Neurocritical Care

see also Pediatric neurocritical care.

see also Neonatal neurocritical care.

Neurocritical care is the intensive care of patients with life-threatening neurological illnesses. Neurocritical care (NCC) is not only generally guided by principles of general intensive care, but also directed by specific goals and methods.

Massive stroke, bleeding in and around the brain (subarachnoid hemorrhage, intracerebral hemorrhage, subdural hematoma, intraventricular hemorrhage), brain tumors, brain trauma, severe seizures, nerve and muscle diseases (such as myasthenia gravis or Guillain Barre Syndrome) and spinal cord disorders among others.

Many neurocritical care patients are comatose or paralyzed and may suffer injuries in other parts of the body as well.

see Arterial hypertension treatment.

see Shock.

Neurotrauma and Critical Care of the Brain

“This book really is a complete primer on the head injured patient. Without a map such as the one this book metaphorically provides, the voyage to mastery can be hazardous for both practitioner and patient.”— Journal of the American Medical Association

Neurotrauma and Critical Care of the Brain, 2nd edition by renowned neurosurgeons Jack Jallo and Christopher Loftus incorporates salient components of the highly praised first edition. The updated text reflects cutting-edge discussion on traumatic brain injury treatment in a neurocritical care setting. Contributions from top experts in neurosurgery, neurology, critical care, cardiac and pulmonary care, and trauma surgery provide a concise review of a complex and evolving field.

The book lays a solid foundation with discussion of traumatic brain injury classification, pathophysiology, key blood biomarkers, noninvasive neuromonitoring in severe TBI patients, multimodality monitoring in neurocritical care, and brain imaging modalities. From the prehospital setting to intensive care, top experts share clinical pearls and core guidelines on the management of mild, moderate, and severe TBI and complications. Chapters new to this edition include concomitant injuries, orbital/facial fractures, vascular injuries, spine fractures, autonomic dysfunction, and temperature management.

Key Highlights

Specialized topics include wartime penetrating injuries, cardiovascular complications of TBI, venous thromboembolism prophylaxis, ethical considerations, TBI costs in the U.S. and the financial return on helmets

Management of pediatric brain injuries in the NICU with illustrative cases

Nearly 200 high quality illustrations facilitate understanding of complex anatomy and techniques Summary tables provide a handy overview of injury type, causes, characteristics, and recommended imaging modalities

This remarkable resource is essential reading for neurosurgeons, neurologists, trauma physicians, critical care and rehabilitation medicine specialists, and residents in these specialties. Paired with Neurotrauma and Critical Care of the Spine, 2nd edition, this dynamic duo is the most up-to-date neurocritical care reference available today.

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