Neurointensive Care

by Hemanshu Prabhakar

Overview

Neurointensive Care will adopts a problem- and condition-based approach to present all possible neurologic conditions which intensivists encounter in neurointensive care. It will be a comprehensive reference source covering topics from the basic principles of neurointensive care, neurologic examination, postoperative care, clinical monitoring, and pharmacologic care to systemic care including palliative and nursing care. It will also describe some of the commonly performed procedures in the neurointensive care unit and include a section on the case management of conditions such as traumatic brain injury, status epilepticus, subdural haemorrhage, and cerebral hyperperfusion syndrome. The Appendix will provide the latest guidelines related to intensive care management, and clinical scales and scores that are commonly used in the neurologic ICU.

Product Details

ISBN-13:	9780199481439
Publisher:	Oxford University Press
Publication date:	09/04/2019
Series:	Oxford Clinical Practice Series
Pages:	864
Product dimensions:	11.30(w) x 8.90(h) x 1.70(d)

About the Author

Hemanshu Prabhakar, Professor, Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi

Hemanshu Prabhakar is Professor in Neuroanaesthesiology and Critical Care at the All India Institute of Medical Sciences (AIIMS), New Delhi, India. He received his training in neuroanaesthesia and completed his PhD from the same institute. He is recipient of the AIIMS Excellence Award 2012 for notable contribution in academics. He has more than 250 publications in national and international journals to his credit. He is a reviewer for various national and international journals. He is also a review author for the Cochrane Collaboration and has special interest in evidence-based practice of neuroanaesthesia. He is a member of various national and international neuroanaesthesia societies and Secretary of the Indian Society of Neuroanaesthesiology and Critical Care. He is an invited faculty for various national and international conferences. He is on the Editorial Board of Indian Journal of Palliative Care and is the Executive Editor of Journal of Neuroanaesthesiology and Critical Care.

Table of Contents

Foreword by JL VincentPrefaceAcknowledgements1 Introduction and history of Neurointensive CarePART 1 Basic principles of Neurointensive Care 2 Cerebral blood flow and dynamics3 Cerebrospinal fluid dynamics4 Intracranial pressurePostoperative Care5 Postoperative care of neurosurgical patientsClinical monitoring 6 Hemodynamic monitoring7 Respiratory monitoring8 Intracranial pressure monitoring9 Cerebral oxygenation10 Cerebral metabolism11 Electrophysiological monitoring12 Neuroimaging13 Use of UltrasoundPharmacological Care 14 Sedation and analgesia15 Osmotherapy agents16 Vasoactive drugs17 Anticonvulsants18 Corticosteroids19 Anticoagulants20 Muscle relaxants21 AntibioticsFluids and dyselectrolytemia 22 Fluid management23 Dyselectrolytemias: Water and electrolyte managementNeurological Care 24 Altered mental status25 Intracranial Hypertension26 Cerebral oedema27 Hydrocephalus28 Vasospasm29 Pneumocephalus30 Central nervous system infections31 Brain protective strategiesMetabolic care32 Glycaemic Control33 Arterial blood gas analysis34 Fever35 HypothermiaRespiratory Care36 Respiratory Care of neurologic patientsCardiovascular care37 Cardiovascular care of neurologic patientsRenal Care 38 Acute kidney injury39 Renal replacement therapyHaematological Care 40 Anaemia41 Coagulopathy42 Blood transfusion43 Deep Vein ThrombosisEndocrinal care 44 Endocrine care of neurologic patientNeuromuscular Care 45 Critical illness polyneuropathy and myopathy Gastrointestinal care 46 Gastrointestinal Bleeding47 Gastrointestinal dysfunction and Ileus48 Feeding - calculations, types and complications49 ImmunonutritionPsychological care50 Neuropsychological Assessment in the Neurointensive Care Setting: A Time Based Approach51 Assessment & Management of Delirium in Medical Practice52 Cognitive dysfunctions in psychiatric and neurological conditionsEthical Care53 End of life care54 Brain death55 Organ donationPalliative Care 56 Palliative Care of neurologic patientsNursing Care and Physiotherapy 57 Nursing care58 PhysiotherapyClinical procedures in neuro-ICU 59 Arterial and Venous access60 Fibreoptic bronchoscopy and bronchial lavage61 Intra-parenchymal ICP catheter insertion62 External ventricular drainage systems63 Lumbar drainage system64 Subdural Evacuating Port System (SEPS) Placement for Chronic Subdural Hematoma Evacuation65 Percutaneous tracheostomy66 Percutaneous Endoscopic Gastrostomy67 Evaluation of Intracranial pressure using bedside ultrasonography: Estimation of Optic Nerve Sheath Diameter (ONSD)68 Echocardiography and Ultrasound in Neuro ICU69 Cervical Spine Fixation with the Halo BracePART 2Case management 70 Adult traumatic brain injury71 Paediatric traumatic brain injury72 Hypoxic ischemic encephalopathy73 Status Epilepticus74 Aneurysmal Subarachnoid Haemorrhage75 Intracerebral hemorrhage76 Acute ischaemic stroke - Hemispheric Middle cerebral artery stroke77 Acute ischaemic stroke - Basilar Artery Stroke78 Myasthenia gravis79 Guillain Barre syndrome80 Cerebral hyperperfusion syndrome81 Cerebral venous thrombosis82 Spinal cord injury83 ICU acquired muscle weakness84 Appendix Scales and Scores

