Handbook Of Neurocritical Care (current Clinical Neurology)

Neurocritical care has grown rapidly over the last two decades to become a complex multidisciplinary specialty requiring rapid diagnosis and therapeutic interventions. In Handbook of Neurocritical Care, leading neurocritical care and intensive care specialists from the Neurosciences Critical Care Unit of the Johns Hopkins Hospital have joined forces to spell out concisely for first line health care providers the diverse standards and therapeutic regimens required for the care of critically ill neurological and neurosurgical patients. Their authoritative reference guide takes an algorithmic approach to immediate patient care, incorporating both ancillary investigation to confirm clinical diagnosis and appropriate management guidelines. Designed for quick and easy consultation at the bedside by time-pressed physicians, the book consists of numerous tables and illustrations, highlights and summaries of key points, and lists of core articles. The authors offer comprehensive summaries of the best diagnostic and management practices for a wide range of neurocritical problems, including encephalopathy, intracerebral and subarachnoid hemorrhage, traumatic brain injury postoperative care, ischemic stroke, brain tumors, and spinal cord injury, and give special attention to analgesia, sedation, and paralysis in critically ill neurological and neurosurgical patients. A compact disc accompanies the book for downloading an ebook version to the reader's PC or PDA. Authoritative and highly practical, the Handbook of Neurocritical Care offers first-line hospital physicians and EMS personnel a comprehensive quick-reference guide to the rapid diagnosis and management of critically ill neurological and neurosurgical patients. Leading neurocritical care and intensive care specialists from the Neurosciences Critical Care Unit of the Johns Hopkins Hospital have joined forces to spell out concisely for first line health care providers the diverse standards and therapeutic regimens required for the care of critically ill neurological and neurosurgical patients. Their authoritative reference guide takes an algorithmic approach to immediate patient care, incorporating both ancillary investigation to confirm clinical diagnosis and appropriate management guidelines. The book offers comprehensive summaries of the best diagnostic and management practices for a wide range of neurocritical problems, including encephalopathy, intercerebral and subarachnoid hemorrhage, traumatic brain injury postoperative care, ischemic stroke, brain tumors, spinal cord injury, and more. A compact disk accompanies the book for downloading an ebook version to the reader's PC or PDA. Authoritative and highly practical, the Handbook of Neurocritical Care offers first-line hospital physicians and EMS personnel a comprehensive quick-reference guide to the rapid diagnosis and management of critically ill neurological and neurosurgical patients. Coma and altered consciousness / Wendy C. Ziai Encephalopathy / Wendy L. Wright Intracerebral hemorrhage / Romergryko G. Geocadin Subarachnoid hemorrhage / Anish Bhardwaj Cerebral edema and intracranial hypertension / Anish Bhardwaj Traumatic brain injury / Romergryko G. Geocadin Postoperative care / Robert D. Stevens Ischemic stroke / Agnieszka A. Ardelt Cerebral venous sinus thrombosis / Connie L. Chen Brain tumors / Agnieszka A. Ardelt Hydrocephalus / Geoffrey S. F. Ling Spinal cord injury / Robert D. Stevens Infectious disorders / Wendy C. Ziai Neuromuscular disorders / Michel T. Torbey Status epilepticus / Marek A. Mirski Blood pressure management / Michel T. Torbey Airway management / Lauren Berkow Analgesia, sedation, and paralysis in the neuro-intensive care unit / Mitzi K. Hemstreet Neurologic monitoring in the intensive care unit / Connie L. Chen Nutrition / Wendy L. Wright Neuroleptic malignant syndrome / Connie L. Chen Brain death and organ donation / Chere M. Chase and Michael A. Williams Ethical issues and withdrawal of life-sustaining therapies / Chere M. Chase and Michael A. Williams. Front Matter....Pages i-xvi Coma and Altered Consciousness....Pages 1-18 Encephalopathy....Pages 19-30 Intracerebral Hemorrhage....Pages 31-43 Subarachnoid Hemorrhage....Pages 45-61 Cerebral Edema and Intracranial Hypertension....Pages 63-72 Traumatic Brain Injury....Pages 73-89 Postoperative Care....Pages 91-122 Ischemic Stroke....Pages 123-140 Cerebral Venous Sinus Thrombosis....Pages 141-145 Brain Tumors....Pages 147-158 Hydrocephalus....Pages 159-163 Spinal Cord Injury....Pages 165-181 Infectious Disorders....Pages 183-198 Neuromuscular Disorders....Pages 199-212 Status Epilepticus....Pages 213-228 Blood Pressure Management....Pages 229-238 Airway Management....Pages 239-250 Analgesia, Sedation, and Paralysis in the Neuro-Intensive Care Unit....Pages 251-264 Neurologic Monitoring in the Intensive Care Unit....Pages 265-271 Nutrition....Pages 273-294 Neuroleptic Malignant Syndrome....Pages 295-299 Brain Death and Organ Donation....Pages 301-310 Ethical Issues and Withdrawal of Life-Sustaining Therapies....Pages 311-324 Back Matter....Pages 325-337 Neurocritical care as a subspecialty has grown rapidly over the last 20 years with the advent of newer monitoring and diagnostic techniques and therapeutic modalities in a variety of brain and spinal cord injury paradigms. This handbook will serve as a quick reference guide to all health care providers in a neurocritical care setting. Since time is of the essence in the rapid diagnosis and timely therapeutic interventions for these patients, this book provides an algorithmic approach to making a clinical diagnosis using ancillary investigations to confirm the diagnosis and provide appropriate management of acute neurologic diseases. Tables and illustrations help provide a quick and easy bedside reference and give a practical approach to the management of these patients. A handy reference for clinicians by contributors in neurology, neurosurgery, anesthesiology, and critical care medicine and nursing, mostly at Johns Hopkins Hospitals. Among the chapter titles are coma and altered consciousness, subarachnoid hemorrhage, infectious disorders, neurological monitoring in the intensive care unit, and brain death and organ donation. The entire text that can be downloaded from the disk onto a computer or onto a hand-held reading device even more discrete than the pocket-sized volume. Annotation : 2004 Book News, Inc., Portland, OR (booknews.com) Active process often defined as the state of awareness of both self and the environment.