Neurosurgery for the Hospitalist-References

References

Pdf Summary

The referenced document "Neurosurgery for the Hospitalist (2025-2028)" provides comprehensive coverage of neurosurgical topics pertinent to hospital-based care. It includes extensive citations on the management of intracranial hemorrhages such as acute and chronic subdural hematomas, subarachnoid hemorrhage, and intracerebral hemorrhage, emphasizing epidemiology, surgical options (craniotomy, decompressive craniectomy), critical care strategies, and complications. There is significant focus on aneurysmal subarachnoid hemorrhage including grading scales, treatment guidelines, outcomes, delayed cerebral ischemia, and monitoring strategies.<br /><br />The document also covers brain tumors, including epidemiology, diagnosis, and management of primary and metastatic lesions, surgical risks, and perioperative considerations. Pituitary adenomas and their surgical approaches (endoscopic vs microscopic transsphenoidal surgery) are discussed along with postoperative complications and endocrine management.<br /><br />Spine-related neurosurgical conditions such as degenerative cervical myelopathy, cervical radiculopathy, lumbar spinal stenosis, and postoperative spinal epidural hematomas are addressed with discussions on incidence, risk factors, and management strategies.<br /><br />Additionally, management of elevated intracranial pressure and cerebral edema is detailed with current evidence on hypertonic saline, mannitol, targeted temperature management, and corticosteroid use. The document emphasizes coagulation management in neurosurgery including reversal of anticoagulation in intracranial hemorrhage, risks of antiplatelet and anticoagulant therapies, and timing of resumption post-neurosurgical procedures.<br /><br />Venous thromboembolism prophylaxis in neurosurgical patients is another important theme, analyzing safety and efficacy of heparins and compression devices, especially in brain tumor and hemorrhage patients. The document consolidates evidence-based guidelines from multiple societies (AHA/ASA, Neurocritical Care Society, ACC) and clinical trials to inform acute and perioperative neurosurgical care, making it a valuable resource for hospitalists managing neurosurgical patients.

Keywords

Neurosurgery

Intracranial hemorrhage

Subdural hematoma

Subarachnoid hemorrhage

Brain tumors

Pituitary adenomas

Spinal neurosurgery

Intracranial pressure management

Coagulation management

Venous thromboembolism prophylaxis