Neurocritical Care: A Guide to Practical Management

Description

Neurocritical Care: A Guide to Practical Management provides clear and concise guidelines for the clinician, on the management of adult brain injured patients. It steers the clinician through the complicated decisions that are demanded in these cases, involving initial assessment, interpretation of radiological investigations, referral to a Regional Neurosurgical Center, prevention of secondary brain injury and the management of complex clinical scenarios such as Status epilepticus. This book will prove an indispensible aid for making these critical decisions. Including tried and tested proformas for swift and accurate communication of information to Regional Neurosurgical Centers, this book equips the clinician to get the most out of these specialist services. This book also addresses the difficult area of defining futility and withdrawal of care, ranging from the role of neuro-radiological imaging in aiding these decisions to a discussion of the complex ethical dilemmas that the clinician is inevitably faced with. A comprehensive easy-reference, Neurocritical Care is essential reading for those working within the primary referring centre in Emergency Medicine, Anesthesia, Intensive Care and Surgery. John P. Adams, MB ChB MRCP FRCA ATLS PGD – MedSch (Anesthesia) is Consultant Anesthetist with an interest in Neuroanesthesia and Anesthesia for Endocrine Surgery at Leeds Teaching Hospitals NHS Trust, UK. Dominic Bell, FFA.RCS MB ChB MPhil is Consultant in Intensive Care and Anesthesia at Leeds Teaching Hospitals NHS Trust, UK. Justin McKinlay, MA (Oxon) BM Bch FRCA is Consultant Anesthetist and Honorary Senior Lecturer at Leeds Teaching Hospitals NHS Trust, UK. Front Matter....Pages i-xvi Brain Injury and Dysfunction: The Critical Role of Primary Management....Pages 1-7 Monitoring the Injured Brain....Pages 9-17 The Secondary Management of Traumatic Brain Injury....Pages 19-31 Critical Care Management of Subarachnoid Hemorrhage....Pages 33-42 Central Nervous System Infections....Pages 43-50 Cervical Spine Injuries....Pages 51-60 Recent Advances in the Management of Acute Ischemic Stroke....Pages 61-68 Seizures on the Adult Intensive Care Unit....Pages 69-75 Non-Neurological Complications of Brain Injury....Pages 77-87 Acute Weakness in Intensive Care....Pages 89-96 Coma, Confusion, and Agitation in Intensive Care....Pages 97-103 Death and Donation in Critical Care: The Diagnosis of Brainstem Death....Pages 105-112 Death and Donation in Critical Care: Management of Deceased Organ Donation....Pages 113-119 Imaging the Brain-Injured Patient....Pages 121-136 Ethical Dilemmas Within Intensive Care....Pages 137-144 Back Matter....Pages 145-177