9781841100357

This book provides an easy-to-read introduction to the many topics in neuroanaesthesia for postgraduate trainees undertaking a neuro-module as part of their training. It is designed to be comprehensive but concise and as such will be an ideal complement to the Textbook of Neuroanaesthesia and Critical Care as well as a useful 'aide memoire' for examination candidates. It will also serve as a useful quick reference for other ICU staff such as critical care nurses or ODAs.

Contributors

ix

Preface

xiii

Acknowledgements

xiv

Abbreviations

xv

Anatomy

Anatomy of the brain and spinal cord

1

(6)

C. Williams

Cerebral circulation

7

(4)

R. Burnstein

Anatomy of the posterior fossa

11

(4)

A. Swami

Nerves: anatomy and function

15

(4)

S. Gupta

Physiology

Cerebral blood flow

19

(4)

M. Prabhu

A. K. Gupta

Intracranial pressure

23

(4)

M. Prabhu

A. K. Gupta

Cerebrospinal fluid

27

(4)

J. Coles

Pharmacology

Intravenous anaesthetic agents

31

(4)

J. Coles

A. K. Gupta

Inhalation anaesthetic agents

35

(4)

J. Coles

A. Summors

Opioids and adjuvant drugs

39

(4)

K. Grixti

A. K. Gupta

Anticonvulsants

43

(4)

J. Monteiro

Neuroanaesthesia

Craniotomy for space occupying lesions

47

(4)

C. Duffy

Craniotomy for vascular lesions

51

(6)

C. Duffy

Posterior fossa surgery

57

(4)

C. Goldsack

Air embolism

61

(4)

C. Goldsack

Acoustic neuroma

65

(4)

A. Swami

Epilepsy surgery

69

(4)

M. Smith

Awake craniotomy

73

(4)

M. Smith

Microvascular decompression

77

(4)

K. Grixti

Transsphenoidal hypophysectomy

81

(4)

R. Erskine

A. Summors

Stereotactic surgery

85

(4)

A. Summors

Anaesthesia for head injury

89

(4)

C. Duffy

Complex cervical spine surgery

93

(4)

I. Calder

Fibreoptic intubation

97

(6)

I. Calder

Thoraco-lumbar surgery

103

(4)

C. Williams

Carotid endarterectomy

107

(4)

A. K. Gupta

Anaesthesia for interventional neuroradiology

111

(4)

J. M. Turner

Anaesthesia and sedation for magnetic resonance imaging

115

(6)

D. K. Menon

Shunt surgery

121

(4)

A. Summors

Anaesthesia for paediatric intracranial procedures

125

(4)

J. M. Turner

Congenital craniofacial procedures

129

(4)

J. Shapiro

Congenital spinal lesions

133

(4)

J. Shapiro

Paediatric craniospinal trauma

137

(4)

C. Duffy

Recovery: general considerations

141

(4)

S. Gupta

Neurointensive care

Management of spinal cord injury

145

(4)

I. Ng

R. J. C. Laing

Glasgow Coma Scale

149

(2)

A. Summors

Severe head injury: initial resuscitation and transfer

151

(4)

B. Matta

Intensive care management of acute head injury

155

(8)

D. K. Menon

Management of subarachnoid haemorrhage

163

(6)

J. Ulatowski

Neuroprotection in ICU

169

(6)

A. Summors

P. Doyle

A. K. Gupta

Inotropes in neuro-critical care

175

(4)

R. Shankar

Electrolyte disorders in the neurointensive care unit

179

(4)

J. Ulatowski

Fluid management

183

(4)

J. Monteiro

Sedation

187

(4)

J. Monteiro

Coagulation disorders

191

(4)

P. Doyle

Status epilepticus

195

(4)

N. Hirsch

Guillan-Barre syndrome

199

(4)

N. Hirsch

Tracheostomy

203

(4)

Q. Milner

Brainstem death

207

(4)

Q. Milner

Nutrition in the neurocritical care unit

211

(4)

Q. Milner

Nursing issues

215

(4)

S. Rees-Pedlar

S. Walters

Monitoring

Intracranial pressure

219

(6)

M. Czosnyka

Jugular venous oximetry

225

(4)

A. K. Gupta

Near infrared spectroscopy

229

(4)

A. K. Gupta

Measurement of tissue oxygenation

233

(4)

A. K. Gupta

Microdialysis

237

(4)

P. J. A. Hutchinson

Evoked potential and peripheral neurophysiology

241

(6)

B. McNamara

Electroencephalography and cerebral function monitoring

247

(6)

B. McNamara

Transcranial Doppler ultrasonography

253

(6)

B. Matta

Application of multimodal monitoring

259

(4)

A. K. Gupta

Miscellaneous

Anaesthesia and muscular dystrophy

263

(4)

T. Leary

Myasthenia gravis

267

(4)

S. Senthuran

Autonomic hyperreflexia

271

(4)

T. Leary

Management of patients for multi-organ donation

275

(4)

Q. Milner

Basic concepts of neuroimaging

279

(6)

J. H. Gillard

Neuroanaesthesia in pregnancy

285

(4)

P. Popham

Thrombolysis in acute stroke

289

(4)

A. Coles

Index

293

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Notes in Neuroanaesthesia and Critical Care

1841100358

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