The following documents are summaries of neurosurgical care topics based on extensive literature reviews and written by Duke Neurosurgery residents with the assistance of Duke Neurosurgery attendings.
These protocols are designed to help inform providers and to help guide management decisions within Duke Neurosurgery. Like all medical protocols, there are many reasons to deviate from these summaries, and the management decision lies with the physician.
Cranial
- Diagnosis and Management Protocol for Neonatal Post-Hemorrhage Hydrocephalus
- Diagnostic Evaluation and Post-Operative Management of Pituitary Adenomas
- Emergency Department Evaluation and Management of Adults with IIH
- Hemicraniectomy Protocol
- Management of Acute Subdural Hematomas
- Management of Aneurysmal SAH
- Management of Brain Metastases
- Management of Gunshot Wound to the Brain
- Management of Neurological Emergencies on Mechanical Circulatory Support
- Management of Shunt Malfunction and Failure
- Management of Unruptured Aneurysms
- Neurosurgical Intervention for Spontaneous Supratentorial Intraparenychmal Hemorrhage
- Perioperative Evaluation of Cerebellar Tumors
- Pre-Operative Optimization of Patients Undergoing Elective Intracranial Neurosurgery
- Restarting Therapeutic Anticoagulation After Elective Craniotomy for Patients with Chronic Atrial Fibrillation
- Thrombectomy
- Venous Thromboembolism in Patients Undergoing Craniotomy
Spine
- Management of Spinal Cord Injury
- Management of Spinal Cord Metastases
- Management of Spine Infections
- Management of Subaxial Spine Fractures Prototcol
- Overview of Thoracic and Lumbar Vertebral Compression and Burst
- Pre-Operative Optimization of Patients Undergoing Elective Spine Surgery
Other
- A Neurosurgeon's Guide to Hyponatremia
- Guidelines for the Reversal and Reinitiation of Anticoagulation
- Intraoperative Strategies for Surgical Site Infection Prevention
- Post-Operative Pain Management in the Neurosurgical Population Opioid Use and Multimodal Strategies
- Surgical Site Infection Reduction Protocol