Hospital Medicine

Neurosurgery Procedures & Complications

I. Problem/Challenge.

Hospitalists will likely be increasingly responsible for the co-management of neurosurgical patients and should be familiar with the most common neurosurgical procedures and managing potential medical complications.

II. Identify the Goal Behavior.

III. Describe a Step-by-Step approach/method to this problem.

Pre-Operative Evaluation

Step 1: Determine Revised Cardiac Risk Index (RCRI) score

Step 2: Assess patient's functional exercise capacity

Tumor Resection

Intracranial Hemorrhage

Spinal Decompression and Fusion

DVT Prophylaxis

IV. Common Pitfalls.

Anticoagulation and antiplatelet therapy:

- Discuss with neurosurgeon before starting anything that could increase bleeding risk

Volume management in patients with subarachnoid hemorrhages:

- Balancing risk of vasospasm with cardiopulmonary status

Antihypertensive management:

- Titrating BP meds too fast

Long-term steroid use:

- GI prophylaxis, glycemic control, counseling on muscle wasting/confusion/increased bleeding risk

V. National Standards, Core Indicators and Quality Measures.

No national standards/benchmarks established yet.

You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings


Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs