neurology

Levetiracetam

Levetiracetam (Keppra) is an oral and intravenous antiepileptic drug (AED) indicated as adjunctive therapy for partial onset seizures, myoclonic seizures, and generalized tonic-clonic (“grand mal”) seizures in adults. The medication is used in the...

Alteplase

Alteplase (recombinant tissue plasminogen activator, tPA) is a potent intravenous fibrinolytic (“clot buster”) used for everything from acute ischemic strokes and clearing central line ports (“Cathflo”, a total life saver!) to hemodynamically unstable pulmonary...

Cerebral Autoregulation

Most organ systems have some form of autoregulation to provide a steady supply of blood flow and oxygen to maintain normal physiologic function. This autoregulation is largely driven by chemical mediators to “couple” metabolic...

Measuring And Interpreting Intracranial Pressure (ICP) Waveforms

Managing elevated intracranial pressure (ICP) is of paramount importance in neurocritical care. Placing bedside ICP monitors are contraindicated if the patient is coagulopathic, has a brain abscess, or has an active scalp infection. Otherwise,...

Halfway Done With Neuroanesthesia As A CA-3

It's the middle of the month, the Texans got royally owned by the Patriots in the divisional playoff game last night, I submitted my hospital credentialing for fellowship this morning, and I'm so far...

Beginning My Final Month Of Neuroanesthesia As A CA-3

Tomorrow I'll be beginning my second and final month of dedicated neuroanesthesia working with a large anesthesia group in Houston at our private, adult hospital. This is the same group I rotated with back...

First Week Of Neuroanesthesia As A CA-2

Coming back to Ben Taub Hospital is like coming home. Awesome cases, wonderful attendings, and having the privilege of working alongside incredible colleagues from all specialities really makes my time here enjoyable. I just...

Finished with Neurology

Yesterday evening... after admittedly pulling an all-nighter to cram for the departmental exam... I finished my neurology rotation. Between Thanksgiving Break, no weekend responsibilities, and the rotation being only a month long, I only...

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