Written with a conversational tone and using a case-based approach, Neurocritical Care is a primer for physicians seeing patients in the neurointensive care unit, with a specific focus on interventions in acute neurologic disorders. An easy read for new physicians, residents, and medical students, it provides practical advice from the authors' seasoned experiences.
Neurocritical Care is a primer for physicians seeing patients in the neurointensive care unit, with a specific focus on interventions in acute neurologic disorders. Neurocritical care in daily practice involves management of deteriorating patients, treatment of complications, along with end-of-life care assisting families with problematic decisions. A great number of pertinent topics can be found in this case-based book.
Written with a conversational tone and using a case-based approach, the emphasis is on how to oversee comparatively common clinical problems emergently. The goal is to provide readily implementable solutions and to challenge the reader with making acute decisions in common patient examples. The brief discussions boil down to the essentials and bare necessities of neurocritical care. This third edition has over twenty new cases with new coverage on contemporary issues. Expansion of previously discussed topics include additional complications in traumatic brain injury and subarachnoid hemorrhage, complications after craniotomy, elusive rapid progressive brain disease, "wake-up stroke" immune checkpoint inhibitor and CAR-T cell therapy complications, complications of LVAD, and early prognostication and communication conundrums. An easy read for new physicians, residents, and medical students, it provides practical advice from the authors' seasoned experiences.
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[ T]his is a superb introduction to a rapidly expanding field." -Doody's Health Sciences This text is a worthwhile read, a ready reference, and a thought-provoking research starter that belongs in every hospital, NDT lab, and medical library."- The Neurodiagnostic Journal In less than 350 pages, the authors cover central, peripheral, and autonomic nervous system dysfunction occurring in the intensive care unit setting. More than 40 cases are presented, each beginning with a brief clinical presentation..."-The Neurodiagnostic Journal
SECTION 1: ACUTE INTERVENTIONS
1.EXPANDING LOBAR CEREBRAL HEMORRHAGE
2. REVERSING AND RESTARTING
ANTICOAGULATION IN CEREBRAL HEMORRHAGE
3. THE VERY FIRST PRIORITIES IN TRAUMATIC BRAIN INJURY
4. ACUTE SUBDURAL
HEMATOMA WITH A TAXING POST OPERATIVE COURSE
5. CRANIECTOMY'S TRIAD OF
COMPLICATIONS
6. GRAPPLING WITH ACUTE BACTERIAL MENINGITIS
7. SORTING OUT AND
TREATING ACUTE ENCEPHALITIS
8. THE PRESENTING FEATURES OF AUTOIMMUNE
ENCEPHALITIS
9. ESCALATING DYSPNEA IN ACUTE NEUROMUSCULAR DISEASE
10. LIFE-THREATENING COMPLICATIONS OF INTRAVENOUS THROMBOLYSIS
11. WHEN TO
RETRIEVE A CLOT IN ACUTE STROKE
12. "WAKE UP"' MAJOR STROKE
13. RECOGNIZING
AN ACUTE EMBOLUS TO THE BASILAR ARTERY 14.TIMING OF HEMICRANIECTOMY IN
SWOLLEN ISCHEMIC STROKE
15. WORSENING CEREBRAL VENOUS THROMBOSIS DESPITE
ANTICOAGULATION
16. ANEURYSMAL SUBARACHNOID HEMORRHAGE: FROM GOOD TO BAD
GRADE
17. DELAYED CEREBRAL VASOSPASM IN ANEURYSMAL SUBARACHNOID HEMORRHAGE
18. NONANEURYSMAL SUBARACHNOID HEMORRHAGE TURNING ANEURYSMAL
19. OPTIONS IN
ACUTE SPINAL CORD COMPRESSION DUE TO CANCER
20. UNANTICIPATED PARAPLEGIA
AFTER AORTIC REPAIR
21. WHEN STATUS EPILEPTICUS CANNOT BE CONTROLLED
22. WHEN
BRAIN METASTASIS BECOME A NEUROCRITICAL EMERGENCY
23. THE SURGICAL URGENCY
WITH PITUITARY APOPLEXY
24. ECLAMPSIA AND ITS NEUROLOGIC CONSEQUENCES
25.
