Neurocritical Care A Guide to Practical Management
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John P. Adams, Michael D. D. Bell, Justin McKinlay
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John P. Adams, Dominic Bell, Justin McKinlay
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Neurocritical Care A Guide to Practical Management
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Springer-Verlag
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9781848820708
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1
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CHF 96.20
:
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Klinische Fächer
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English
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177
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Wasserzeichen/DRM
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PC/MAC/eReader/Tablet
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PDF
Brain injury is a worldwide leading cause of mortality and morbidity and requires early and appropriate management to minimize these adverse sequelae. Despite such needs, access to specialist centers is limited, forcing both immediate and secondary care of these patients onto generalist staff. These responsibilities are made more problematical by differences in patient management between and even within specialist centers, due in part to an insuffcient evidence-base for many interventions directed at brain injury. This book is borne out of the above observations and is targeted at em- gency and acute medicine, anesthetic and general intensive care staff caring for brain injury of diverse etiology, or surgical teams responsible for the inpatient care of minor to moderate head trauma. Although explaining the various facets of specialist care, the book is not intended to compete with texts directed at neurosciences staff, but aims to advise on optimal care in general hospitals, including criteria for transfer, by a combination of narrative on pathophysiology, principles of care, templates for documentation, and highly specifc algorithms for particular problems. It is intended that the content and structure can form the basis of guidelines and protocols that refect the needs of individual units and that can be constantly refned. Our ultimate goal is to promote informed, consistent, auditable, multidisciplinary care for this cohort of patients and we hope that this text contributes to that process.
Preface
7
Acknowledgments
8
Contents
9
Contributors
11
Glossary of Terms and Abbreviations
13
Brain Injury and Dysfunction: The Critical Role of Primary Management
15
Monitoring the Injured Brain
22
The Secondary Management of Traumatic Brain Injury
31
Critical Care Management of Subarachnoid Hemorrhage
44
Central Nervous System Infections
54
Cervical Spine Injuries
62
Recent Advances in the Management of Acute Ischemic Stroke
72
Seizures on the Adult Intensive Care Unit
80
Non-Neurological Complications of Brain Injury
87
Acute Weakness in Intensive Care
98
Coma, Confusion, and Agitation in Intensive Care
106
Death and Donation in Critical Care: The Diagnosis of Brainstem Death
113
Death and Donation in Critical Care: Management of Deceased Organ Donation
121
Imaging the Brain-Injured Patient
128
Ethical Dilemmas Within Intensive Care
144
Appendices
152
Index
167
