case - options for pain control
40 yo F morbid obesity (BMI 50 w/ OSA requiring CPAP) presents for bariatric surgery - laparoscopic. H/o Chiari malformation, h/o hydrocephalus w/ ventricular-thoracic shunt and lumbar-peritoneal-shunt s/p multiple revisions for failure and optic nerve fenestration for blindness, chronic neck/headaches on Norco 10-325, gabapentin 300 once daily, flexeril, fibromyalgia.
Thoughts on pre-intra-post operative pain control options? Neuraxial? Multimodal?
How would you manage her preop opioid use? (Source: Student Doctor Network)
Source: Student Doctor Network - July 28, 2020 Category: Universities & Medical Training Authors: mtu620 Tags: Anesthesiology Source Type: forums
Performance Status required for CSI
I have a 35 yo male who is not doing well after posterior fossa surgery/infections/hydrocephalus for adult medulloblastoma. He is trached, nonverbal, has a decubitus ulcer, fevers, and a KPS probably of 20-30. He needs CSI 36 Gy and boost. He is barely following commands 30+ days from surgery and very slowly improving. I am torn ethically about what to do. Any guidance or thoughts on when to initiate radiation if ever? (Source: Student Doctor Network)
Source: Student Doctor Network - June 25, 2020 Category: Universities & Medical Training Authors: xrt123 Tags: Radiation Oncology Source Type: forums
Re: Idiopathic normal pressure hydrocephalus
(Source: BMJ Comments)
Source: BMJ Comments - October 8, 2018 Category: General Medicine Source Type: forums