Editorial Reviews

Reviewer: David James Dries, MSE, MD (Regions Hospital)
Description: This multidisciplinary book provides insight into the care of patients with acute neurologic conditions. It is part of the Oxford Clinical Practice Series.
Purpose: The purpose is to discuss the management of acute neurologic conditions and their secondary effects on other organ systems using a problem-based approach.
Audience: This book is appropriate for senior trainees and healthcare providers in acute medicine, neurosurgery, critical care neurology, and surgical critical care. The author is a professor in neuroanesthesiology and critical care at the All India Institute of Medical Sciences.
Features: Opening chapters present the basic principles of neurointensive care. Specific topics include intracranial pressure, cerebral blood flow, and perioperative care of neurosurgical patients. Subsequent chapters describe organ system monitoring, relevant pharmacology, and specific neurologic conditions that require the input of a neurointensivist, such as hydrocephalus, cerebral edema, vasospasm, pneumocephalus, and intracranial hypertension. The book moves on to discuss management of secondary concerns that affect the endocrine, cardiopulmonary, renal, and hematologic systems, followed by clinical procedures, such as venous and arterial access, percutaneous tracheostomy, cerebral spinal fluid drainage, cervical spine fixation, and ventricular drain systems. The concluding group of chapters describes care of typical acute neurologic cases, including status epilepticus, subarachnoid hemorrhage, acute stroke, adult and pediatric brain injury, and cerebral venous thrombosis. A final appendix includes references for scoring systems that evaluate neurologic conditions. Chapters are clearly written and typically begin with an abstract or case presentation, followed by a description of physiology and management. Most chapters include tables, while illustrations can be found in the book's central pages, but, unfortunately, quality is inconsistent. Each chapter includes references, mainly from primary literature, but a surprising number date to within five to ten years or more of this publication. The subject index includes separate citations for tables. Additionally, the book comes with a DVD containing high-quality video tutorials of bedside procedures.
Assessment: This is one of several major books that have emerged with the evolution of this field. It provides a comprehensive approach to the care of patients with acute neurologic conditions. However, I was struck by redundancy in the chapters describing monitoring, pharmacology, and therapeutics. Also, some chapters did not reflect the latest in organ system management. In all, this book will be best used by students and junior trainees seeking information on the care of acute neurologic conditions.

Doody's Review Service

"In all, this book will be best used by students and junior trainees seeking information on the care of acute neurologic conditions." — David J. Dries, MD, Doody's Reviews

From the Publisher