Coma and Impaired Consciousness: A Clinical Perspective / Edition 1

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Overview

This comprehensive resource examines every aspect of coma, including related anatomy, physiology, neurochemistry and pharmacology, new diagnostic and therapeutic approaches, and decision making—and presents a clear clinical and investigative approach to the syndromes of impaired consciousness. It's unqiue blending of neuroscience with sound clinical practice and modern management strategies creates a text that's eminently useful in daily practice, providing effective management strategies that respect medical, legal and ethical principles. More than a scholarly text, this title addresses the hottest topics in the field including side effects of modern therapies, new techniques for clinical examination, new methods of management in the ICU and much more.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Sean D. Ruland, DO (University of Illinois at Chicago College of Medicine)
Description: This text describes in traditional fashion derangements in consciousness from the basic principles to specific categories (i.e. structural, inflammatory, and toxic/metabolic) and scenarios and even includes a chapter devoted to ethics.
Purpose: According to the editors, it is intended to update the previous landmark work by Plum and Posner The Diagnosis of Stupor and Coma (FA Davis, 1982) with which most in the field of neurology are so familiar. Etiological, diagnostic, and therapeutic advances since the time of Plum and Posner's work certainly justify the objectives set forth here.
Audience: The book is written at a level that would likely appeal to a broad range of physicians who see patients with altered states of consciousness, not simply neurologists and neurosurgeons. Students, residents, and all but the most seasoned neurointensivists have been targeted, and I feel that the editors have fulfilled their audience's expectations. The editors and contributors are well-renowned and span such specialties as emergency medicine, neurology, neurosurgery, neurocritical care, anesthesia, and even the law for the section on ethics.
Features: The most outstanding feature are the visual aids. There is an impressive supply of diagrams, lists, algorithms, radiographs, and illustrations to enhance the practical understanding of the topics. There are very few stretches of uninterrupted text. The references are up-to-date.
Assessment: This is a worthwhile educational resource. It is difficult to compare this book to such a monumental work such as The Diagnosis of Stupor and Coma, but it certainly brings issues into the technology of modern day. I would recommend this book to those who by interest or necessity have become "students" of brain dysfunction.
Sean D. Ruland
This text describes in traditional fashion derangements in consciousness from the basic principles to specific categories (i.e. structural, inflammatory, and toxic/metabolic) and scenarios and even includes a chapter devoted to ethics. According to the editors, it is intended to update the previous landmark work by Plum and Posner The Diagnosis of Stupor and Coma (FA Davis, 1982) with which most in the field of neurology are so familiar. Etiological, diagnostic, and therapeutic advances since the time of Plum and Posner's work certainly justify the objectives set forth here. The book is written at a level that would likely appeal to a broad range of physicians who see patients with altered states of consciousness, not simply neurologists and neurosurgeons. Students, residents, and all but the most seasoned neurointensivists have been targeted, and I feel that the editors have fulfilled their audience's expectations. The editors and contributors are well-renowned and span such specialties as emergency medicine, neurology, neurosurgery, neurocritical care, anesthesia, and even the law for the section on ethics. The most outstanding feature are the visual aids. There is an impressive supply of diagrams, lists, algorithms, radiographs, and illustrations to enhance the practical understanding of the topics. There are very few stretches of uninterrupted text. The references are up-to-date. This is a worthwhile educational resource. It is difficult to compare this book to such a monumental work such as The Diagnosis of Stupor and Coma, but it certainly brings issues into the technology of modern day. I would recommend this book tothose who by interest or necessity have become "students" of brain dysfunction.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780070723719
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 12/1/1997
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 665
  • Product dimensions: 7.30 (w) x 9.10 (h) x 0.99 (d)

Table of Contents

Contributors
Foreword
Preface
Acknowledgments
Pt. 1 Consciousness, Major Syndromes, and Approach 1
1 Consciousness 3
2 Major Sundromes of Impaired Consciousness 39
3 Initial Assessment and Management of the Patient with Impaired Alertness 79
Pt. 2 Impaired Consciousness and Physical and Structural Insults 117
4 Transtentorial Herniation 119
5 Intracranial Hemorrhage 131
6 Head Injury 149
7 Impaired Consciousness Associated with Neoplasia 183
8 Impaired Consciousness and Disorders of Temperature: Hyperthermia and Hypothermia 209
9 Electrical Injuries 217
10 Burn Encephalopathy 221
Pt. 3 Impaired Consciousness and Inflammatory Conditions 225
11 Infections of the Central Nervous System 227
12 Other Inflammatory Disorders 271
Pt. 4 Metabolic, Nutritional, and Toxic Encephalopathies 305
13 Metabolic Encephalopathies 307
14 Nutritional Deficiency and Impaired Consciousness 393
15 Anoxic and Ischemic Brain Injury 409
16 Drugs 457
Part A: Poisoning 457
Part B: Pharmacologic Considerations in Impaired Consciousness 470
Pt. 5 Episodic Impairment of Consciousness 493
17 Seizures and Status Epilepticus 495
18 Other Causes of Transient or Reversible Impairment of Consciousness 533
Pt. 6 Impaired Consciousness in Clinical Contexts 561
19 Emergency Management of the Comatose Patient 563
20 Coma in Medical and Surgical Intensive Care Units 579
21 Coma in the Transplant Intensive Care Unit 593
22 The Maternity Ward 607
23 Impaired Consciousness in Neurodegenerative Disorders 623
24 Ethics 635
Index 647
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