Acute Neuro Care

The book provides detailed information on all major neuroemergencies, and includes a detailed checklist for practical care during the first hour of an emergency. Reinforcing the concept of quality care for better outcomes in patients with neurological diseases, the book discusses approaches to comatose patients, neurological evaluation, neuropharmacology, neuroradiology, traumatic brain and spine injury, and various other neurological disorders. The field of neuroanesthesiology and neurocritical care has expanded with the advent of newer, complex surgeries, and neurocritical care is becoming an established subspecialty of neuroscience. Neurological emergencies require special care since prevention of secondary damage to the brain is of paramount importance. A valuable resource for intensivists, neurointensivists, emergency medicine physicians, neurology and neurosurgeons and nursing professionals involved in neurocare, this book also serves as study material for participants of the two-day course on “Acute Neuro Care” designed by the Indian Society of Neuroanesthesiology and Critical Care (ISNACC).

The book provides detailed information on all major neuroemergencies, and includes a detailed checklist for practical care during the first hour of an emergency. Reinforcing the concept of quality care for better outcomes in patients with neurological diseases, the book discusses approaches to comatose patients, neurological evaluation, neuropharmacology, neuroradiology, traumatic brain and spine injury, and various other neurological disorders. The field of neuroanesthesiology and neurocritical care has expanded with the advent of newer, complex surgeries, and neurocritical care is becoming an established subspecialty of neuroscience. Neurological emergencies require special care since prevention of secondary damage to the brain is of paramount importance. A valuable resource for intensivists, neurointensivists, emergency medicine physicians, neurology and neurosurgeons and nursing professionals involved in neurocare, this book also serves as study material for participants of the two-day course on "Acute Neuro Care" designed by the Indian Society of Neuroanesthesiology and Critical Care (ISNACC)

Brain injury is a worldwide leading cause of mortality and morbidity and requires early and appropriate management to minimize these adverse sequelae. Despite such needs, access to specialist centers is limited, forcing both immediate and secondary care of these patients onto generalist staff. These responsibilities are made more problematical by differences in patient management between and even within specialist centers, due in part to an insuffcient evidence-base for many interventions directed at brain injury. This book is borne out of the above observations and is targeted at em- gency and acute medicine, anesthetic and general intensive care staff caring for brain injury of diverse etiology, or surgical teams responsible for the inpatient care of minor to moderate head trauma. Although explaining the various facets of specialist care, the book is not intended to compete with texts directed at neurosciences staff, but aims to advise on optimal care in general hospitals, including criteria for transfer, by a combination of narrative on pathophysiology, principles of care, templates for documentation, and highly specifc algorithms for particular problems. It is intended that the content and structure can form the basis of guidelines and protocols that refect the needs of individual units and that can be constantly refned. Our ultimate goal is to promote informed, consistent, auditable, multidisciplinary care for this cohort of patients and we hope that this text contributes to that process.

Rapid response, assessment and management are crucial for neurocritical situations Acute neurological illness is traumatic for patients and their families. Physicians caring for these patients are often under great distress and need to rapidly assess the situation to allow appropriate stabilization and management. Emergency Management in Neurocritical Care gives you the tools you need to perform under pressure in the neurocritical or emergency care unit. The no-nonsense approach corresponds to the attitude needed in both acute emergencies and in the neurocritical care unit. Packed with handy tips to improve your care of patients, and written by internationally renowned experts, the book covers: Acute Management of Neurological Emergencies Cerebrovascular Critical Care Infections of the Nervous System Neuromuscular Complications Encountered in the Intensive Care Unit Neurological Complications and Consultations in General Intensive Care Units Acute Neuroimaging and Neuromonitoring in Neurocritical Care Clinical in approach, practical in execution, Emergency Management in Neurocritical Care will help you perform better in pressure situations.

