图书简介
An authoritative and comprehensive review of the most important clinical issues facing critically ill neurologic and neurosurgical patients. The authors provide pertinent basic, clinical, diagnostic, and management guidelines for all the conditions commonly encountered in the neurocritical care unit, including the management of autonomic disorders that require critical care, postoperative management, and endovascular treatment. The authors also discuss the latest developments in the monitoring of different body systems, emphasizing the management of cardiorespiratory complications and other medical conditions that may threaten the patient’s life. Also detailed are the concepts of intracranial physiology and current neuromonitoring techniques, subjects whose understanding is basic to effective management of critically ill neurologic patients. Numerous tables, figures, diagrams, and radiographs simplify and explicate both the diagnostic and therapeutic processes.
1 Introduction.- 2 Organization of a Neuroscience Critical Care Unit: Historical Perspectives and Vision for the Future.- 3 Cerebral Blood Flow Physiology and Monitoring.- 4 Cerebral Metabolism: Implications for Neurocritically Ill Patients.- 5 Cerebral Edema and Intracranial Dynamics: Monitoring and Management of Intracranial Pressure.- 6 Neurologic and Systemic Monitoring in the NSU.- 7 Neuroimaging in Neuroemergencies.- 8 Cardiac Monitoring in the Neurosciences Critical Care Unit.- 9 Ventilatory Management in the Neurosciences Critical Care Unit.- 10 Treatment of Autonomic Disorders Requiring Intensive Care Management.- 11 Management of Medical Complications in the Neurosciences Critical Care Unit.- 12 Sedation and Analgesia in the Critically Ill Neurology and Neurosurgery Patient.- 13 Blood Pressure Management in the Neurocritical Care Patient.- 14 Nutrition and Diet Therapy in the Neurosciences Critical Care Unit.- 15 Bioethical Issues in the Neurosciences Critical Care Unit.- 16 Coma and Brain Death.- 17 Endovascular Therapy and Neurosciences Critical Care.- 18 Neurointensive Care of the Acute Ischemic Stroke Patient.- 19 Management of Nontraumatic Intracerebral Hemorrhage.- 20 Subarachnoid Hemorrhage.- 21 Cerebral Venous Sinus Thrombosis.- 22 Traumatic Head Injury.- 23 Spinal Cord Injury and Related Diseases.- 24 Postoperative Management in the Neurosciences Critical Care Unit.- 25 Status Epilepticus.- 26 Myasthenic Crisis.- 27 Critical Care of Guillain-Barré Syndrome.- 28 Less Common Causes of Quadriparesis and Respiratory Failure.- 29 Infections of the Central Nervous System.- 30 Neuro-Ophthalmologic Evaluation of the ICU Patient.- 31 Management of the Patient With Mitochondrial Disease in the Neurosciences Critical Care Unit.- 32 Neurocritical Care During Pregnancy and Puerperium.- 33 Nursing Care in the Neurosciences Critical Care Unit.- 34 Outcomes of Neurosciences Critical Care.- Appendices.
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