Neurosurgical Intensive Care

An essential reference for the entire neurocritical care team

This unique book presents an authoritative guide to the medical and surgical management of complex neurosurgical problems encountered in the critical care setting. It provides straightforward summaries of each stage of patient care, guiding the reader through initial assessment, including ordering the appropriate lab work, triage procedures, such as how to manage patients with multi-system injuries, and sedation and pain management. The book also covers important nursing and medical-legal issues related to neurosurgical intensive care.

Features:

• Guidance on how to manage systemic complications, diseases, and infections
• Practical review of concepts in neuropharmacology and nutrition, and procedures for fluid management and ventilator management
• Select case examples throughout the book that supplement discussion of the decision-making process

• Recommendations for communicating with and caring for the families of neurosurgical intensive care unit patients
  This comprehensive book provides a wealth of information that is essential for neurosurgeons, intensive care unit nurses, house staff, nurse practitioners, physicians' assistants, residents at all levels, and medical students.

  Klappentext

  Decompression is still the mainstay of surgical intervention for neurosurgeons treating neurocritical care patients. However, during the last 20 years, an evolution away from a mechanistic approach has transformed neurocritical care into an increasingly multidisciplinary field. Neurosurgical Intensive Care, 2nd Edition reflects this new paradigm, authored by a neurosurgeon with contributions from experts in the fields of neurology, vascular neurology, interventional neuroradiology, anesthesiology, critical care, traumatology, nutrition, and advanced practice nursing. Neuromonitoring advances have enabled customized interventions tailored to each patient's unique circumstances. The critical care of neurosurgical patients has evolved from an emphasis on pulmonary care (ventilation and oxygenation) to a more nuanced understanding of cerebral protection measures required to manage a disrupted blood-brain-barrier. This edition encompasses advances in the use of ICP monitors, external ventricular devices, brain tissue oxygen monitoring devices, cerebral microdialysis, fluid and electrolyte correction, as well as the increasing use of continuous EEG in the ICU. Key Features Straightforward summaries for each stage of patient care including bedside exams, neuroimaging, lab work, triage procedures, sedation and pain management, neuropharmacology, nutritional needs, administration of fluids, and more. 159 tables and figures facilitate rapid evaluation and decision making. Clinical pearls on a wide range of ICU scenarios - from pathophysiology and management of coma - to interventions for spinal cord injury, multisystem injuries, acute ischemic stroke, and pediatric cases. Insights on how to handle family communication and spiritual needs, medical-legal issues, and discharge planning This compact, highly practical handbook provides a stellar reference for managing critically ill neurosurgical patients in the ICU. It is a must-have resource for nurses, medical students, residents, fellows, and attending physicians who treat these patients.

  Inhalt

1. Bedside Neurologic Exam
2. Altered Mental Status and Coma: Pathophysiology and Management
3. Neuroimaging and the Neurosurgical Intensive Care Unit Patient
4. Diagnostic Laboratory Studies in the ICU Patient: What, When, and How Often?
5. Team Management of the Multisystem-Injured Neurosurgical Intensive Care Unit Patient
6. The Spinal Cord Injury Patient
7. Delayed Intracerebral Hemorrhage
8. Sedation and Pain Management in the Neurosurgical Intensive Care Unit Patient
9. Homeostatic Mechanisms in the Neurosurgical Intensive Care Unit Patient
10. Neurophysiology in the Neurosurgical Intensive Care Unit: Options, Indications, and Interpretations
11. Cerebral Perfusion
12. Cerebrospinal Fluid Dynamics and Pathology
13. Intracranial Pressure Fundamentals
14. Cerebral Protection Measures
15. Neuropharmacology
16. Nutrition
17. Fluid Management
18. Ventilator Management
19. Seizure Disorders: Diagnosis and Management
20. Infections
21. Cerebral Microdialysis in the Neurosurgical Intensive Care Unit
22. Anticoagulation and Antiplatelet Therapy in the Neurosurgical Intensive Care Unit
23. Restraints in the Neurosurgical Intensive Care Unit Patient
24. Unique Pediatric Neurosurgical Intensive Care Unit Issues
25. Systemic Complications and Disease-Specific Phenomena Leading to Ischemic Injury
26. Acute Ischemic Stroke
27. Brain Death
28. Family Communication
29. Spiritual Care of the Neurosurgical Intensive Care Unit Patient and Family
30. Medical-Legal Issues in the Neurosurgical Intensive Care Unit
31. Discharge Planning for the Neurosurgical Intensive Care Unit Patient