Procedures

[RocuROMANium]

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What kind of procedures do neurologists perform, if any? How about neurointensivists?

 

[radfish723]

As a neurology resident, you should come out being pretty proficient in LPs, EMG/NCS, interpreting EEGs, basic nerve blocks ie greater occipital, intraoperative monitoring (as long as you push for it).
Neurointensivists will also get training in basic critical care procedures like placing central lines or dialysis caths, intubations, A-lines, ultrasound as well as getting experience with (though not likely expected to perform routinely as attendings): bronchs, EVDs, thoracenteses.

 

[RocuROMANium]

As a neurology resident, you should come out being pretty proficient in LPs, EMG/NCS, interpreting EEGs, basic nerve blocks ie greater occipital, intraoperative monitoring (as long as you push for it).
Neurointensivists will also get training in basic critical care procedures like placing central lines or dialysis caths, intubations, A-lines, ultrasound as well as getting experience with (though not likely expected to perform routinely as attendings): bronchs, EVDs, thoracenteses.

Thank you for your reply. Why do you say NI's won't perform bronchs, EVDs, or thoracenteses as much as attendings?

 

[typhoonegator]

I perform: diagnostic and therapeutic bronchoscopy (no stents, no FB retrieval, no bx, no cautery), laryngoscopy, thora, para, LP, CVL wherever, VV or AV ECMO line placement, HD catheter placement, arterial access (radial, brachial, axillary, femoral, DP), intubation with DL, glide, or FO. I do not perform EVD or bolt insertion because this is a teaching hospital and the neurosurgeons need to become proficient. We do ultrasound for quick and dirty TTE, FAST, IVC volume, lung sliding, yada yada. I don't do blocks, that's for acute pain service. I don't do pericardial procedures. I used to float tons of Swans but now they're essentially all done in the cath lab, when we do them at all. I don't place IABPs. I don't have experience placing FO electrodes. I haven't placed a Foley in a long while. I've never done or seen a bedside laparotomy. I wouldn't do a cisternal tap.