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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the third edition of a work intended to bridge the gap between neurologists, neurointensivists, and clinicians outside of the neuroscience realm working in the critical care setting.
Purpose: Neurologic aspects of critical illness including surgical, environmental, and organ dysfunction are presented.
Audience: Senior practitioners in neuroscience, critical care medicine, and specialties dealing with patients with neurologic problems are an appropriate audience for this work, which is authored by an authority in critical care neurology.
Features: General clinical problems are described first, such as evaluation of coma, seizures, generalized weakness, and manifestations of drug use seen in intensive care. The second and largest group of chapters describes neurologic complications of surgical, medical, and environmental problems, among them infections, cardiac arrest, organ failure, cardiovascular surgery, and trauma. Information on toxins and terrorism is also presented. The three final chapters discuss outcome of nervous system insults, the neurologist as consultant, and end-of-life care. Chapters are clearly written and detailed. Good use is made of tables, black-and-white illustrations, and line drawings. A set of color plates, which complement the text well, introduces the book. Each chapter has an extensive reference list from primary literature dating to within one year of publication. The table of contents identifies chapters and their subheadings, while the index includes separate citations for figures and tables.
Assessment: This is an important work, particularly for intensivists providing care for patients with neurologic conditions.