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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is a review of the physiology, contemporary monitoring technology, and future of patient assessment in the neurologic critical care unit.
Purpose: It describes technologies as well as the interaction between the brain and other organ systems..
Audience: Senior trainees and practitioners in the neurosciences or intensivists working in surgical and medical intensive care units are an appropriate audience.
Features: Overview chapters cover monitoring principles, unit design, informatics, nursing practice, and bioethics. A second group of chapters focus on the interaction of the brain with metabolic, respiratory, hemodynamic, endocrine, and cardiovascular insults. Later chapters emphasize monitoring techniques specific to the brain, including imaging, intracranial pressure measurement, electrophysiology, blood flow, microdialysis, and tissue oxygenation. Final chapters discuss new horizons in neurologic monitoring, including the use of the eICU, auditory signaling, noninvasive brain monitoring, and simulation. Chapters are well written and make good use of line drawings, tables, and figures. The few photographs reproduce with adequate quality. Each chapter contains an extensive reference list with citations dating to within two years of publication. Only the first 50 references for each chapter are listed in the book, with the remainder online. The table of contents groups chapters by content type and lists authorship, while a detailed subject index includes separate citations for tables, figures, and boxes.
Assessment: This book can be strongly recommended for the chapters on intracranial assessment technologies. Chapters integrating brain response to other organ systems, however, are at best incomplete. Summaries of monitors for other organ systems are an unrealistic expansion of the scope of this book. I would keep this book for my neuroscience bookshelf.