A major contribution to the literature in neurology from renowned neurointensivist Eelco F.M. Wijdicks, MD, PhD, Famous First Papers for the Neurointensivist presents and critically assesses numerous papers that have made a profound impact on the diagnosis and treatment of neurologically acute conditions. In general, there has been little historical work in acute neurologic conditions, precisely because neurology is not perceived through this perspective. Famous First Papers for the Neurointensivist addresses this problem by a scholarly treatment of early descriptions of clinical signs, syndromes and presenting the development of treatment of these acute disorders. Using a uniform and easy-to-read format, the title offers a clear reproduction of each paper’s title page, a short historical note, and a brief discussion and its implications, and a final comment to provide perspective. Landmark clinical trials that apply to acute neurology are included, and the book also briefly discusses the birth of intensive care units. Ground-breaking and indispensable for all physicians and researchers interested in neurocritical care, Famous First Papers for the Neurointensivist is a unique, original reference, providing not only a single source for discovering the most important papers in the field but also a critical analysis of the impact of each paper on the development of neurocritical care. "Dr Wijdicks has been integral to the growth and development of neurocritical care as a specialty. He has cultivated it firsthand, serving as a contemporary of Raymond Adams, C. Miller Fisher, and Allan Ropper, all pioneers in acute neurological care. He established the neurocritical care program at the Mayo Clinic in the early 1990s and has served as the editor in chief of the journal Neurocritical Care, which was first published in 2004 after the foundation of the Neurocritical Care Society. His unique vantage point allows him to bring us a book that few others could produce, Famous First Papers for the Neurointensivist. This book is an original in the field and should be on the reading list of anyone who cares for critically ill neurologic and neurosurgical patients... Reading this book from cover to cover is highly recommended. The writing is clear and concise, and the transitions are smooth. Each essay is self-contained and allows the reader to set his or her own pace. Once completed,the book serves as a great reference book because each essay stands on its own. The photographs of the manuscripts' title pages and key tables and figures are of high quality, and a translation is provided if the original work was not in English... Dr Wijdicks has sifted through the library stacks and has emerged with a book that puts the specialty of neurocritical care into historical perspective. In order to know where you are going, you must first know where you have been. This holds especially true for neurocritical care because the specialty continues to grow and flourish." -- JAMA NEUROL/VOL 70 (NO. 4), APR 2013 WWW. JAMANEURO.COM

In recent years, neurocritical care has grown and matured as a subspecialty of Critical Care Medicine with the advent of new monitoring, diagnostic, and therapeutic capabilities. The goal of neurocritical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. Neurocritical Care provides 'at the bedside' guidance on the medical knowledge and technical skills required to care for critically ill patients with neurologic conditions such as cerebrovascular disorders, neurotrama, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general ICU or specialty Neuro ICU unit. Readers will gain an understanding of background knowledge and concrete solutions to questions and situations encountered in daily practice.

Fully updated and revised, the second edition of The Practice of Emergency and Critical Care Neurology puts a more modern approach on the practice of emergency neurological care. When most texts within the field focus on the theoretical aspects, this book concentrates on the management of neurologic conditions, recognition of deterioration of neurologic functions, neurosurgical procedures, and immediate interventions. This text also presents hard data to explain why we do what we do. Dr. Wijdicks condenses essential information into several sections comprising of the principles in recognizing critically ill neurologic patients in the emergency department, the evaluation of symptoms indicating critical emergency, general principles of managing critically ill patients, monitoring devices and diagnostic tests, complete management of specific disorders in the neurosciences intensive care unit, postoperative neurosurgical and neurointerventional complications, management of medical complications, and end of life care. Key Features of the New Edition include 1. Additional chapters on critical consults in surgical and medical ICUs, critical care management, and comprehensive monitoring and biomarkers to reflect new research; 2. Rich illustrations using color photos of patients and drawings of important basic concepts of mechanism of acute neurologic disease; 3. Fully updated and comprehensive reference list; 4. A pocket book of selected tables and figures covering all essential points for quick reference and as a survival guide for house staff. This is the go-to guide for every physician, staff neurologist, neurointensivist, resident, and fellow in training with managing acutely ill neurologic patients.

This practical book covers neuro-critical care procedures performed in medical or surgical ICU and different procedures dedicated to acute neurological care. The book's format allows for quick decisions about care and protocols while treating neurologically injured patients. Divided into two sections, the first focuses on procedures. The outlines of these chapters include indication, technique, types of kits available, and challenges. The second section covers the protocols; these chapters feature flowcharts, drugs/device, doses of drugs, description of device, indication, evidence, and future prospects. This succinct guide will serve as a go-to reference for residents, fellows, intensivists, or any healthcare personnel within neuro-critical care unit.