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Book Cover
E-book

Title Neurointensive care unit : clinical practice and organization / Sarah E. Nelson, Paul A. Nyquist, editors
Published Cham : Humana Press, 2020

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Description 1 online resource (390 pages) : illustrations
Series Current Clinical Neurology
Current clinical neurology.
Contents Intro -- Preface -- Series Editor Introduction -- Contents -- Contributors -- Part I: Pathways for Intervention -- 1: Management of Elevated Intracranial Pressure -- Introduction -- Intracranial Anatomy and Physiology -- Anatomy -- Physiology -- Diagnosis of Elevated ICP -- Clinical Symptoms -- Physical Examination Findings and Herniation Syndromes -- Causes of Increased ICP -- Algorithm for Management of ICP -- Monitoring ICP -- Patient Triage and Flow -- Individual Methods for ICP Control -- Head Positioning -- Hyperventilation -- Osmolar Therapy -- Sedation -- Seizure Control
Hypothermia -- Decompressive Craniectomy -- Barbiturates -- Steroids -- Paralysis -- Conclusions -- References -- 2: Emergent Treatment of Status Epilepticus -- Definitions and Epidemiology -- Etiology -- SE Patients: Triage to the Neurointensive Care Unit -- Diagnostic Workup -- General -- EEG -- Imaging -- Management of SE -- Initial SE Management -- Refractory SE and Super-refractory SE -- SE Pharmacology -- Complications of SE -- In-Hospital Decision-Making -- SE Outcomes and Discharge Destinations -- Clinical Outcomes -- Prognostic Scores -- Conclusion -- References
3: Acute Airway Management and Ventilation in the Neurocritical Care Unit -- Introduction -- The Decision to Intubate -- Acute Airway Management -- Assessing Difficulty -- Initial Management -- Pharmacotherapy for Airway Management -- Induction Agents -- Neuromuscular Blockade -- Mechanical Ventilation -- Volume Versus Pressure Control -- Ventilatory Modes -- Airway Concerns in Specific Neurologic Conditions -- Cervical Spine Injury -- Traumatic Brain Injury -- Acute Stroke -- Status Epilepticus -- Neuromuscular Disorders -- Extubation and Tracheostomy -- References
4: Cardiac Complications in Neurocritical Care Patients -- Introduction -- Hypertension -- Cardiomyopathy -- Shock -- Cardiogenic Shock -- Septic Shock -- Neurogenic Shock -- Hemorrhagic Shock -- Myocardial Infarction -- STEMI -- NSTEMI -- EKG Abnormalities and Arrhythmias -- EKG Abnormalities -- Arrhythmias -- Cardiac Arrest -- Pharmacology -- References -- 5: Therapeutic Hypothermia in Neurocritical Care -- History of TH -- Therapeutic Hypothermia: Definitions and Mechanism -- Definitions -- Mechanism -- Indications for Therapeutic Hypothermia
Induced Normothermia for Fever Prevention in Neurocritical Care -- Critical Care Management During Therapeutic Hypothermia -- Monitoring Temperature -- Induction of TH -- Maintenance of TH -- Rewarming -- Adverse Effects of TH -- Conclusion -- References -- 6: Pharmacological Challenges in Neurocritical Care -- Introduction -- Principles of Pharmacokinetic Changes in Adult Critically Ill Patients -- Absorption, Distribution, Metabolism, Elimination (ADME) -- Renal Replacement Therapy (RRT) -- Extracorporeal Membrane Oxygenation (ECMO) -- Plasmapheresis -- Obesity -- Therapeutic Classes
Summary 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
Bibliography Includes bibliographic references and index
Notes Anti-seizure Drugs
Includes index
Print version record
Subject Neurological intensive care.
Neurological intensive care
Form Electronic book
Author Nelson, Sarah E.
Nyquist, Paul.
ISBN 9783030365486
3030365484