Historically, many patients admitted with congestion due to heart failure have been treated with furosemide monotherapy.  However, a strategy of furosemide monotherapy has numerous drawbacks:  Furosemide tends to stimulate production of dilute urine, leading to a greater amount of water loss than sodium loss.  Predominant loss of water may cause loss of volume from the […]

This chapter explores some general aspects of neurological infectious diseases, including important historical features and high-risk groups.  It also includes a more general discussion of lumbar puncture performance and interpretation. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes

This chapter explores the approach to acute neuromuscular weakness in the ICU, as well as selected disorders.  As with any acute presentation, an organized approach is essential.  Understanding the limitations of various tests is also critical (since there is considerable confusion about this). The IBCC chapter is located 👉 here. The podcast & comments are […]

Management of the a patient following craniotomy focuses on the fundamentals of supportive neurocritical care.  However, special attention is required to unique postoperative complications that may occur (depending on the procedure). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes

Imagine you’re in the ICU and the cuff of an ETT (endotracheal tube) ruptures.  You exchange it for a fresh ETT over a catheter, right?  Easy peasy.  Blind airway exchange over a catheter has been the standard practice in various ICUs that I’ve rotated through.  ETT exchange over a catheter is a simple and effective […]