[Verse 1]
Carotid plaques and stenosed walls, embolic risk before the call
CEA or stent in place, anesthesia must keep the pace
Maintain the pressure, keep perfusion fed
A watershed infarct leaves neurons dead
Seizure history, note the drugs they take
Phenytoin induces enzymes — half-lives break
[Chorus]
Know your neuro, know the risk
Parkinson's meds — never miss a dose
Myasthenia's sensitive to the block
Lambert-Eaton flips the clock
Autonomic dysreflexia spikes the cuff
Raised ICP — PEEP and cough are rough
Map it out before you cut
Neuro first — no ifs, no buts
[Verse 2]
Parkinson's patient, dopamine's thin
Skip the levodopa and the tremors win
Droperidol — contraindicated here
Metoclopramide will make the rigors severe
Multiple sclerosis, heat is the enemy
Neuraxial's debated, document carefully
Succinylcholine in muscular dystrophy
Triggers rhabdo, hyperkalemia — catastrophe
[Chorus]
Know your neuro, know the risk
Parkinson's meds — never miss a dose
Myasthenia's sensitive to the block
Lambert-Eaton flips the clock
Autonomic dysreflexia spikes the cuff
Raised ICP — PEEP and cough are rough
Map it out before you cut
Neuro first — no ifs, no buts
[Verse 3]
Myasthenia gravis, acetylcholine's thin
NMBDs hit harder — titrate, begin
Pyridostigmine aboard — cholinergic swell
Neostigmine reversal can work too well
Lambert-Eaton — calcium channel's the fault
Presynaptic gap with a vesicle halt
Sensitive to both depolarizing and non
Volatile agents — potentiate, gone wrong
Myotonic dystrophy won't relax with the block
Contracture from succinyl — don't turn that lock
Volatiles dangerous, cardiomyopathy lurks
Screen the ECG before the surgeon works
[Bridge]
Spinal cord injury, T-six and above
Autonomic dysreflexia — nothing gentle here, no glove
Noxious input fires the sympathetic gun
Hypertension, bradycardia — reflex that won't run
Remove the stimulus, deepen the plane
Nitroprusside ready, control that gain
Raised intracranial pressure — hyperventilate with care
Mannitol draws the edema, hypertonic saline there
Head up thirty degrees, avoid jugular compression
CO2 in the thirties — controlled, deliberate session
[Chorus]
Know your neuro, know the risk
Parkinson's meds — never miss a dose
Myasthenia's sensitive to the block
Lambert-Eaton flips the clock
Autonomic dysreflexia spikes the cuff
Raised ICP — PEEP and cough are rough
Map it out before you cut
Neuro first — no ifs, no buts
[Outro]
Delirium post-op — the old, the frail
Minimize benzos, keep the anticholinergics stale
Orientation anchors, daylight through the glass
Every neuro detail — nothing gets to pass
Map the lesion, time the med, assess the baseline score
Anesthesia shaped around the deficit — that's the core