By Javed Siddiqi
Decompression continues to be the mainstay of surgical intervention for neurosurgeons treating neurocritical care sufferers. despite the fact that, over the past two decades, an evolution clear of a mechanistic process has remodeled neurocritical care into an more and more multidisciplinary box. Neurosurgical in depth Care, second Edition displays this new paradigm, authored by way of a neurosurgeon with contributions from specialists within the fields of neurology, vascular neurology, interventional neuroradiology, anesthesiology, severe care, traumatology, nutrients, and complicated perform nursing.
Neuromonitoring advances have enabled custom-made interventions adapted to every patient's certain conditions. The serious care of neurosurgical sufferers has developed from an emphasis on pulmonary care (ventilation and oxygenation) to a extra nuanced realizing of cerebral defense measures required to regulate a disrupted blood-brain-barrier. This version encompasses advances within the use of ICP screens, exterior ventricular units, mind tissue oxygen tracking units, cerebral microdialysis, fluid and electrolyte correction, in addition to the expanding use of continuing EEG within the ICU.
- Straightforward summaries for every level of sufferer care together with bedside assessments, neuroimaging, lab paintings, triage methods, sedation and soreness administration, neuropharmacology, dietary wishes, management of fluids, and more.
- 159 tables and figures facilitate fast evaluate and choice making.
- Clinical pearls on quite a lot of ICU eventualities - from pathophysiology and administration of coma - to interventions for spinal twine damage, multisystem accidents, acute ischemic stroke, and pediatric cases.
- Insights on the best way to deal with family members verbal exchange and religious wishes, medical-legal concerns, and discharge planning
This compact, hugely useful guide presents a stellar reference for handling seriously unwell neurosurgical sufferers within the ICU. it's a must-have source for nurses, clinical scholars, citizens, fellows, and attending physicians who deal with those patients.
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Neurosurgical Intensive Care by Javed Siddiqi