Neurological and Neurosurgical Intensive Care

The standard text and reference on neurological and neurosurgical intensive care is now in its Fourth Edition--thoroughly revised to incorporate the latest therapeutic advances and insights from the most recent clinical trials. A team of distinguished neuro-intensivists offers practical, state-of-the-art guidelines for managing the wide range of problems arising in postoperative neurosurgical care and care of patients with acute neurological diseases.This edition focuses sharply on the details of therapeutics. The authors, from leading neuro-intensive care units, have written the book collectively, giving it more cohesiveness and more of an authoritative consensus voice than previous multiauthored editions.

Allan H. Ropper, M.D. Tufts University School of Medicine Daryl R. Gress, M.D. Lynchburg General Hospital Virginia Michael N. Diringer, M.D. Washington University School of Medicine St. Louis, Missouri Deborah M. Green, M.D. University of Hawaii School of Medicine Stephan A. Mayer, M.D. Columbia University College of Physicians & Surgeons Thomas P. Bleck, M.D. The University of Virginia Charlottesville

Preface

vii

Part I. General Principles of Neurological Intensive Care

1 Introduction to Critical Care in Neurology and Neurosurgery

3

(9)

2 Intracranial Physiology and Elevated Intracranial Pressure

12

(14)

3 Management of Intracranial Hypertension and Mass Effect

26

(26)

4 Pulmonary Aspects of Neurological Intensive Care

52

(40)

5 Cardiovascular Aspects of Neurological Intensive Care

92

(13)

6 Fluid and Metabolic Derangements

105

(8)

7 Fever and Infections in the Neurological Intensive Care Unit

113

(16)

8 Electrophysiologic Monitoring in the Neurological Intensive Care Unit

129

(25)

9 Persistent Vegetative State and Brain Death

154

(15)

Part II. Specific Problems in Neurological Intensive Care

10 Postoperative Neurosurgical Care

169

(8)

11 Neurological Complications of Critical Medical Illnesses

177

(12)

12 Head Injury

189

(19)

13 Critical Care of Acute Stroke

208

(9)

14 Management of Nontraumatic Brain Hemorrhage

217

(14)

15 Subarachnoid Hemorrhage

231

(12)

16 Intensive and Postoperative Care of Intracranial Tumors

243

(17)

17 Hypoxic Ischemic Cerebral Injury

260

(18)

18 Critical Care of Guillain Barré Syndrome

278

(21)

19 Treatment of the Critically Ill Patient with Myasthenia Gravis

299

(13)

20 Status Epilepticus

312

(9)

21 Viral Encephalitis and Bacterial Meningitis

321

(28)

22 Spinal Cord Injury

349

(14)

23 Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit

363

(14)

Subject Index

377

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Neurological and Neurosurgical Intensive Care

Summary

Author Biography

Table of Contents

Supplemental Materials