An authoritative and comprehensive review of the most important clinical issues facing critically ill neurologic and neurosurgical patients. The authors provide pertinent basic, clinical, diagnostic, and management guidelines for all the conditions commonly encountered in the neurocritical care unit, including the management of autonomic disorders that require critical care, postoperative management, and endovascular treatment. The authors also discuss the latest developments in the monitoring of different body systems, emphasizing the management of cardiorespiratory complications and other medical conditions that may threaten the patient's life. Also detailed are the concepts of intracranial physiology and current neuromonitoring techniques, subjects whose understanding is basic to effective management of critically ill neurologic patients. Numerous tables, figures, diagrams, and radiographs simplify and explicate both the diagnostic and therapeutic processes.
This unique book presents an authoritative guide to the medical and surgical management of complex neurosurgical problems encountered in the critical care setting. It provides straightforward summaries of each stage of patient care, guiding the reader through initial assessment, including ordering the appropriate lab work, triage procedures, such as how to manage patients with multi-system injuries, and sedation and pain management. The book also covers important nursing and medical-legal issues related to neurosurgical intensive care. Features: Guidance on how to manage systemic complications, diseases, and infections Practical review of concepts in neuropharmacology and nutrition, and procedures for fluid management and ventilator management Select case examples throughout the book that supplement discussion of the decision-making process Recommendations for communicating with and caring for the families of neurosurgical intensive care unit patients This comprehensive book provides a wealth of information that is essential for neurosurgeons, intensive care unit nurses, house staff, nurse practitioners, physicians assistants, residents at all levels, and medical students.
Advances in the management of head and spinal cord injury, stroke, brain tumors, and other disorders have improved dramatically in recent years -- and have led to improved care in the neurosurgical intensive care unit. In this must-have book, an expert team of authors integrate these advances into clinical practice by providing valuable tips and advice on the most current and up-to-date treatment strategies. The text covers all important topics in neurosurgical intensive care, from stroke and non-traumatic hemorrhage to intracranial hypertension, epilepsy management, and withdrawing life support. Plus, you'll find analysis of the newest clinical science on all topics, as well as a key discussion of how advanced bedside monitoring techniques can lead to improved patient care.Key features of Intensive Care in Neurosurgery: Provides the newest clinical science on such timely topics as metabolic and nutritional monitoring, ventilator management, and cerebrovascular and cardiovascular physiology Describes how specific techniques can reverse the abnormal physiology of disease processes Written by top neurosurgeons who are experts in intensive care Addresses controversial topics in the field, including withdrawal of care and declaration of brain death Here is a valuable text for neurosurgeons, neurologists, and critical care specialists who treat patients in intensive care. Residents entering the field will also find it an essential learning tool and board review guide. Get the most current information available with the first text devoted to this topic in more than a decade!(A co-publication of Thieme and the American Association of Neurological Surgeons)
Kumar and colleagues’ Neurocritical Care Management of the Neurosurgical Patient provides the reader with thorough coverage of neuroanatomical structures, operative surgical approaches, anesthetic considerations, as well as the full range of known complications relating to elective and non-elective neurosurgical procedures. Drawing upon the expertise of an interdisciplinary team of physicians from neurosurgery, neurology, anesthesiology, critical care, and nursing backgrounds, the text covers all aspects intensivists need to be aware of in order to provide optimal patient care. Over 100 world-renowned authors from multispecialty backgrounds (neurosurgeons, neuro-interventionalists, and neurointensivists) and top institutions contribute their unique perspectives to this challenging field. Six sections cover topics such as intraoperative monitoring, craniotomy procedures, neuroanesthesiology principles, spine and endovascular neurosurgery, and additional specialty procedures. Includes 300 tables and boxes, 70 line artworks, and 350 photographic images. Clinical pearls pulled out of the main text offer easy reference.
The first book in a decade to cover all new advances and management strategies! Advances in the management of head and spinal cord injury, stroke, brain tumors, and other disorders have improved dramatically in recent years -- and have led to improved care in the neurosurgical intensive care unit. In this must-have book, an expert team of authors integrate these advances into clinical practice by providing valuable tips and advice on the most current and up-to-date treatment strategies. The text covers all important topics in neurosurgical intensive care, from stroke and non-traumatic hemorrhage to intracranial hypertension, epilepsy management, and withdrawing life support. Plus, you'll find analysis of the newest clinical science on all topics, as well as a key discussion of how advanced bedside monitoring techniques can lead to improved patient care. Key features of Intensive Care in Neurosurgery: Provides the newest clinical science on such timely topics as metabolic and nutritional monitoring, ventilator management, and cerebrovascular and cardiovascular physiology Describes how specific techniques can reverse the abnormal physiology of disease processes Written by top neurosurgeons who are experts in intensive care Addresses controversial topics in the field, including withdrawal of care and declaration of brain death Here is a valuable text for neurosurgeons, neurologists, and critical care specialists who treat patients in intensive care. Residents entering the field will also find it an essential learning tool and board review guide. Get the most current information available with the first text devoted to this topic in more than a decade! (A co-publication of Thieme and the American Association of Neurological Surgeons)
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.
The standard text and reference on neurological and neurosurgical intensive care is now in its Fourth Edition–thoroughly revised to incorporate the latest therapeutic advances and insights from the most recent clinical trials. A team of distinguished neuro-intensivists offers practical, state-of-the-art guidelines for managing the wide range of problems arising in postoperative neurosurgical care and care of patients with acute neurological diseases. This edition focuses sharply on the details of therapeutics. The authors, from leading neuro-intensive care units, have written the book collectively, giving it more cohesiveness and more of an authoritative consensus voice than previous multiauthored editions.
Recent advances in the management of spinal cord and severe head injury, stroke, brain tumors, and intracranial infections have led to enhancements in neurosurgical intensive care. In this book, you will see those advances at work and also find valuable tips and advice on the most current treatment strategies. The text covers all important topics in neurosurgical intensive care, from stroke and nontraumatic hemorrhage to intracranial hypertension, epilepsy management, and withdrawal of life support. Plus, you'll find the latest clinical science on all topics, including how advanced bedside monitoring techniques can lead to improved patient care.
This is a practical and accessible review of neurologic critical care in the intensive care unit is single-authored and thus cohesive. The emphasis is on management in day-to-day practice. For the thoroughly updated and expanded second edition, Wijdicks has added new algorithms on outcome prediction in the specific disorders, and five chapters on the organization of the intensive care unit, acute spinal disorders, management of common postoperative neurosurgical complications, and psychosocial issues, ethics, and withdrawal of life support. For quick reference in the ICU the most useful tables and figures have been extracted and reprinted in an accompanying pocket-sized booklet.
