Neurological and Neurosurgical Intensive Care / Edition 3

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The standard text and reference on neurological and neurosurgical intensive care is now in its Fourth Edition--thoroughly revised to incorporate the latest therapeutic advances and insights from the most recent clinical trials. A team of distinguished neuro-intensivists offers practical, state-of-the-art guidelines for managing the wide range of problems arising in postoperative neurosurgical care and care of patients with acute neurological diseases. This edition focuses sharply on the details of therapeutics. The authors, from leading neuro-intensive care units, have written the book collectively, giving it more cohesiveness and more of an authoritative consensus voice than previous multiauthored editions.

"Offers useful & practical guidelines for the management of problems arising in postoperative neurosurgicla care and care of patients with acute neurological diseases."

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Editorial Reviews

From The Critics
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the fourth edition of a multiauthored textbook of critical care of the patient with acute neurological conditions.
Purpose: An overview is provided on clinical management strategies for acute neurologic conditions including new therapies and insights derived from recent clinical trials.
Audience: Neurosurgeons, neurologists, and intensivists providing care for medical and surgical neurologic patients are an appropriate audience for this work. Editors and authors represent leading centers for neurological and neurosurgical critical care in the United States.
Features: The book begins with a review of general principles of critical care of patients with neurologic conditions. Among topics covered are pulmonary and cardiovascular management, fluid derangements, brain death, infection, and electrophysiologic monitoring. A second group of chapters describe more specific problems including head injury, stroke, subarachnoid hemorrhage, Guillain-Barré Syndrome, status epilepticus and spinal cord injury. Chapters are clearly written with texture of type dividing content portions. Tables are well used along with line drawings. Photographs, however, reproduce with inconsistent quality. Each chapter contains a reference list of primary sources. References date to within three years of publication. A brief table of contents lists only chapters by title while the index of approximately 15 pages includes separate citations for figures and tables.
Assessment: This is a valuable update in an important area. I particularly appreciated the discussion of head trauma, recognizing that neurologic dysfunction is the most important determinant of outcome following various forms of injury. This edition comes almost a decade after the previous edition. It is long overdue.
Since the second edition of 1988, the fields of neurological and neurosurgical intensive care have undergone rapid growth. The third edition of this book clarifies many of the incomplete ideas and studies that were planned at the time of the last edition and unifies the more recent knowledge in the field for neurologists, neurosurgeons, and intensivists. New sections address the intensive care aspects of general ICU practice and acute management of brain tumors. Several chapters have been rewritten, including those on head injury, myasthenia, electrophysiologic monitoring, and metabolic derangements. As before, clinically useful material that provides a basis for modern practice has been emphasized. Annotation c. Book News, Inc., Portland, OR (

3 Stars from Doody
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Product Details

  • ISBN-13: 9780881679816
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 1/1/1993
  • Edition description: Older Edition
  • Edition number: 3
  • Pages: 505

Table of Contents

Pt. I General Principles of Neurological Intensive Care
1 Introduction to Critical Care in Neurology and Neurosurgery 3
2 Intracranial Physiology and Elevated Intracranial Pressure 12
3 Management of Intracranial Hypertension and Mass Effect 26
4 Pulmonary Aspects of Neurological Intensive Care 52
5 Cardiovascular Aspects of Neurological Intensive Care 92
6 Fluid and Metabolic Derangements 105
7 Fever and Infections in the Neurological Intensive Care Unit 113
8 Electrophysiologic Monitoring in the Neurological Intensive Care Unit 129
9 Persistent Vegetative State and Brain Death 154
Pt. II Specific Problems in Neurological Intensive Care
10 Postoperative Neurosurgical Care 169
11 Neurological Complications of Critical Medical Illnesses 177
12 Head Injury 189
13 Critical Care of Acute Stroke 208
14 Management of Nontraumatic Brain Hemorrhage 217
15 Subarachnoid Hemorrhage 231
16 Intensive and Postoperative Care of Intracranial Tumors 243
17 Hypoxic-Ischemic Cerebral Injury 260
18 Critical Care of Guillain-Barre Syndrome 278
19 Treatment of the Critically Ill Patient with Myasthenia Gravis 299
20 Status Epilepticus 312
21 Viral Encephalitis and Bacterial Meningitis 321
22 Spinal Cord Injury 349
23 Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit 363
Subject Index 377
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