Procedures and Protocols in the Neurocritical Care Unit

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Niraj Arora, MD

Assistant Professor

University of Missouri

Department of Neurology

Columbia, MO 65212

Dr. Niraj Arora joined University of Missouri in July 2018. As a neurologist practicing on the neurocritical care service line, Dr. Arora is actively interested in treating patients who suffer from traumatic brain injury, stroke, epilepsy and/or neuromuscular disorders. His research interests include nutrition in the acute brain injury patients, use of transcranial doppler in the neuroscience ICU, role of platelet dysfunction in acute brain injury. He is currently involved in multiple research projects and proposals at the University and is highly interested in teaching medical students, residents, and fellows at the University.

Procedure Skills:

Vascular access: Peripheral, Central, Pulmonary Artery, Arterial

Airway access: Endotracheal Intubation, Laryngeal Airway, Direct laryngoscopy,Bronchoscopy,Percutaneous Tracheostomy, Cricothyroidotomy

Intracranial Access: Camino, External Ventricular Drain, Licox, Intraventricular drug administration, Subdural drain placement

Thoracic Access: Thoracocentesis, Chest tube insertion, Pericardiocentesis

Abdominal Access: Paracentesis

Spinal Access: Lumbar puncture, Intrathecal drug administration

Ultrasound Skills: Transcranial Doppler, Vascular, Abdominal, Cardiac, Lung

Protocols:

Sedation Management

Intracranial Pressure Management

Sepsis

Temperature Modulation

Status Epilepticus

Mechanical Ventilation and Ventilator Weaning

Percutaneous Tracheostomy Care

Hemodynamic Monitoring

Vasospasm in SAH

Endotracheal Intubation

Phenobarbital

Diabetic Ketoacidosis

Electrolyte management

Plasmapheresis and Intravenous Immunoglobulin