The standard text and reference on neurological and neurosurgical intensive care is now in its Fourth Edition–thoroughly revised to incorporate the latest therapeutic advances and insights from the most recent clinical trials. A team of distinguished neuro-intensivists offers practical, state-of-the-art guidelines for managing the wide range of problems arising in postoperative neurosurgical care and care of patients with acute neurological diseases. This edition focuses sharply on the details of therapeutics. The authors, from leading neuro-intensive care units, have written the book collectively, giving it more cohesiveness and more of an authoritative consensus voice than previous multiauthored editions.

Neuromonitoring is the tool of trade in intensive care, and should incorporate cutting edge technology with patience, repeated clinical observation, careful identification of neuroworsening. The aim of the book is to be of practical use, and to assist the clinical practice of the busy physician. The clinical examination belongs to the introductory section of the book, and an abundance of technology, with specific emphasis on the importance of intracranial pressure, comes in the following parts. Since the patient with an injured brain can have chances only if other organs and systems (as the lungs, and the acid-base equilibrium etc.) are preserved, a section of the book covers the interactions between the affected brain and other organs. The way the brain reacts to different insults has common aspects, as inflammatory responses, edema etc., but also specific features. Sections five to nine summarize the most relevant pathologies, from ischemic to hemorrhagic lesions, trauma, tumors etc. and also mentions new‑comers, as the specific problems related to the expanding field of neuroradiological interventions. Finally, neurointensive care does not exist without knowledgeable nurses. The intracranial pressure measurement starts (or unfortunately ends) with a catheter well maintained, and that becomes vital when the drainage of hydrocephalus is concerned. Dealing with patients with severe brain damage has plenty of ethical implications, up to the problems related to brain death and organ donation. This book is published in two volumes.

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.

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.

The Practice of Emergency and Critical Care Neurology serves as the definitive authoritative reference on the care of the patient with a critical neurologic disorder at risk of deterioration and in need of immediate attention. This work is an expanded new edition of the book on the management of patients with critical neurologic disorders. This single-authored monograph is broad in scope and follows the patients from the very moment they enter the emergency department to their care in the neurosciences intensive care unit. This book condenses the essential information into several sections. These are: The General Principles of Recognition of Critically Ill Neurologic Patients in the Emergency Department, The Evaluation of Presenting Symptoms Indicating Urgency and Critical Emergency, General Principles of Management of Critically Ill Patients, Monitoring Devices and Diagnostic Tests, Complete Management of Specific Disorders in the Neurosciences Intensive Care Unit, Postoperative Neurosurgical and Neurointerventional Complications, Management of Medical Complications and End of Life Care. This accessibly written book differs from the conventional by specifically following the time course of clinical complexities as they emerge and change. It offers advice on how to diagnose and manage acute neuromuscular respiratory failure, acute worrisome headache, acute febrile confusion, acute diplopia, acute movement disorders, acute paraplegia, seizures and coma of uncertain cause in the emergency department. The major disorders requiring neurocritical care are covered in great detail and include traumatic brain injury aneurysmal subarachnoid hemorrhage, cerebral hemorrhage, hemispheric ischemic stroke, basilar artery occlusion, acute bacterial meningitis and encephalitis, myasthenic crisis and severe Guillan Barre syndrome. This book comes with a pocket book of selected tables and figures. This booklet covers all essential points for quick reference and has been considered a 'survival guide' for the house staff.

The Practice of Emergency and Critical Care Neurology is the classic and comprehensive reference for physicians caring for patients with critical neurologic disorders, at risk of deterioation and in need of immediate attention. This third edition is richly illustrated and contains new chapters on the basics of neuroimaging, pharmacology issues in the intensive care setting, intoxications, critical care ultrasound, and more.

This is a practical and accessible review of neurologic critical care in the intensive care unit is single-authored and thus cohesive. The emphasis is on management in day-to-day practice. For the thoroughly updated and expanded second edition, Wijdicks has added new algorithms on outcome prediction in the specific disorders, and five chapters on the organization of the intensive care unit, acute spinal disorders, management of common postoperative neurosurgical complications, and psychosocial issues, ethics, and withdrawal of life support. For quick reference in the ICU the most useful tables and figures have been extracted and reprinted in an accompanying pocket-sized booklet.

Ideal for neurosurgeons, neurologists, neuroanesthesiologists, and intensivists, Monitoring in Neurocritical Care helps you use the latest technology to more successfully detect deteriorations in neurological status in the ICU. This neurosurgery reference offers in-depth coverage of state-of-the-art management strategies and techniques so you can effectively monitor your patients and ensure the best outcomes. Understand the scientific basis and rationale of particular monitoring techniques and how they can be used to assess neuro-ICU patients. Make optimal use of the most advanced technology, including transcranial Doppler sonography, transcranial color-coded sonography, measurements of jugular venous oxygen saturation, near-infrared spectroscopy, brain electrical monitoring techniques, and intracerebral microdialysis and techniques based on imaging. Apply multimodal monitoring for a more accurate view of brain function, and utilize the latest computer systems to integrate data at the bedside. Access practical information on basic principles, such as quality assurance, ethics, and ICU design.

Critical Care Neurology, Part II: Neurology of Critical Illness focuses on the care specialists and general neurologists that consult in the ICU and their work with patients in acute, life-threatening situations who are dealing with neurologic or neurosurgical crises emanating from either a preexisting neurologic syndrome or from a new neurologic complication appearing as a result of another medical or surgical critical illness. These two separate clinical situations form the pillars of neurocritical care, hence these practices are addressed via two separate, but closely related, HCN volumes. Chapters in both focus on pathophysiology and management, and are tailored for both general neurologists and active neurocritical specialists, with a specific focus on management over diagnostics. Part I addresses the principles of neurocritical care and the management of various neurologic diseases. Part II addresses the interplay between neurologic complications and the surgical, medical, cardiac, and trauma of critical illnesses that most typically present in the ICU. - Provides an essential neurocritical care overview for general neurologists - Presents neurocritical care specialists with an update on severe neurological illness management - Offers coverage of all the most frequent neurologic diseases requiring intensive care - Includes chapters authored by global leaders in the field, providing the broadest, most expert coverage available on the topics discussed