Neurocritical Care is a primer for physicians seeing patients in the neurointensive care unit, with a specific focus on interventions in acute neurologic disorders. Neurocritical care in daily practice involves management of deteriorating patients, treatment of complications, along with end-of-life care assisting families with problematic decisions. A great number of pertinent topics can be found in this case-based book.Written with a conversational tone and using a case-based approach, the emphasis is on how to oversee comparatively common clinical problems emergently. The goal is to provide readily implementable solutions and to challenge the reader with making acute decisions in common patient examples. The brief discussions boil down to the essentials and bare necessities of neurocritical care. This third edition has over twenty new cases with new coverage on contemporary issues. Expansion of previouslydiscussed topics include additional complications in traumatic brain injury and subarachnoid hemorrhage, complications after craniotomy, elusive rapid progressive brain disease, wake-up stroke immune checkpoint inhibitor and CAR-T cell therapy complications, complications of LVAD, and earlyprognostication and communication conundrums. An easy read for new physicians, residents, and medical students, it provides practical advice from the authors seasoned experiences.
SECTION 1: ACUTE INTERVENTIONS; 1.EXPANDING LOBAR CEREBRAL HEMORRHAGE; 2. REVERSING AND RESTARTING ANTICOAGULATION IN CEREBRAL HEMORRHAGE; 3. THE VERY FIRST PRIORITIES IN TRAUMATIC BRAIN INJURY; 4. ACUTE SUBDURAL HEMATOMA WITH A TAXING POST OPERATIVE COURSE; 5. CRANIECTOMYS TRIAD OF COMPLICATIONS; 6. GRAPPLING WITH ACUTE BACTERIAL MENINGITIS; 7. SORTING OUT AND TREATING ACUTE ENCEPHALITIS; 8. THE PRESENTING FEATURES OF AUTOIMMUNE ENCEPHALITIS; 9. ESCALATING DYSPNEA IN ACUTE NEUROMUSCULAR DISEASE; 10. LIFE-THREATENING COMPLICATIONS OF INTRAVENOUS THROMBOLYSIS; 11. WHEN TO RETRIEVE A CLOT IN ACUTE STROKE; 12. WAKE UP MAJOR STROKE; 13. RECOGNIZING AN ACUTE EMBOLUS TO THE BASILAR ARTERY; 14.TIMING OF HEMICRANIECTOMY IN SWOLLEN ISCHEMIC STROKE; 15. WORSENING CEREBRAL VENOUS THROMBOSIS DESPITE ANTICOAGULATION; 16. ANEURYSMAL SUBARACHNOID HEMORRHAGE: FROM GOOD TO BAD GRADE; 17. DELAYED CEREBRAL VASOSPASM IN ANEURYSMAL SUBARACHNOID HEMORRHAGE; 18. NONANEURYSMAL SUBARACHNOID HEMORRHAGE TURNING ANEURYSMAL; 19. OPTIONS IN ACUTE SPINAL CORD COMPRESSION DUE TO CANCER; 20. UNANTICIPATED PARAPLEGIA AFTER AORTIC REPAIR; 21. WHEN STATUS EPILEPTICUS CANNOT BE CONTROLLED; 22. WHEN BRAIN METASTASIS BECOME A NEUROCRITICAL EMERGENCY; 23. THE SURGICAL URGENCY WITH PITUITARY APOPLEXY; 24. ECLAMPSIA AND ITS NEUROLOGIC CONSEQUENCES; 25. TARGETED TEMPERATURE MANAGEMENT AFTER CARDIOPULMONARY RESUSCITATION; 26. SURVIVING CARDIAC ARREST BUT DISABLING TWITCHES; 27. HYPERTENSIVE EMERGENCY AND BRAIN EDEMA; 28. THE ELUSIVE RAPID PROGRESSIVE BRAIN DISEASE; 29. IMMUNE CHECKPOINT INHIBITOR AND NEUROMUSCULAR DISEASE; 30. NEUROTOXICITY OF CAR-T CELL THERAPY; 31. FAILURE TO AWAKEN AFTER SURGERY; 32. STUPOR AFTER BRAIN SURGERY; 33. WHEN ANTIEPILEPTIC DRUGS MAY CAUSE HARM; 34. INTRACRANIAL HEMORRHAGE AND LVAD; SECTION 2: THE BASICS OF BRAIN MONITORING; 35. THE CHOICE BETWEEN SPOT AND CONTINUOUS ELECTROENCEPHALOGRAPHY; 36. WHEN TO PLACE AN INTRACRANIAL PRESSURE MONITOR; SECTION 3: CALLS, PAGES, AND OTHER ALARMS; 37. ALERT WITH A FIXED AND DILATED PUPIL; 38. SORTING THROUGH DELIRIUM; 39. ANTIBIOTIC-ASSOCIATED TOXIC ENCEPHALOPATHY IN SEPSIS; 40. ALCOHOL WITHDRAWAL WITH EXTREME AGITATION; 41. ALCOHOL RELATED ACUTE NEUROLOGIC COMPLICATIONS; 42. SUDDEN HYPOTENSION AND FEVER SPIKE; 43. WHEN BLOOD PRESSURE IS TOO HIGH; 44. ACUTE WHITE-OUT ON CHEST X-RAY; 45. STORMING WITH SWEATING, FEVER, AND RIGID POSTURING; 46. THE COMMON CARDIAC ARRHYTMIAS; 47. DYSAUTONOMIA IN GUILLAIN-BARRe SYNDROME; 48. DIFFICULT VENTILATOR WEANING IN MYASTHENIA GRAVIS; 49. DECREASING SERUM SODIUM; 50. INCREASING SERUM SODIUM; 51. RISING AMMONIA IN LIVER CIRRHOSIS; SECTION 4: PRINCIPLES OF PROGNOSTICATION; 52. PROGNOSTICATION AFTER SEVERE TRAUMATIC BRAIN INJURY; 53. PROGNOSTICATION AFTER ACUTE ISCHEMIC STROKE AND CEREBRAL HEMORRHAGE; 54. PROGNOSTICATION AFTER CARDIOPULMONARY RESUSCITATION; SECTION 5: LONG-TERM SUPPORT, END OF LIFE CARE, AND PALLIATION; 55. DECISIONS IN PERSISTENT COMATOSE STATES; 56. WHEN WITHDRAWAL OF LIFE-SUSTAINING TREATMENT IS CONSIDERED; 57. BRAIN DEATH DETERMINATION: SLIP -UPS AND OTHER MISREADINGS; 58. WHEN TO MENTION ORGAN DONATION; SECTION 6: THE OTHER SIDE OF NEUROCRITICAL CARE: COMMUNICATION CONUNDRUMS; 59. PATIENTS COMING IN AND GOING OUT; 60. WHEN FAMILIES DO NOT AGREE WITH OUR APPROACH AND CARE;
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