Neurocritical care

A significant number of critically ill neurological and neurosurgical patients are still managed in the medical or surgical ICU by non-neurointensivists, who have a hard time appreciating the delicate needs of these patients. This dynamic guide reviews current topics facing neurocritical care providers in a straight-forward, structured, and practical way. Providing clear summaries in the management of neuro critical care conditions, this text allows for accessible, highly structured, and focused protocols for the assessment, day-to-day management, and treatment of critically ill patients in various ICU settings. This comprehensive, thorough guide to the management and treatment of neurologic and neurosurgical patients, is an excellent companion for trainees preparing for the Neurovascular Boards, Neurologists, Neurosurgeons and critical care physicians, alike. Designed by leaders in their field, this thorough guide presents practical, state-of-the-art suggestions for physicians, worldwide.

Cover; Half-title; Title page; Copyright information; Contents; List of Contributors; Preface; Chapter 1 The Neurological Assessment of the Critically Ill Patient; General Approach to the Neurological Assessment; Sedation; Delirium; Stupor and Coma; Assessing a Patient with Impaired Consciousness; 1. Initial Stabilization; 2. Initial Assessment; 3. Focused Neurological Exam; GCS and FOUR Score; Respiratory Patterns; The Eye Exam; Brainstem Reflexes; Pupillary Responses; Eyelid and Corneal Reflexes; Oculocephalic Reflex; Oculovestibular (Caloric) Reflex; Gag and Cough Reflexes; Motor Responses

Assessing Neuromuscular ComplicationsConclusion; References; Chapter 2 Cerebral Blood Flow Physiology and Metabolism in the Neurocritical Care Unit; Normal Physiology of Cerebral Blood Flow; Autoregulation; Relationship Between CBF and PaCO2; Cerebral Ischemia; CBF in Acute Ischemic Stroke; CBF in Intracerebral Hemorrhage; CBF in Subarachnoid Hemorrhage; CBF in Traumatic Brain Injury; Techniques for CBF Measurement; Fick Principle; Central Volume Principle; Thermal Diffusion; Transcranial Doppler (TCD); Near-infrared Spectroscopy (NIRS); References

Chapter 3 Cerebral Edema and Intracranial …