Patients in the neurointensive care unit pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes blocked. Neurocritical Care is the next volume in the "What Do I Do Now?" series and provides the clinician with specific focus and insight on interventions in acute neurologic disorders. Neurocritical care in daily practice pertains to managing deteriorating patients, treatment of complications but also end-of-life care assisting families with difficult decisions. Written with a conversational tone and using a case- based approach, Neurocritical Care emphasizes how to handle comparatively common clinical problems emergently.
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SECTION I ACUTE INTERVENTIONS |
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1 Surgery for Cerebral Hemorrhage |
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5 | (8) |
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2 Reversal of Anticoagulation After Cerebral Hemorrhage |
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13 | (7) |
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3 Medical Care of Traumatic Brain Injury |
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20 | (7) |
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4 Fulminant Bacterial Meningitis |
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27 | (8) |
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5 Sorting Out and Treating Encephalitis |
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35 | (9) |
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6 Respiratory Support in Acute Neuromuscular Respiratory Failure |
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44 | (6) |
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7 Endovascular Recanalization in Acute Stroke |
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50 | (10) |
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8 Decompressive Craniectomy in Acute Stroke |
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60 | (6) |
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9 Neuroloqical Worsening After Subarachnoid Hemorrhage |
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66 | (9) |
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10 Options in Acute Spinal Cord Compression |
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75 | (7) |
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11 Choices in Refractory Status Epilepticus |
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82 | (8) |
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12 Deteriorioration from Brain Metastasis |
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90 | (6) |
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13 Hypothermia After Cardiopulmonary Resuscitation |
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96 | (6) |
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14 Antidotes for the Intoxicated Patient |
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102 | (8) |
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15 Failure to Awaken After Surqery |
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110 | (5) |
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16 Stupor After Brain Surqery |
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115 | (8) |
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SECTION II CALLS, PAGES, AND OTHER ALARMS |
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123 | (8) |
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18 Early Hypotension and Fever |
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131 | (7) |
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19 Acute Pulmonary Edema After Major Trauma |
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138 | (6) |
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20 Paroxysmal Sympathetic Hyperactivity |
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144 | (8) |
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21 Acute Hypertension After Stroke |
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152 | (7) |
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22 Acute Cardiac Arrhythmia After Acute Brain Injury |
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159 | (5) |
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23 Autonomic Failure After Gulllain-Barrl Syndrome |
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164 | (7) |
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24 Weaninq of the Ventilator in Myasthenia Gravis |
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171 | (6) |
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25 Hyponatremia After Subarachnoid Hemorrhaqe |
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177 | (7) |
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26 Diabetes Insipidus After Brain Tumor Surqery |
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184 | (8) |
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192 | (9) |
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SECTION III LONG-TERM SUPPORT, END-OF-LIFE CARE, AND PALLIATION |
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28 Decisions In Persistent Veqetatlve State |
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201 | (7) |
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29 Do-Not-Resuscitate Orders and Withdrawal of Life Support |
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208 | (9) |
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30 Pitfalls of Brain Death Determination |
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217 | (7) |
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31 Approach to Organ Donation |
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224 | (7) |
| Index |
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231 | |
EELCO F. M. WIJDICKS, M.D., Ph.D., F.A.C.P., Professor of Neurology, College of Medicine, Chair, Division of Critical Care Neurology, Consultant, Neurosciences Intensive Care Unit, Saint Marys Hospital, Mayo Clinic, Rochester, Minnesota ALEJANDRO A. RABINSTEIN, M.D., Professor of Neurology, College of Medicine, Division of Critical Care Neurology, Medical Director and Consultant, Neurosciences Intensive Care Unit, Saint Marys Hospital, Mayo Clinic, Rochester, Minnesota