critically Ill Patient with Myasthenia Gravis Myasthenia gravis (MG) is an uncommon disorder of immune pathogenesis that affects neuromuscular transmission and causes regional and generalized fatigable weakness….
Critical Care of Guillain-Barré Syndrome
Critical Care of Guillain-Barré Syndrome Guillain-Barré syndrome (GBS), as it is commonly known, or acute inflammatory polyneuropathy, is the most frequent cause of acute and subacute generalized paralysis now that…
Hypoxic-Ischemic Cerebral Injury
Hypoxic-Ischemic Cerebral Injury The cerebral effects of cardiac arrest are not strictly a neurological intensive care unit (neuro-ICU) problem; neurologists and intensivists are called on to give authoritative opinions regarding…
