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Neurological care 

Neurological care
Chapter:
Neurological care
Author(s):

Heather Baid

, Fiona Creed

, and Jessica Hargreaves

DOI:
10.1093/med/9780198701071.003.0008
Page of

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date: 18 September 2019

This chapter considers the assessment and management of patients with neurological conditions. Neurological assessment is reviewed and abnormalities associated with neurological assessment are highlighted. Consideration is given to neurological conditions that may require care in a specialized critical care unit, such as traumatic brain injury and subarachnoid haemorrhage. Both general neurological monitoring tools, such as the Glasgow Coma Scale (GCS), and specialized monitoring techniques that are used within specialist centres, such as intracranial pressure monitoring, brain tissue oxygenation monitoring, transcranial Doppler, electroencephalogram (EEG), and sedation monitoring, are discussed. The chapter also reviews the care of neurological patients who may be nursed in the general critical care unit, including management of seizures (status epilepticus), Guillain-Barré syndrome, myasthenia gravis, meningitis, and delirium.

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