Tamingthesru
Ketamine Fight Club: Ketamine in TBI
There has long been a concern for increases in ICP with administration of ketamine primarily stemming from reports of increased ICP in the Neurosurgery and Neuroanesthesia literature. These increases were described primarily in patients usually with CSF outflow obstruction undergoing elective neurosurgical procedures. In the time since these articles were published, the use of ketamine in a wide variety of patients with neurologic compromise has been reported. In fact, there have been a couple of recent systematic reviews and meta-analyses on this topic. These systematic reviews and meta-analyses have essentially analyzing all the same existing literature (which is generally poor in quality).
Grand Rounds Recap - 1/28/15
Mortality & Morbidity Conference with Dr. Bohanske
When volumes are high, remember the patient experience can be improved by acknowledging wait times when entering the room and apologizing for their wait.
Transverse myelitis is a result of partial inflammation of the spinal cord that can sometimes lead to necrosis.
- The disease process is often progressive and function does not always return after treatment.
- Most commonly this is idiopathic in nature but it is often attributed to a post-infectious inflammatory state.
- Differential diagnosis should always include cord ischemia versus compression, and diagnosis hinges on a T2-weighted MRI.
