Procedures and Protocols in the Neurocritical Care Unit

This practical book covers neuro-critical care procedures performed in medical or surgical ICU and different procedures dedicated to acute neurological care.

The book's format allows for quick decisions about care and protocols while treating neurologically injured patients. Divided into two sections, the first focuses on procedures. The outlines of these chapters include indication, technique, types of kits available, and challenges. The second section covers the protocols; these chapters feature flowcharts, drugs/device, doses of drugs, description of device, indication, evidence, and future prospects.

This succinct guide will serve as a go-to reference for residents, fellows, intensivists, or any healthcare personnel within neuro-critical care unit.

Procedure Skills:

Vascular access: Peripheral, Central, Pulmonary Artery, Arterial

Airway access: Endotracheal Intubation, Laryngeal Airway, Direct laryngoscopy,Bronchoscopy,Percutaneous Tracheostomy, Cricothyroidotomy

Intracranial Access: Camino, External Ventricular Drain, Licox, Intraventricular drug administration, Subdural drain placement

Thoracic Access: Thoracocentesis, Chest tube insertion, Pericardiocentesis

Abdominal Access: Paracentesis

Spinal Access: Lumbar puncture, Intrathecal drug administration

Ultrasound Skills: Transcranial Doppler, Vascular, Abdominal, Cardiac, Lung

Protocols:

Sedation Management

Intracranial Pressure Management

Sepsis

Temperature Modulation

Status Epilepticus

Mechanical Ventilation and Ventilator Weaning

Percutaneous Tracheostomy Care

Hemodynamic Monitoring

Vasospasm in SAH

Endotracheal Intubation

Phenobarbital

Diabetic Ketoacidosis

Electrolyte management

Plasmapheresis and Intravenous Immunoglobulin