TARGETED TEMPERATURE MANAGEMENT AFTER CARDIOPULMONARY RESUSCITATION
26.
SURVIVING CARDIAC ARREST BUT DISABLING TWITCHES
27. HYPERTENSIVE EMERGENCY
AND BRAIN EDEMA
28. THE ELUSIVE RAPID PROGRESSIVE BRAIN DISEASE
29. IMMUNE
CHECKPOINT INHIBITOR AND NEUROMUSCULAR DISEASE
30. NEUROTOXICITY OF CAR-T
CELL THERAPY
31. FAILURE TO AWAKEN AFTER SURGERY
32. STUPOR AFTER BRAIN
SURGERY
33. WHEN ANTIEPILEPTIC DRUGS MAY CAUSE HARM
34. INTRACRANIAL
HEMORRHAGE AND LVAD SECTION 2: THE BASICS OF BRAIN MONITORING
35. THE CHOICE BETWEEN SPOT AND CONTINUOUS ELECTROENCEPHALOGRAPHY
36. WHEN TO
PLACE AN INTRACRANIAL PRESSURE MONITOR SECTION 3: CALLS, PAGES, AND OTHER
ALARMS
37. ALERT WITH A FIXED AND DILATED PUPIL
38. SORTING THROUGH DELIRIUM
39. ANTIBIOTIC-ASSOCIATED TOXIC ENCEPHALOPATHY IN SEPSIS
40. ALCOHOL
WITHDRAWAL WITH EXTREME AGITATION
41. ALCOHOL RELATED ACUTE NEUROLOGIC
COMPLICATIONS
42. SUDDEN HYPOTENSION AND FEVER SPIKE
43. WHEN BLOOD PRESSURE
IS TOO HIGH
44. ACUTE WHITE-OUT ON CHEST X-RAY
45. STORMING WITH SWEATING,
FEVER, AND RIGID POSTURING
46. THE COMMON CARDIAC ARRHYTMIAS
47. DYSAUTONOMIA
IN GUILLAIN-BARRÉ SYNDROME
48. DIFFICULT VENTILATOR WEANING IN MYASTHENIA
GRAVIS
49. DECREASING SERUM SODIUM
50. INCREASING SERUM SODIUM
51. RISING
AMMONIA IN LIVER CIRRHOSIS SECTION 4: PRINCIPLES OF PROGNOSTICATION
52. PROGNOSTICATION AFTER SEVERE TRAUMATIC BRAIN INJURY
53. PROGNOSTICATION
AFTER ACUTE ISCHEMIC STROKE AND CEREBRAL HEMORRHAGE
54. PROGNOSTICATION AFTER
CARDIOPULMONARY RESUSCITATION SECTION 5: LONG-TERM SUPPORT, END OF LIFE CARE,
AND PALLIATION
55. DECISIONS IN PERSISTENT COMATOSE STATES
56. WHEN WITHDRAWAL OF
LIFE-SUSTAINING TREATMENT IS CONSIDERED
57. BRAIN DEATH DETERMINATION: SLIP
-UPS AND OTHER MISREADINGS
58. WHEN TO MENTION ORGAN DONATION SECTION 6: THE OTHER SIDE OF NEUROCRITICAL
CARE: COMMUNICATION CONUNDRUMS
59. PATIENTS COMING IN AND GOING OUT
60. WHEN FAMILIES DO NOT AGREE WITH OUR
APPROACH AND CARE
Eelco F. M. Wijdicks, MD, PhD, FACP, FNCS is Professor of Neurology at Mayo Clinic College of Medicine and Science and Consultant in the Neurosciences Intensive Care Unit at the Mayo Clinic Hospital, Saint Marys Campus, Rochester, Minnesota.
Alejandro A. Rabinstein, MD, FAHA, FNCS, is Professor of Neurology at Mayo Clinic College of Medicine and Science, Consultant in the Neurosciences Intensive Care Unit, and Chair of the Division of Neurocritical Care and Hospital Neurology at Mayo Clinic Hospital, Saint Marys Campus, Rochester, Minnesota.
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