Remember that Patients Undergoing Barbiturate Coma must have Adequate Electrophysiological Monitoring Jose I. Suarez MD High-dose barbiturates have been used for more than 60 years in critically ill neurologic patients….
Consider Last-Ditch Maneuvers to Lower Intracranial Hypertension in Impending Herniation Eliahu S. Feen MD Jose I. Suarez MD What to Do Elevated intracranial pressure (ICP), or intracranial hypertension, is a…
Obtain a Computed Tomography Scan of the Head Immediately after any Craniotomy or Intracranial Procedure if Patient’s Neurologic Examination is Different from Preoperative Assessments Jose I. Suarez MD Management of…
Be Aware that Increasing Positive End-Expiratory Pressure may Result in Increasing Intracranial Pressure Eliahu S. Feen MD Jose I. Suarez MD Watch Out For Positive end-expiratory pressure (PEEP) can cause…
Remember that there is Usually an Upward Drift in Some Intracranial-Pressure Monitor Readings The Longer they Have Been in Place Eliahu S. Feen MD Jose I. Suarez MD The normal…
Use Magnetic Resonance Imaging (Not Head Computed Tomography) as the Gold Standard Test for Diffuse Axonal Injury Eliahu S. Feen MD Jose I. Suarez MD Diffuse axonal injury develops most…
Calculate the Glasgow Coma Scale Using the Best Motor Response D. Joshua Mancini MD Rajan Gupta MD The Glasgow Coma Scale (GCS) was initially developed to assess the level of…
Do Not Give More than 7 Days of Antiseizure Medication in Head Trauma Lauren Paton MD Ronald F. Sing DO Among all patients with severe head trauma who receive medical…
Have an Extremely High Threshold in Giving Antihypertensives in Head Trauma M. Craig Barrett PharmD Ronald F. Sing DO Blood pressure control in the intensive care unit (ICU) can result…
Be Vigilant for Blunt Cerebrovascular Injury After Trauma Michael D. Grossman MD Understanding of the spectrum of blunt cerebrovascular injury has changed markedly during the past decade. In the past,…
