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.
Clinical Pain Advisor Articles
- Aetna-CVS Merger Approved
- Striking a Balance Between Opioid Surveillance and Patient Privacy
- Demographic Characteristics of Pregnant Women With Opioid Use Disorder
- Effects of Mindfulness Therapy, Pharmacologic Prophylaxis on Catecholamine Levels in Migraine
- Initial Consultation for Neck Pain May Reduce Opioid Consumption, Healthcare Utilization
- Perioperative Pain Management in Patients With Opioid Use Disorder
- Seven-Item Pain Intensity Measure Reliable in Individuals With Dementia
- Managing Comorbid Opioid and Alcohol Use Disorder
- Cannabinoid-Associated Analgesia May Be Mediated Through Modulation of Affective Processes
- Reviewing the Efficacy of Invasive Procedures for Chronic Back, Knee Pain
- What Do Clinicians Do in Response to Aberrant Urine Drug Test Results?
- Photo Elicitation on Social Media Can Provide Perspective to Patients With Chronic Pain
- Patients Assume Postoperative Opioids Are Best for Pain Relief
- Educational Disabilities More Likely With Neonatal Abstinence
- When Will Medicine Join the Women's Movement?