anaesthom.bsky.social
(Neuro)anaesthetist at King’s, interests include pre-assessment, sedation, TIVA.
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Regular Contributor
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TBI is different!
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Mostly convention! And because we can’t monitor ICP and thus CCP during the course of surgery.
I suppose it makes sense in terms of maximal vessel wall stress in the context of vascular pathology too.
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There’s not much high quality evidence.
Ultimately <160sys but if starting at 220 as in your example I’d try to get there gently, not in one big immediate drop.
Defo >140sys.
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Oh how nice! Yea I’m waving at you Bob 👋 at a frequency of 0-2 Hz 😴
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Defo! Even subtracting pure surgical rationale, the peak of most “medical” post-op complications (eg MACE) is often post-discharge even in a 3-5 night stay.