Neurosurgical Intensive Care
About this book
An authoritative pocket-sized guide on the medical and surgical management of neurosurgical intensive care patients
Decompression is still the mainstay of surgical intervention for neurosurgeons treating neurocritical care patients. However, during the last 20 years, an evolution away from a mechanistic approach has transformed neurocritical care into an increasingly multidisciplinary field. Neurosurgical Intensive Care, 2nd Edition reflects this new paradigm, authored by a neurosurgeon with contributions from experts in the fields of neurology, vascular neurology, interventional neuroradiology, anesthesiology, critical care, traumatology, nutrition, and advanced practice nursing.
Neuromonitoring advances have enabled customized interventions tailored to each patient's unique circumstances. The critical care of neurosurgical patients has evolved from an emphasis on pulmonary care (ventilation and oxygenation) to a more nuanced understanding of cerebral protection measures required to manage a disrupted blood-brain-barrier. This edition encompasses advances in the use of ICP monitors, external ventricular devices, brain tissue oxygen monitoring devices, cerebral microdialysis, fluid and electrolyte correction, as well as the increasing use of continuous EEG in the ICU.
Key Features
- Straightforward summaries for each stage of patient care including bedside exams, neuroimaging, lab work, triage procedures, sedation and pain management, neuropharmacology, nutritional needs, administration of fluids, and more.
- 159 tables and figures facilitate rapid evaluation and decision making.
- Clinical pearls on a wide range of ICU scenarios - from pathophysiology and management of coma - to interventions for spinal cord injury, multisystem injuries, acute ischemic stroke, and pediatric cases.
- Insights on how to handle family communication and spiritual needs, medical-legal issues, and discharge planning
This compact, highly practical handbook provides a stellar reference for managing critically ill neurosurgical patients in the ICU. It is a must-have resource for nurses, medical students, residents, fellows, and attending physicians who treat these patients.
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Information
Table of contents
- Neurosurgical Intensive Care
- Title Page
- Copyright Page
- Dedication
- Contents
- Foreword
- Preface
- Acknowledgments
- Contributors
- 1. Bedside Neurologic Exam
- 2. Altered Mental Status and Coma: Pathophysiology and Management
- 3. Neuroimaging and the Neurosurgical Intensive Care Unit Patient
- 4. Diagnostic Laboratory Studies in the ICU Patient: What, When, and How Often?
- 5. Team Management of the Multisystem-Injured Neurosurgical Intensive Care Unit Patient
- 6. The Spinal Cord Injury Patient
- 7. Delayed Intracerebral Hemorrhage
- 8. Sedation and Pain Management in the Neurosurgical Intensive Care Unit Patient
- 9. Homeostatic Mechanisms in the Neurosurgical Intensive Care Unit Patient
- 10. Neurophysiology in the Neurosurgical Intensive Care Unit: Options, Indications, and Interpretations
- 11. Cerebral Perfusion
- 12. Cerebrospinal Fluid Dynamics and Pathology
- 13. Intracranial Pressure Fundamentals
- 14. Cerebral Protection Measures
- 15. Neuropharmacology
- 16. Nutrition
- 17. Fluid Management
- 18. Ventilator Management
- 19. Seizure Disorders: Diagnosis and Management
- 20. Infections
- 21. Cerebral Microdialysis in the Neurosurgical Intensive Care Unit
- 22. Anticoagulation and Antiplatelet Therapy in the Neurosurgical Intensive Care Unit
- 23. Restraints in the Neurosurgical Intensive Care Unit Patient
- 24. Unique Pediatric Neurosurgical Intensive Care Unit Issues
- 25. Systemic Complications and Disease-Specific Phenomena Leading to Ischemic Injury
- 26. Acute Ischemic Stroke
- 27. Brain Death
- 28. Family Communication
- 29. Spiritual Care of the Neurosurgical Intensive Care Unit Patient and Family
- 30. Medical-Legal Issues in the Neurosurgical Intensive Care Unit
- 31. Discharge Planning for the Neurosurgical Intensive Care Unit Patient
- Index