Curriculum Resources

Stage 3 Neuroanaesthesia / Advanced Neurocritical Care

Electrolyte Disturbances with Brain Injury

Published on 17 March, 2022

Last modified on May 17th, 2023

Curriculum Reference

14.9.3 Provides safe anaesthetic care for multiply injured patients, from arrival in hospital through definitive treatment, and understands and applies the principles of management for complex situations such as severe burns or poisoning.

15.9.2 (D) Describes and implements an anaesthetic plan for the complex endocrine and electrolyte disorders that accompany intracranial pathology.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.

HiLLO 6: Intensive Care Medicine specialists will have the knowledge and skills to initiate, request and interpret appropriate investigations and advanced monitoring techniques, to aid the diagnosis and management of patients with organ systems failure. They will be able to provide and manage the subsequent advanced organ system support therapies. This will include both pharmacological and mechanical interventions.

SSM NICU: Can recognise, resuscitate and initiate treatment of the patient with acute neurological injury, having an enhanced understanding of the specific neuropathophysiologies. They will be able to institute advanced pharmacological and physical therapeutic interventions, and continue ongoing diagnostic and disease management strategies, including multi-organ support.

Review Articles

Osmotherapy: science and evidence-based practice – BJA Education

The adult patient with hyponatraemia – BJA Education

Inappropriate Antidiuretic Hormone Secretion and Cerebral Salt-Wasting Syndromes in Neurological Patients

and for BJAE subscribers –

Sodium disorders in neuroanaesthesia and neurocritical care – BJA Education

Cerebral salt wasting review

Syoathoadrenal response to brain injury

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