The Jefferson Manual For Neurocritical Care

The quintessential reference for bedside medical management of neurocritical care patients Medical management of patients in the neurocritical care unit (NCCU) often spells the difference between life or death and return to normal function or a lifetime disability. As such, it is vital that patients with life-threatening neurological and neurosurgical illnesses receive prompt diagnosis and rapid interventions in the NCCU. The Jefferson Manual for Neurocritical Care by renowned neurosurgeon Jack I. Jallo, neurointensive care physician Jacqueline S. Urtecho, and distinguished colleagues is a high-yield pocket resource ideal for the bedside care of patients with serious, life-altering diseases. Nineteen concise chapters encompass cerebrovascular, neuromuscular, oncologic, and traumatic conditions, as well as core clinical topics applicable to the care of neurocritical patients. Key Highlights Evidence-based management strategies created at Thomas Jefferson University's Vickie and Jack Farber Institute for Neuroscience presented in reader-friendly algorithms, pictures, and charts General chapters cover brain death, sodium dysregulation, nutrition, sedation, pain management, neuromonitoring, and ventilation strategies Disease-specific chapters featuring succinct, bulleted format include epidemiology, causes, diagnostic tests, treatment options, symptoms, common clinical presentation, risk factors, differential diagnoses, and more This manual is an indispensable resource for neurocritical care residents and fellows, NCCU nurses, nurse practitioners, physician assistants, general intensive care physicians, and neurointensivists.

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

Presents a practical and accessible approach to recognising and managing neurological emergencies in intensive care units quickly.

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.

Neurocritical care as a subspecialty has grown rapidly over the last 20 years with the advent of newer monitoring and diagnostic techniques and therapeutic modalities in a variety of brain and spinal cord injury paradigms. This handbook will serve as a quick reference guide to all health care providers in a neurocritical care setting. Since time is of the essence in the rapid diagnosis and timely therapeutic interventions for these patients, this book provides an algorithmic approach to making a clinical diagnosis using ancillary investigations to confirm the diagnosis and provide appropriate management of acute neurologic diseases. Tables and illustrations help provide a quick and easy bedside reference and give a practical approach to the management of these patients.

Neurotrauma in Multiple Choice Questions is the FIRST review book to use the multiple-choice question format in neurosurgical trauma. Students of neurosurgery, the resident, the fellow, the younger neurosurgeon preparing for exams or practice, and even the later stage neurosurgeon are the target audience of this book. The information in this work is in accordance with the most up-to-date best practice evidence, with a style that mirrors the format adopted by the majority of local, regional, and international board examinations. The strategy and format of the questions provide a stepwise progression from definition to surgical decision-making, to a comprehensive and concise overview of neurological trauma.

The AACN Procedure Manual for Critical Care, 6th Edition presents procedures for the critical care environment in an illustrated, consistent, and step-by-step format. The Procedures and Patient Monitoring sections are presented in a tabular format that includes special considerations and rationales for each intervention. References have been meticulously reviewed to ensure that the most authoritative and timely standards of practice are used. Additionally, the references supporting care recommendations are identified according to the latest AACN Evidence Leveling System to ensure that you have a complete understanding of the strength of the evidence base. UNIQUE! AACN-sponsored content ensures the highest standards of practice Comprehensive, clear, easy-to-use format allows you to quickly find and review the exact content you need Rationales provide complete information on every procedure Identified AP procedures help you judge whether a procedure is in your scope of practice Patient safety highlighted with new icons for patient identification and time-out Joint Commission Universal Protocols CDC Standard Precautions for hand washing and applying protective clothing and equipment highlighted with new icons UNIQUE! Clarity of Evidence Leveling helps you quickly grasp the strength of the evidence supporting the care recommendations Reviewed and Updated References comply with the highest standards of critical care practice Alphabetical procedures index inside the front cover provides easy access Reader-friendly design changes make it easier to identify and utilize special features

The AACN Procedure Manual for High Acuity, Progressive, and Critical Care, 7th Edition, authored by the American Association of Critical-Care Nurses, is the authoritative reference to procedures performed in high acuity, progressive, and critical care settings. It visually guides you through procedures unique to the adult critical care environment, including those performed by advanced practice nurses, in an illustrated, step-by-step format. This edition features 17 new procedures, new illustrations, and updated content throughout, reflecting the latest evidence-based guidelines and national and international protocols. Authored by the American Association of Critical-Care Nurses, the foremost authority in critical care nursing, the AACN Procedure Manual is the most authoritative reference to procedures performed by nurses in high acuity, progressive, and critical care settings. Comprehensive coverage includes all procedures commonly performed by nurses in high acuity, progressive, and critical care settings, including those performed by advanced practice nurses (indicated by an AP icon). A straightforward step-by-step organization uses consistent headings to make following a procedure (and finding the various supporting elements) quick and easy. Rationales for all interventions in patient and family education, assessment, patient preparation, procedure, and monitoring help you understand the reason for every step. The level of evidence is provided when an evidence base exists to substantiate an intervention, giving insight into the strength of information available. Advanced practice procedures are clearly identified with an AP icon so you can judge whether a procedure is within your scope of practice. Alphabetical Procedure Index inside the front cover provides quick access to the procedures. Written by more than 100 expert critical care nurses and extensively reviewed by more than 100 experts in critical care nursing to ensure the accuracy and currency of each procedure. Bulleted lists, tables, and detailed illustrations throughout ensure that content is easy to reference and digest. NEW! Updated content throughout reflects the latest evidence-based guidelines and national and international protocols. NEW! 17 new procedures reflect major additions to nursing practice in high acuity, progressive, and critical care settings. NEW! Engaging new illustrations of procedures, equipment, and techniques are integrated throughout.