Acute Stroke Care
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Editura: Cambridge University Press
Limba: Engleza
Nr. pagini: 312
Coperta: Paperback
Dimensiuni: 124 x 186 x 15 mm
An aparitie: 07 Nov 2019
Description:
You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? This book provides integral assistance in answering these critical questions. All content is arranged in chronological order, covering all considerations in assessing and treating patients in the emergency room, stroke unit, and rehabilitation facilities. This new edition offers readers the latest information on stroke treatment, and features brand new chapters on stroke radiology, endovascular therapy, the uncommon causes of stroke, cerebral venous thrombosis, stroke prevention, and the transition to outpatient care. The comprehensive set of appendices contains useful reference information, including dosage algorithms, conversion factors, and stroke scales.
Table of Contents:
Chapter 1 Stroke in the Emergency Department
Is This a Stroke?
What Type of Stroke?
Chapter 2 What to Do First
Airway – Breathing – Circulation (ABCs)
What Was the Time of Onset?
How Bad Are the Symptoms Now?
Do a Non-Contrast Head CT
If the CT Shows No Blood, Try to Get the Artery Open
Recommended Diagnostic Evaluation
Chapter 3 Ischemic Stroke
Definition
Etiology
Diagnosis
The Four Components of Ischemic Stroke Care
Acute Therapy and Optimization of Neurological Status
Etiological Work-up for Secondary Prevention
Prevention of Neurological Deterioration or Medical Complications
Recovery and Rehabilitation
Ischemic Stroke Outcome
General Timeline
Chapter 4 Stroke Radiology
Computed Tomography
Head CT with Contrast
Magnetic Resonance Imaging
MRI Sequences
Usual Sequences Ordered for Acute Ischemic Stroke Patients
Abbreviated Protocol for Uncooperative Patients
Usual Sequences Ordered for Acute ICH Patients
Cerebral Angiogram
Diffusion Tensor Imaging
Chapter 5 Intravenous Thrombolysis
tPA Indications
tPA Contraindications
Procedure
Risks Versus Benefits of tPA
tPA-Related Intracranial Hemorrhage: Management Protocol
Oropharyngeal Angioedema: Management Protocol
Chapter 6 Endovascular Therapy
Time is Still Important
Planning an Endovascular Case
During the Procedure
After the Procedure
Risks and Benefits of EVT
Posterior Circulation
Chapter 7 Neurological Deterioration in Acute Ischemic Stroke
Probable Causes
Initial Evaluation of Patients with Neurological Deterioration
Stroke Enlargement
Drop in Perfusion Pressure
Recurrent Stroke
Cerebral Edema and Mass Effect
Hemorrhagic Transformation
Metabolic Disturbance
Seizure
Symptom Fluctuations Without a Good Cause
The Uncooperative Patient
Chapter 8 Ischemic Stroke Etiology and Secondary Prevention
Diagnostic Studies
Control Risk Factors
Antiplatelets and Anticoagulants
Atrial Fibrillation
Carotid Stenosis
Carotid Occlusion
Intracranial Stenosis
Lacunar Strokes
Cervical Arterial Dissection
Patent Foramen Ovale
Chapter 9 Transient Ischemic Attack
Definition
Etiology
Presentation
Differential Diagnosis
Clinical Approach to a Patient With Suspected TIA
Prognosis After TIA
Chapter 10 Less Common Causes of Stroke
Causes
Tests to Consider
Chapter 11 Cerebral Venous Sinus Thrombosis
Epidemiology
Pathogenesis
Risk Factors
Clinical Picture
Diagnosis
Acute Management
Chronic Management
Complications of CVST
Prognosis and Recurrence
Chapter 12 Intracerebral Hemorrhage
Definition
Etiology
Presentation
Diagnosis and Evaluation
Management
Prognosis and Outcome
Chapter 13 Subarachnoid Hemorrhage
Definition
Epidemiology
Presentation
Diagnosis
Management of Ruptured Aneurysms
Unruptured Aneurysms
Chapter 14 Organization of Stroke Care
Timely Care
Prehospital Stroke Care
Prehospital Stroke Scales
Drip-and-Ship versus Mothership Models
Stroke Centers
Telemedicine for Stroke (Telestroke)
Stroke Teams
Stroke Units
Chapter 15 Stroke Rehabilitation
Early Acute Stroke Rehabilitation Trials
Multidisciplinary Rehabilitation Team
Discharge Disposition
Chapter 16 Transition to Outpatient Stroke Care
Psychosocial Evaluation
Stroke Prevention Clinics
Common Post-Stroke Sequelae
Appendix 1 IV tPA Dosing Chart
Appendix 2 Transcranial Doppler Ultrasound
Appendix 3 Medical Complications
Appendix 4 Brainstem Syndromes
Appendix 5 Anatomy of Cerebral Vasculature
Appendix 6 Brain Death Criteria
Appendix 7 Stroke Assessment Scales
Further In-Depth Reading
Index
An aparitie | 07 Nov 2019 |
Autor | Mary Carter Denny, Ahmad Riad Ramadan, Sean I. Savitz, James Grotta |
Dimensiuni | 124 x 186 x 15 mm |
Editura | Cambridge University Press |
Format | Paperback |
ISBN | 9781108731324 |
Limba | Engleza |
Nr pag | 312 |
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