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.
Critical Care Neurology, Part II: Neurology of Critical Illness focuses on the care specialists and general neurologists that consult in the ICU and their work with patients in acute, life-threatening situations who are dealing with neurologic or neurosurgical crises emanating from either a preexisting neurologic syndrome or from a new neurologic complication appearing as a result of another medical or surgical critical illness. These two separate clinical situations form the pillars of neurocritical care, hence these practices are addressed via two separate, but closely related, HCN volumes. Chapters in both focus on pathophysiology and management, and are tailored for both general neurologists and active neurocritical specialists, with a specific focus on management over diagnostics. Part I addresses the principles of neurocritical care and the management of various neurologic diseases. Part II addresses the interplay between neurologic complications and the surgical, medical, cardiac, and trauma of critical illnesses that most typically present in the ICU. - Provides an essential neurocritical care overview for general neurologists - Presents neurocritical care specialists with an update on severe neurological illness management - Offers coverage of all the most frequent neurologic diseases requiring intensive care - Includes chapters authored by global leaders in the field, providing the broadest, most expert coverage available on the topics discussed
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.
The Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making. In addition, video clips on neurologic examination and neurologic manifestations seen in comatose patients can be found here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the first edition have been reformatted and remastered for optimal use, and several more video clips of patients have also been included.
This textbook addresses the classical use of Transcranial Doppler (TCD) and Transcranial Color-Coded Duplex Sonography (TCCS), focusing on the usefulness of neurological monitoring beyond classical acute brain injuries present in the daily intensive care medical practice. It encompasses a wide range of critical pathologies where neurological impact is part of clinical evolution, offering practical approaches for managing, application and interpretation of neurosonology to assist the physician to making real-time individualized decisions at bedside. It is an academic guide developed and edited by international experts being a very useful resource in daily practice for intensivists, neurologists, neurosurgeons and other specialists involving in critical care.
Neurologic consultations are essential to patient outcomes, not only providing diagnostic, therapeutic, and prognostic advice but also directing care to the patient. Neurologic Complications of Critical Illness is the foremost guide for neurologists entering the intensive care unit (ICU). This fourth edition has been thoroughly updated, refreshed, and expanded in recognition of the vast number of changes in neurology and neurocritical care. In addition, every chapter provides a representative selection of the state-of-the art management and latest clinical innovations in critical care medicine. As with previous editions, the book offers practical advice on dealing with coma and outcome after cardiopulmonary resuscitation (CPR), failure to awaken after surgery, delirium, new onset seizures, generalized weakness, acute paraplegia, movement disorders and many other manifestations of a neurologic emergency such as complications after organ transplantation, neurologic complications of invasive procedures and devices, complications from cardiac surgery, traumatic brain, spine and peripheral nerve injury, and environmental injuries such as hypothermia and near drowning. Chapters include a wealth of helpful tables, precise algorithms, and a large, curated selection of neuroimaging. Each chapter has a section to reconcile theory and practice. This edition offers new chapters on the interpretation of focal findings and acute movement disorders in critical illness, cancer immunotherapy and ethical dilemmas. This clinical text with dedicated coverage of all major neurologic illnesses will be helpful to a very wide audience of health care providers and any intensivist and general neurologist managing complex medical disorders, surgeries, and co-morbidities.
Critical Care Neurology, Part I: Neurocritical Care focuses on the care specialists and general neurologists that consult in the ICU and their work with patients in acute, life-threatening situations who are dealing with neurologic or neurosurgical crises emanating from either a preexisting neurologic syndrome or from a new neurologic complication appearing as a result of another medical or surgical critical illness. These two separate clinical situations form the pillars of neurocritical care, hence these practices are addressed via two separate, but closely related, HCN volumes. Chapters in both focus on pathophysiology and management, and are tailored for both general neurologists and active neurocritical specialists, with a specific focus on management over diagnostics. Part I addresses the principles of neurocritical care and the management of various neurologic diseases. Part II addresses the interplay between neurologic complications and the surgical, medical, cardiac, and trauma of critical illnesses that most typically present in the ICU. - Provides an essential neurocritical care overview for general neurologists - Presents neurocritical care specialists with an update on severe neurological illness management - Offers coverage of all the most frequent neurologic diseases requiring intensive care - Includes chapters authored by global leaders in the field, providing the broadest, most expert coverage available on the topics discussed
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.
This book offers valuable guidance to neurointensivists, other neurocritical care staff, and those desiring to develop a neurocritical care unit via a thorough discussion of neurological emergencies and neurocritical care unit organization. This comprehensive volume begins with a review of acute neurological emergencies as managed clinically in the neurocritical care unit. Topics include acute cerebrovascular, neurological, and neurosurgical disorders. The unique aspect of this book is its description of the organization of the neurocritical care unit. We focus on how other services in the hospital interact with and assist neurocritical care operations, telemedicine/telestroke, and neurocritical care personnel and their roles. A review of expected outcomes of neurocritical care conditions is also included. Neurointensivists, neurocritical care unit staff leadership, hospital administrators, and those interested in developing a neurocritical care unit will find Neurointensive Care Unit: Clinical Practice and Organization to be an invaluable guide.