
Neurocritical Care
Eelco FM Wijdicks, Alejandro A. Rabinstein, Sara E. Hocker, and Jennifer E. Fugate
Print publication date: Apr 2016
ISBN: 9780190602659
Publisher: Oxford University Press
Abstract
This book comprises a collection of case studies of patients with acute and critical neurological disease, along with pertinent discussion of approaches to each particular condition. Case studies provide a way to examine how difficult it is to approach these patients situated in the neurosciences intensive care unit. Some patients need close observation and management of emerging problems, others need a neurosurgical intervention or a neurointerventional procedure, a few patients are in extremis. The examples provided in this book are quintessential to the practice of neurocritical care. Some are less common conditions that need to be recognized and appropriately treated. Another purpose of this book is to introduce the reader to the field of neurocritical care and to show what goes on. The book shows the complexity of care and urgent decision-making involved in treating patients who deteriorate. Practical suggestions are included for each topic it covers. Not only is treatment of serious neurological disorders discussed but also prognostication in practice and end-of-life care discussions. In some ways this book summarizes the entire spectrum of presenting acute illness and how best to intervene.
Table of Contents
- Front Matter
- Section I Acute Interventions
- 1 Rapid Progression in Lobar Cerebral Hemorrhage
- 2 Cerebral Hemorrhage and High INR
- 3 Traumatic Brain Injury arriving in the Emergency Department
- 4 Meningitis Not Improving After IV Antibiotics
- 5 Acute Encephalitis and Abnormal MRI
- 6 A Psychotic Break and Seizures
- 7 Acutely Progressive Dyspnea and Limb Weakness
- 8 Infrequent (and Mostly Unfamiliar) Complications After Thrombolysis
- 9 When to Retrieve a Clot in Acute Stroke
- 10 Swollen Ischemic Brain and When to Call the Neurosurgeon
- 11 Cerebral Venous Thrombosis Not Responding to Anticoagulation
- 12 The First Week After Aneurysmal Subarachnoid Hemorrhage
- 13 More on Delayed Cerebral Ischemia and Neurointervention After Aneurysmal Subarachnoid Hemorrhage
- 14 Prior Cancer and a Worrisome MRI of the Spine
- 15 Acute Paraplegia After Aortic Surgery
- 16 When Status Epilepticus Does Not Respond to First Treatment
- 17 Urgent Options in Brain Metastasis
- 18 Hemorrhage into a Pituitary Tumor
- 19 Brain Edema and Hypertensive Urgency
- 20 Treatable Toxicity After Chemotherapy
- 21 Waking Slowly and Slurring After Surgery
- 22 Awake and Then Not Awake After Brain Surgery
- Section II Monitoring with Probes 101
- Section III Calls, Pages, and Other Alarms
- 25 Wild and Agitated After Acute Abdominal Surgery
- 26 Rigidity After Experimenting with Drugs
- 27 Sweaty, Febrile, and Tachypneic After Traumatic Brain Injury
- 28 Acute Fever and Shock After Ruptured Cerebral Aneurysm
- 29 Rapid-Onset Coma and Chest X-Ray Whiteout After a Fracture
- 30 When Blood Pressure Needs Control After Stroke
- 31 A Common Cardiac Arrhythmia After Stroke
- 32 Hypertension and Bradycardia in Severe Guillain-Barré Syndrome
- 33 Struggling to Get a Patient with Myasthenia Gravis off the Ventilator
- 34 Decreasing Serum Sodium in Aneurysmal Subarachnoid Hemorrhage
- 35 Increasing Serum Sodium After Surgery for Tumor in the Pituitary Region
- Section IV Long-Term Support, End-of-Life Care, and Palliation
- Section V Principles of Prognostication
- End Matter