The Practice of Emergency and Critical Care Neurology

by Wijdicks, MD, PhD, FACP, Eelco F. M.

• ISBN13: 9780195394023
• ISBN10: 019539402X
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-06-22
• Publisher: Oxford University Press

Summary

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 managment 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, acuteworrisome 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.

Author Biography

Eelco Wijdicks is Professor of Neurology, Mayo Clinic College of Medicine, Chair of the Division of Critical Care Neurology, and Consultant, Neurological Neurosurgical Intensive Care Unit, Saint Marys Hospital, Mayo Clinic

Table of Contents

General Principles of Recognition of Critically Ill Neurologic Patients in the Emergency Department

The Presenting Neurologic Emergency

Criteria of Triage

Evaluation of Presenting Symptoms Indicating Urgency

Confused and Febrile

A Terrible Headache

Blacked out and Slumped down

See Nothing, See Double, See Shapes

Spinning

Moving, Jerking and Spasm

Evaluation of Presenting Symptoms Indicating Critical Emergency

Can't Walk or Stand

Short of Breath

Seizing

Comatose

Organization of the Neurosciences Intensive Care Unit

The responsibilities of the Neurointensivist

Organization of the Neurosciences Intensive Care Unit

General Principles of Management of Critically Ill Neurologic Patients in the Neurosciences Intensive Care Unit

General Perspectives of Care

Agitation and Pain

Mechanical Ventilation

Nutrition

Volume Status and Blood Pressure

Anticoagulation and Thrombolytics

Intracranial Pressure

Technologies in the Neurosciences Intensive Care Unit

Monitoring Devices

Transcranial Doppler Ultrasound and Neurophysiology

Management of Specific Disorders in Critical Care Neurology

Aneurysmal Subarachnoid Hemorrhage

Ganglionic and Lobar Hemorrhages

Cerebellum and Brainstem Hemorrhages

Major Hemispheric Ischemic Stroke syndromes

Acute Basilar Artery Occlusion

Cerebellar Infarct

Cerebral Venous Thrombosis

Acute Bacterial Meningitis

Brain Abscess

Acute Encephalitis

Acute Spinal Cord Disorders

Acute White Matter Disorders

Acute Obstructive Hydrocephalus

Malignant Brain Tumors

Status Epilepticus

Traumatic Brain Injury

Guillain-Barré Syndrome

Myasthenia Gravis

Postoperative Neurosurgical and Neurointerventional Complications

Complications of Craniotomy and Biopsy

Complications of Carotid Endarterectomy

Complications of Neuroradiologic Procedures

Management of Systemic Complications

Management of Pulmonary Complications

Management of Cardiac Complications

Management of Acid-Base Disorders, Sodium and Glucose handling

Management of Gastrointestinal Complications

Management of Nosocomial Infections

Management of Hematologic Complications and Transfusion

Management of Complications Associated with Venous Access

Decisions at the End of Life and Other Responsibilities

Brain Death and Organ Procurement

Donation after Cardiac Death

Ethical and Legal Matters

Formulas and Tables For Titrating Therapy

Guidelines

Appendix

Index

Table of Contents provided by Publisher. All Rights Reserved.