Head Injury: A Multidisciplinary Approach

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Overview

The management of patients with head injury requires a pragmatic, multi-professional approach, as exemplified in this book. The content includes chapters on epidemiology, experimental models, pathology, clinical examination, neuroimaging and trauma scoring systems. A large section of the text then deals with the management of the head-injured patient along the whole patient pathway, addressing issues such as emergency department care, transfer of the patient, intensive care and surgical aspects. Rehabilitation is reviewed in detail with chapters that discuss the aims and roles of physiotherapy, occupational therapy, speech and language therapy and neuropsychology. Finally, medico-legal issues are evaluated. The practical approach to management is emphasized throughout. This book will be of interest to all doctors looking after patients with head injury: emergency physicians, neurosurgeons, anaesthetists, intensivists, and members of the rehabilitation team. Allied specialists such as nurses, physiotherapists, speech and language therapists, occupational therapists, and neuropsychologists will also find this book useful.

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Editorial Reviews

Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is a guide to the acute management and outcomes of adult and pediatric patients sustaining traumatic brain injury.
Purpose: A summary from a neurosurgical and neuropsychology perspective is provided for clinicians encountering head-injured patients. Summaries are based on recent consensus statements.
Audience: Emergency physicians, anesthesiologists, and intensivists are an appropriate audience for this book, written by a multidisciplinary group of senior authors in the U.K.
Features: After describing the epidemiology and pathology of head injury, the book takes a chronologic approach to the management of patients with head injury of varying severity. Initial imaging, transport, intensive care management, and monitoring are discussed in detail. Important related topics include anesthesiology for emergency neurosurgery, brain death, and procedures for skull reconstruction. Acute pediatric head injury management is covered in a separate chapter. Concluding chapters cover administrative, legal and rehabilitation issues. Chapters are concise and make good use of line diagrams and texture of type to separate topics. The few photographs are black and white and reproduce with adequate quality. There is one set of color plates, but they are small and detail is difficult to see. Chapters have excellent reference lists with citations including primary literature and important consensus statements dating to within two years of publication.
Assessment: This is a well-written, quick read for a practitioner facing a patient with traumatic brain injury with varying degrees of severity. A particular strength is the discussion of monitoring and intensive care unit management. The authors are careful to cite recent consensus statements and use information from these sources.
From The Critics
Reviewer:David J. Dries, MD(University of Minnesota Medical School)
Description:This is a guide to the acute management and outcomes of adult and pediatric patients sustaining traumatic brain injury.
Purpose:A summary from a neurosurgical and neuropsychology perspective is provided for clinicians encountering head-injured patients. Summaries are based on recent consensus statements.
Audience:Emergency physicians, anesthesiologists, and intensivists are an appropriate audience for this book, written by a multidisciplinary group of senior authors in the U.K.
Features:After describing the epidemiology and pathology of head injury, the book takes a chronologic approach to the management of patients with head injury of varying severity. Initial imaging, transport, intensive care management, and monitoring are discussed in detail. Important related topics include anesthesiology for emergency neurosurgery, brain death, and procedures for skull reconstruction. Acute pediatric head injury management is covered in a separate chapter. Concluding chapters cover administrative, legal and rehabilitation issues. Chapters are concise and make good use of line diagrams and texture of type to separate topics. The few photographs are black and white and reproduce with adequate quality. There is one set of color plates, but they are small and detail is difficult to see. Chapters have excellent reference lists with citations including primary literature and important consensus statements dating to within two years of publication.
Assessment:This is a well-written, quick read for a practitioner facing a patient with traumatic brain injury with varying degrees of severity. A particular strength is the discussion of monitoring and intensive care unit management. The authors are careful to cite recent consensus statements and use information from these sources.
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Product Details

  • ISBN-13: 9780521697620
  • Publisher: Cambridge University Press
  • Publication date: 5/31/2009
  • Pages: 324
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.80 (d)

Meet the Author

Peter C. Whitfield is a Consultant Neurosurgeon and Honorary Clinical Senior Lecturer at the South West Neurosurgery Centre, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth, UK.

Elfyn O. Thomas is a Consultant in Anaesthesia and Intensive Care at Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth, UK.

Fiona Summers is a Consultant Clinical Neuropsychologist at the Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK.

Maggie Whyte is a Consultant Clinical Neuropsychologist at the Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK.

Peter J. Hutchinson is a Senior Academy Fellow and Honorary Consultant Neurosurgeon at the Academic Neurosurgical Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

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Table of Contents

List of contributors ix

Foreword Sir Graham Teasdale xiii

1 Epidemiology of head injury Giles Critchley Anjum Memon 1

2 The neuropathology of head injury David A. Hilton 12

3 Experimental models of traumatic brain injury H. C. Patel 22

4 Clinical assessment of the head-injured patient: an anatomical approach Deva S. Jeyaretna Peter C. Whitfield 28

5 Neuroimaging in trauma Clare N. Gallagher Jonathan Cole 36

6 Scoring systems for trauma and head injury Maralyn Woodford Fiona Lecky 47

7 Early phase care of patients with mild and minor head injury Chris Maimaris 54

8 Early phase care of patients with moderate and severe head injury Duncan McAuley 62

9 Interhospital transfer of head-injured patients Gareth Allen Peter Farling 71

10 Principles of head injury intensive care management Martin Smith 79

11 Intracranial pressure monitoring in head injury Ruwan Alwis Weerakkody Marek Czosnyka Rikin A. Trivedi Peter J. Hutchinson 87

12 Multimodality monitoring in head injury I. Timofeev Adel Helmy Egidio J. da Silva Arun K. Gupta Peter J. Kirkpatrick Peter J. Hutchinson 103

13 Therapeutic options in neurocritical care: optimizing brain physiology Rowan Burnstein Joseph Carter 114

14 Therapeutic options in neurocritical care: beyond the brain Matthew J. C. Thomas Alexander R. Manara Richard Protheroe Ayan Sen 129

15 Brainstem death and organ donation Martin B. Walker 151

16 Anaesthesia for emergency neurosurgery W. Hiu Lam 160

17 Surgical issues in the management of head-injured patients Puneet Plaha Peter C. Whitfield 167

18 Craniofacial trauma: injury patterns and management Paul McArdle 180

19 Cranioplasty after head injury Heinke Pülhorn Robert Redfern 194

20 Neurosurgical complications of head injury Peter C. Whitfield Laurence Watkins 201

21 Paediatric head injury management Patrick Mitchell 213

22 The principles of rehabilitation after head injury Jonathan J. Evans Maggie Whyte 229

23 Acute rehabilitation of the head-injured patient Bruce Downey Thérèse Jackson Judith Fewings Ann-Marie Pringle 235

24 Post-acute and community rehabilitation of the head-injured patient Jonathan J. Evans Maggie Whyte Fiona Summers Lorna Torrens William W. McKinlay Susan Dutch Thérèse Jackson Judith Fewings Ann-Marie Pringle Bruce Downey Jane V. Russell 245

25 Neuropsychology and head injury Maggie Whyte Fiona Summers Camilla Herbert William W. McKinlay Lorna Torrens Roisin Jack Jane V. Russell 266

26 Outcome and prognosis after head injury Helen M. K. Gooday Brian Pentland Fiona Summers Maggie Whyte 279

27 Medico-legal aspects of head and neck injury Peter J. Hutchinson Peter C. Whitfield 288

Index 299

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