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Neurocritical care?


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  • 1 month later...

I am in Neurosurgery at a County Hospital and I round in the ICU/DOU.  Our post-op patient's are there for q1-2h neurochecks, usually for TBI, post-crani, or post severe spinal injuries, or high risk.

Some are in comas/sedated and have many lines--intub/vent dep/trach/PEG, etc.

 

Need to monitor lots of labs and work with the ICU/Medicine Team/Palliative care/Rehab and Social work teams for dispo after stable as patient have significant impairment.

 

Anti-seizure mgmt, reading lots of scans--CTH/MRI brain, watching sodiums, ICP, BP, vent status, and attending family meetings.  

Lots of GCS and cranial nerve assessments, aphasia assessments.

 

It can be grave.  I have done this for the past 13 months.   

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