Neurocritical Care

Herb A. Phelan

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This is a unique question-and-answer chapter for surgical residents and trainees, concentrating on the neurocritical care. A number of studies have consistently demonstrated no role for steroids in the management of acute traumatic brain injury. Steroids are still occasionally used to treat headaches that accompany concussion syndrome, but this is usually in the later stages of the injury and presumably reduces the mild vasogenic edema. The vasogenic edema associated with brain tumors are also treated with steroids on occasion with good symptomatic relief. As with most medical devices used in the intensive care unit, ventriculostomy removal should occur as soon as possible when the perceived risk of complications outweighs the benefits of their use. Ventriculostomy catheters are used extensively for both elective and traumatic brain injury neurosurgical patients, but there are very little controlled randomized data to definitively answer the question of true infection risk.

Original languageEnglish (US)
Title of host publicationSurgical Critical Care and Emergency Surgery
Subtitle of host publicationClinical Questions and Answers: Second Edition
PublisherWiley-Blackwell
Pages189-198
Number of pages10
ISBN (Electronic)9781119317913
ISBN (Print)9781119317920
DOIs
StatePublished - Apr 3 2018

Keywords

  • Acute traumatic brain injury
  • Brain tumors
  • Concussion syndrome
  • Headaches
  • Neurocritical care
  • Neurosurgical patients
  • Vasogenic edema
  • Ventriculostomy catheters

ASJC Scopus subject areas

  • Medicine(all)

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