Challenging Topics In Neuroanesthesia And Neurocritical Care

This book focuses on controversial issues in neuroanesthesia and neurocritical care that in general have been subjected to insufficient professional scrutiny. The book is in three parts, the first of which is devoted to topics relating to traumatic brain and spinal cord injury, such as brain tissue oxygenation, the role of biomarkers, and diagnosis of brain death. Aspects of airway and pain management are then addressed, covering, for example, airway management in an emergency setting, airway evaluation in the edentulous patient, and pain management in neurosurgery and after craniotomy. The final part of the book considers a wide range of other challenging subjects in the field of neuroanesthesia and neurocritical care. Throughout, much information is provided on the latest, state of the art management. The authors are acknowledged experts in the issues they discuss, and the book will be of interest for graduate and undergraduate students, residents, neuroanesthetists, neurointensivists, emergency medicine residents and specialists, fellows in neurocritical care and all those directly involved in the perioperative care of patients with head and neck pathology.

Core Topics in Neuroanesthesia and Neurointensive Care is an authoritative and practical clinical text that offers clear diagnostic and management guidance for a wide range of neuroanesthesia and neurocritical care problems. With coverage of every aspect of the discipline by outstanding world experts, this should be the first book to which practitioners turn for easily accessible and definitive advice. Initial sections cover relevant anatomy, physiology and pharmacology, intraoperative and critical care monitoring and neuroimaging. These are followed by detailed sections covering all aspects of neuroanesthesia and neurointensive care in both adult and pediatric patients. The final chapter discusses ethical and legal issues. Each chapter delivers a state-of-the art review of clinical practice, including outcome data when available. Enhanced throughout with numerous clinical photographs and line drawings, this practical and accessible text is key reading for trainee and consultant anesthetists and critical care specialists.

This book presents a student-centric, problem-based approach to learning key issues in neuroanesthesia and neurocritical care, a concept that is gaining popularity and acceptance in the medical education field. Each chapter starts with a brief case scenario describing the condition, followed by series of questions and answers covering important aspects like differential diagnosis, associated co-morbidity, preoperative evaluation and preparation, intraoperative anesthetic management, postoperative management and prognosis. Featuring questions to engage readers, and providing answers based on reason and supported by evidence and references, the book is a valuable educational aid for trainees and residents. It also offers insights into the real-world clinical situations, making it of interest to practicing anesthesiologists and neuroanesthesiologists.

The current practice of medicine is largely moving toward applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using systematic reviews of the medical literature and then translating it into practice by selecting treatment options for specific cases based on the best research. Clinicians rely on the availability of evidence and accordingly take decisions to provide best treatment to their patients. Clinical management of neurologically compromised patients is challenging and varied; for this reason, treating physicians including neuroanesthesiologists are always in search of best available evidence for patient management and care. Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions. This comprehensive resource succinctly discusses evidence-based practice of neuroanesthesia based on systematic reviews in clinical neuroscience research. Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neuroscience, and this book will help residents and trainees gain knowledge to apply it to their practice. Endorsements/Reviews: "Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties." -- Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC) Highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring Provides residents and trainees with the knowledge to apply evidence-based practice of neuroanesthesia to their practice

This two-volume book offers a comprehensive guide to anesthetic management and critical care management in neurosurgical and neurological patients. This second volume focuses on neurocritical care. The book begins with basic information on the principles of neurocritical care. Management of various neurological problems such as myasthenia gravis, Guillain-Barré syndrome, epilepsy, stroke and many more are discussed in detail. Subsequent sections address nursing care, physiotherapy and psychological care, issues related to brain death and organ donation, and common complications observed in neurological patients during their ICS stays. Each complication is discussed in detail, guiding readers in their clinical practice. In turn, the book’s closing chapters cover e.g. the role of hypothermia and evidence-based practice. The book offers a valuable resource for all residents, fellows and trainees in the fields of neurointensive care and critical care; it will also benefit intensivists and neurocritical care experts.

This book provides a comprehensive overview on sedation and analgesia for the pediatric intensivist. Divided into two primary sections, the text presents a framework on how to care for patients who need sedation, analgesia, and neuromuscular blockade inside the pediatric ICU (PICU), and how to manage procedural sedation in an outpatient setting. The first section focuses on sedation and analgesia for the critically ill child, with an emphasis on analgesics, sedatives, neuromuscular blockade, tolerance and withdrawal, and the PICU environment. The second section centers around procedural sedation, detailing patient selection, pre-sedation assessment, how to choose a sedation regimen, available agents, and nursing considerations. Written by experts in the field, Sedation and Analgesia for the Pediatric Intensivist: A Clinical Guide is a valuable resource for the pediatric intensivist in caring for their patients both inside and outside the PICU.

This book reports on cutting-edge research into innovative system interfaces, highlighting both lifecycle development and human–technology interaction, especially in virtual, augmented and mixed-reality systems. It describes advanced methodologies and tools for evaluating and improving interface usability and discusses new models, as well as case studies and good practices. The book addresses the human, hardware, and software factors in the process of developing interfaces for optimizing total system performance, particularly innovative computing technologies for teams dealing with dynamic environments, while minimizing total ownership costs. It also highlights the forces currently shaping the nature of computing and systems, including the need for decreasing hardware costs; the importance of portability, which translates to the modern tendency toward hardware miniaturization and technologies for reducing power requirements; the necessity of a better assimilation of computation in the environment; and social concerns regarding access to computers and systems for people with special needs. The book, which is based on the AHFE 2018 International Conference on Human Factors and Systems Interaction, held on July 21–25, 2018, in Orlando, Florida, USA, offers a timely survey and practice-oriented guide for systems interface users and developers alike.

All aspects of neuroanaesthesia are covered in this up-to-date, highly illustrated textbook. Written for general anaesthetic departments and ICUs, as well as specialist neurosurgical and trauma units, it covers the key areas needed to understand the principles of neuroanaesthesia, such as functional anatomy, advances in bedside monitoring and imaging techniques. It addresses practical issues of diagnosis and patient care. Best clinical practice is described in detail throughout. It is an essential, one-stop review of modern neuroanaesthesia and neurocritical care for anaesthetists, intensivists and surgeons at all levels of practice.