Neurocritical Care (eBook)

A Guide to Practical Management

John P. Adams, Dominic Bell, Justin McKinlay (Herausgeber)

eBook Download: PDF

2010 | 2010
XVI, 177 Seiten
Springer London (Verlag)
978-1-84882-070-8 (ISBN)

Infos

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.

Inhalt

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

Produkt-Details

• Erscheint lt. Verlag: 18.1.2010
• Reihe/Serie: Competency-Based Critical Care
• Reihe/Serie: Competency-Based Critical Care
• Zusatzinfo: XVI, 177 p.
• Verlagsort: London
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Anästhesie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Intensivmedizin
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Neurologie
• Themenwelt: Medizin / Pharmazie ► Pflege
• Schlagworte: brain • Brain Injury • Brainstem • Care • central nervous system • complications • critical care • Diagnosis • Infection • Intensive care • Intensive care unit • nervous system • spine • Trauma • traumatic brain injury
• ISBN-10: 1-84882-070-4 / 1848820704
• ISBN-13: 978-1-84882-070-8 / 9781848820708