An authoritative pocket-sized guide on the medical and surgical
management of neurosurgical intensive care patients 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.
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