Head Injury: Pathophysiology and Management of Severe Closed Injury

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Head injury is a major health problem in all communities. Mortality statistics reflect only a small part of the total community burden of suffering and economic loss. The outcome for patients with severe head injuries has improved in recent years due to a number of factors. Better organization of services has led to effective early resuscitation and transfer to trauma centres. CT scanning, more widely available, allows early diagnosis and evacuation of blood clots. The hour-by-hour monitoring of patients has been...
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Overview

Head injury is a major health problem in all communities. Mortality statistics reflect only a small part of the total community burden of suffering and economic loss. The outcome for patients with severe head injuries has improved in recent years due to a number of factors. Better organization of services has led to effective early resuscitation and transfer to trauma centres. CT scanning, more widely available, allows early diagnosis and evacuation of blood clots. The hour-by-hour monitoring of patients has been rendered more reliable by the Glasgow Coma Score. None-the-less, the mortality and morbidity for patients who are in coma 24 hours after head injury remains high, and it is this group which forms the subject of the present book. It sets out to analyse the pathophysiology of severe head injury and the currently available methods of treatment.

The book is aimed at those specialists who are involved in the acute management of patients with severe head injury from the time of retrieval at the accident site to the transfer to a neurosurgical unit and management in the high-dependency unit.

Covers biomechanics of closed head injury, pathology, primary & secondary brain injury, cell function, etc.

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Editorial Reviews

Booknews
Contributors from Australia, the UK, the US and Canada discuss the injury, measuring and monitoring, and treatment. Topics of the 22 articles include epidemiology; biomechanics of closed head injury; pathology; primary and secondary brain injury; brain metabolism and cerebral blood flow; intracranial pressure and elastance; injury and cell function; clinical examination; imaging; intracranial pressure monitoring; measuring cerebral blood flow and metabolism; electrical function monitoring; transcranial Doppler; magnetic resonance spectroscopy; fluid, electrolyte and metabolic management; respiratory and cardiovascular support; sedation and anesthesia; management of intracranial pressure and cerebral perfusion; the role of surgery for intracranial mass lesions after head injury; neuroprotection in head injury; and outcome after severe head injury. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9780412585401
  • Publisher: CRC Press
  • Publication date: 12/28/2005
  • Series: Arnold Publications Series
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 496
  • Product dimensions: 8.82 (w) x 11.26 (h) x 1.18 (d)

Table of Contents

Part One The Injury
Epidemiology
Biomechanics of closed head injury
Pathology
Primary and secondary brain injury
Brain metabolism and cerebral blood flow
Intracranial pressure and elastance
Injury and cell function
Part Two Measuring and Monitoring Injury
Clinical examination and grading
Imaging the injury
Intracranial pressure monitoring
Measuring cerebral blood flow and metabolism
Electrical function monitoring
Transcranial Doppler
Magnetic resonance spectroscopy
Part Three: Treatment
From accident to trauma centre
Fluid, electrolyte and metabolic management
Respiratory and cardiovascular support
Sedation and anaesthesia
Management of intracranial pressure and cerebral perfusion
The role of surgery for intracranial mass lesions after head injury
Neuroprotection
Outcome after severe head injury
Appendix 1: Antibiotics recommended for infections of the CNS
Appendix 2: Seizure management in acute head injury
Appendix 3: Pressure agents.
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