This title enables readers to understand how to undertake appropriate neurophysiological investigations in the critical care setting. The book addresses the scientific principles (biological and technological), recording techniques, the development of electrical potentials in normal subjects, and the ways these are disturbed by trauma, surgery and disease. The impact of digital technologies and the possibilities of quantification, statistical treatment and advanced signal processing techniques have enabled practitioners to work to more rigorous scientific standards. The increasing availability of such tools in daily clinical work means that patients can now benefit from investigations of known specificity and sensitivity.
Intraoperative neurophysiologic monitoring has shown a steady increase in use for surgeries in which neural structures may be at risk of injury. Some of the surgical techniques used carry inherent risks, and these risks have changed the way in which neurophysiologic monitoring has impacted patient safety and quality of care during surgical procedures. It is therefore crucial that those performing and interpreting intraoperative neurophysiologic monitoring are adequately trained. This book is a comprehensive guide to the current practice of intraoperative neurophysiology with chapters on various modalities and clinical uses. Separate chapters devoted to anesthesia, operating room environment, special considerations in pediatrics and the interpretation and reporting of neurophysiologic data are useful and complementary. Questions and detailed answers on the topics covered can be found on the accompanying website for study review. This book will be useful to the trainee as well as the neurophysiologist already in practice.
This second edition devotes almost 1000 pages to IOM. The first section covers basic science aspects to understand the generation of electro-physiologic signals and the anatomic structures involved. Then it follows a detailed description of ALL the techniques currently available. The last part covers the different types of surgical procedures where IOM may be needed
This widely praised, first-of-its-kind book has been thoroughly updated, expanded, and enriched with extensive new case material, illustrations, and link-outs to multimedia, practice guidelines, and more. Written and edited by outstanding world experts, this was the first and remains the leading single-source volume on intraoperative neurophysiological monitoring (IOM). It is aimed at graduate students and trainees, as well as members of the operative team, including anesthesiologists, technologists, neurophysiologists, surgeons, and nurses. Now commonplace in procedures that place the nervous system at risk, such as orthopedics, neurosurgery, otologic surgery, vascular surgery, and others, effective IOM requires an unusually high degree of coordination among members of the operative team. The purpose of the book is to help students, trainees, and team members acquire a better understanding of one another’s roles and thereby to improve the quality of care and patient safety. From the reviews of the First Edition: “A welcome addition to reference works devoted to the expanding field of nervous system monitoring in the intraoperative period... will serve as a useful guide for many different health care professionals and particularly for anesthesiologists involved with this monitoring modality...An excellent reference...[and] a helpful guide both to the novice and to the developing expert in this field.” ‐‐Canadian Journal of Anesthesia “Impressive... [The book] is well written, indexed, and illustrated...The chapters are all extensively referenced. It is also very good value at the price....I would recommend this book to all residents and especially to all neuroanesthesiologists. It will make a worthwhile addition to their library.” ‐‐Journal of Neurosurgical Anesthesiology
Part of the Mount Sinai Expert Guide series, this outstanding book provides rapid-access, clinical information on all aspects of Critical Care with a focus on clinical diagnosis and effective patient management. With strong focus on the very best in multidisciplinary patient care, it is the ideal point of care consultation tool for the busy physician.
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. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. - 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.
All aspects of neuroanaesthesia are covered in this up-to-date, highly illustrated textbook. Written for general anaesthetic departments and ICUs, as well as specialist neurosurgical and trauma units, it covers the key areas needed to understand the principles of neuroanaesthesia, such as functional anatomy, advances in bedside monitoring and imaging techniques. It addresses practical issues of diagnosis and patient care. Best clinical practice is described in detail throughout. It is an essential, one-stop review of modern neuroanaesthesia and neurocritical care for anaesthetists, intensivists and surgeons at all levels of practice.
Over the last 18 years, there have been many advances in the field of intraoperative monitoring. This new edition of Neurophysiology in Neurosurgery: A Modern Approach provides updates on the original techniques, as well as other more recent methodologies that may either prove beneficial or are commonly used in neuromonitoring. The purpose of this book is to describe the integration of neuromonitoring with surgical procedures. Each methodology is discussed in detail as well as chapters describing how those methodologies are applied to multiple surgical procedures and the evidence used to support those uses. The second edition features a surgical procedure section, which focuses on specific surgical procedures and the type of monitoring used during these procedures. The original chapters have been updated, expanded, and the structure modified to ensure the book is beneficial to both physiologists and surgeons. This book is written for neurosurgeons, neurophysiologists, neurologists, anesthesiologists, interventional neuroradiologists, orthopedic surgeons, and plastic surgeons. - Provides a valuable educational tool that describes the theoretical and practical aspects of intraoperative monitoring through example - Presents in-depth descriptions of the most advanced techniques in intraoperative neurophysiological monitoring and mapping - Features a surgical procedures section that focuses on specific surgical procedures and the type of monitoring used during these procedures