2024 AANS Neurosurgical Topics for APPs - On-Demand-Common Infusions in the Neurosurgical ICU

Video Transcription

Video Summary

In this presentation for the American Academy of Neurological Surgery, the speaker provides a comprehensive overview of common infusions used in neurosurgical ICUs, emphasizing vasopressors and sedation agents. Key vasopressors include norepinephrine, used to manage blood pressure in hemodynamically unstable patients, and phenylephrine, which is chosen for specific conditions like aortic insufficiency. The presentation also discusses the use of vasopressin for its efficacy in acidotic environments, and specific agents like dopamine and dobutamine for support in cases like stress cardiomyopathy. The speaker highlights important considerations such as side effects and scenarios where particular drugs should be avoided.<br /><br />Sedation is crucial for controlling increased intracranial pressure and ensuring patient synchrony with mechanical ventilators. Agents like propofol, ketamine, and midazolam are detailed, including their dosages, administration, and potential side effects. The session also covers drugs used for deep sedation and burst suppression to manage intracranial hypertension and status epilepticus. Finally, the importance of monitoring drug levels and side effects, such as propofol infusion syndrome, is emphasized.

Keywords

neurosurgical ICU

vasopressors

sedation agents

norepinephrine

intracranial pressure

propofol