Medical Management of Neurosurgical Patients

Emerging as a new sub-specialization within the hospitalist community, the neurosurgery hospitalist provides preoperative risk stratification, advises on managing pre- and postoperative complications, and helps doctors make decisions about when to involve specialists other than neurosurgeons. This collaborative approach to the neurosurgery patient has been shown to offer effective care since hospitalists can be better attuned than specialists to multiple medical problems that most patients have. Medical Management of Neurosurgical Patients is a first of its kind textbook providing a standardized source of information for neurosurgery hospitalists in order to establish a common ground and improve their knowledge and training. The work will focus on management of CNS infections, management of bleeding in the context of CNS surgery (a potentially catastrophic complication), management of sodium and blood glucose levels including steroid-induced hyperglycemia, perioperative pain control, and management of pressure injuries and rehabilitation in the context of CNS injury.

Dr. Daniel is an attending physician taking care of neurosurgery and orthopaedic spine surgery patients at the Thomas Jefferson University Hospital and the Jefferson Hospital for Neuroscience. He also serves as the Lead Farber Hospitalist at the Jefferson Gibbon Building and leads his own laboratory at the Center for Translational Medicine of the Department of Medicine. His research aims to develop and test innovative methods to prevent HIV-1 infection, with a particular focus on women's health. He lives in Ambler, Pennsylvania with his wife and two children.Dr. Harrop serves Thomas Jefferson University as their Division Director of Hospital Medicine for the Vickie and Jack Farber Institute of Neuroscience. In collaboration with 14 other Hospitalists, Dr. Harrop provides co-management services for Thomas Jefferson University's Department of Neurosurgery. Dr. Harrop lives outside of Philadelphia with her Husband and two children.

TABLE OF CONTENTS 1. COMMON NEUROSURGICAL PROCEDURES Kevin Hines, Stavropoula Tjoumakaris, Pascal M. Jabbour, Robert H. Rosenwasser, and M. Reid Gooch 2. PRE-OPERATIVE EVALUATION OF NEUROSURGICAL PATIENTS Aditya Munshi and Geno Merli 3. MEDICAL MANAGEMENT OF PATIENTS WITH SUBARACHNOID HEMORRHAGE OR INTRACRANIAL HEMORRHAGE AND INCREASED INTRACRANIAL PRESSURE Ahmad Sweid, Pascal M. Jabbour, Sage P. Rahm, Stavropoula Tjoumakaris, Michael R. Gooch, and Robert H. Rosenwasser 4. ROLE OF HOSPITAL MEDICINE IN MANAGEMENT OF INTRACRANIAL BRAIN TUMORS Donald Y. Ye, Thana Theofanis, Tomas Garzon-Muvdi, and James J. Evans 5. ANTIEPILEPTIC MEDICATION USE IN NEUROSURGICAL PATIENTS Megan Margiotta and Timothy Ambrose 6. ACUTE SPINAL CORD INJURY Geoffrey Stricsek, Omaditya Khanna, Alexandra Emes, and James Harrop 7. MANAGEMENT OF BLEEDING DISORDERS IN THE NEUROSURGICAL PATIENT Vedavyas Gannamani and Sanaa Rizk 8. FEVER IN THE NEUROSURGICAL PATIENT Rakhshanda Akram, Crystal Benjamin, Linda Mwamuka, and Katherine A. Belden 9. DIAGNOSIS AND MANAGEMENT OF SODIUM DISORDERS IN THE NEUROSURGICAL PATIENT Jesse Edwards, Sharad Sharma, and Rakesh Gulati 10. BLOOD GLUCOSE MANAGEMENT IN THE NEUROSURGICAL PATIENT Kevin Furlong and Satya Villuri 11. MANAGEMENT OF PRESSURE INJURIES IN NEUROSURGICAL PATIENTS Rene Daniel and Barak Abai 12. PERIOPERATIVE OPTIMIZATION OF PAIN CONTROL IN PATIENTS UNDERGOING SPINAL SURGERY USING MULTIMODAL ANALGESIA Newton Mei and Ashwini D. Sharan 13. REHABILITATION MEDICINE IN THE NEUROSURGICAL PATIENT Catriona M. Harrop, Kristin Gustafson, Swathi Maddula, James Bresnahan, and Philip Koehler 14. PALLIATIVE CARE IN THE NEUROSURGICAL PATIENT Michael Liquori, Kathleen Mechler, John Liantonio, and Adam Pennarola