Problem Based Learning Discussions In Neuroanesthesia And Neurocritical Care

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.

1. Admission and Discharge Policies 2. Protocols in Neuro Intensive Care Unit 3. Examination of Patients on Admission 4. Management of Routine Postoperative Patients 5. Neurotrauma in ICU 6. Intracerebral Hematoma 7. Subarachnoid Hemorrhage 8. ICU Management of Neuromedicine Patients 9. Common Problems in Neuro ICU 10. Acid-Base Disorders/Fluids and Electrolytes 11. Reversal of Coagulopathy 12. Nutrition and Gastrointestinal Prophylaxis 13. Common Ventilatory Modes in Neurocritical Care 14. Acute Respiratory Distress Syndrome Protocol 15. Commonly Used Drugs and Dosages 16. Procedures in Neurocritical Care Unit 17. Point-of-Care Ultrasound in Neurocritical Care 18. Brain Death and Organ Donation

Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews topics in general anesthesiology utilizing the PBL approach. Each chapter deals with conditions and problems in anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Current in its knowledge of organ systems and management, the text keeps pace with new technology, new drugs, and new surgical techniques coupled with current guidelines for anesthetic management. Cases highlight the practical issues that arise in the operating room and offers solutions for them. The book can be used to review an upcoming clinical case or as a PBL tool. The Stem Case and Key Questions and Discussion sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the specialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.

The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.

Neuroanesthesia: A Problem-Based Learning Approach provides an up-to-date and comprehensive review of the neuroanesthesia subspecialty. Its problem-based format incorporates a pool of practical, multiple-choice questions for self-assessment. Each of its 29 case-based chapters is accompanied by 10 questions and answers, accessible online in a full practice exam. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases; it then branches out through case-based questions, to increasingly complex situations. This structure is designed to create an authentic experience that mirrors that of an oral board examination. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of that topic. This book is equally a solid reference compendium of neuroanesthesia topics and a comprehensive review to assist the general practitioner both in day-to-day practice and during preparation for certification exams. Its problem-based format makes it an ideal resource for the lifelong learner and the modern realities of education.

Neuroanesthesia: A Problem-Based Learning Approach provides an up-to-date and comprehensive review of the neuroanesthesia subspecialty. Its problem-based format incorporates a pool of practical, multiple-choice questions for self-assessment. Each of its 29 case-based chapters is accompanied by 10 questions and answers, accessible online in a full practice exam. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases; it then branches out through case-based questions, to increasingly complex situations. This structure is designed to create an authentic experience that mirrors that of an oral board examination. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of that topic. This book is equally a solid reference compendium of neuroanesthesia topics and a comprehensive review to assist the general practitioner both in day-to-day practice and during preparation for certification exams. Its problem-based format makes it an ideal resource for the lifelong learner and the modern realities of education.

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.

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