Critical Care of the Stroke Patient

Description:

New and groundbreaking therapeutic options for the critical care of patients with cerebrovascular disease have improved patient management, minimized morbidity, reduced in-patient care, improved quality of life, and had a positive economic impact on health service provision. This volume integrates these approaches and suggests the best therapy option for all cerebrovascular conditions. The early chapters of the book focus on monitoring techniques and interventions. Subsequent sections address the critical care of a wide range of cerebrovascular diseases: ischemic stroke, intracranial hemorrhage, subarachnoid hemorrhage, arteriovenous malformations, cerebral venous thrombosis and traumatic injury. The editors and authors are internationally recognized experts in their field, and the text is supplemented by tables and illustrations to demonstrate important clinical findings. This book will meet the needs of stroke physicians, neurologists, neurosurgeons, neurointensivists and interventional neuroradiologists seeking to maximize positive outcomes for their patients.

Table of Contents:

Section 1. Monitoring Techniques

1 Intracranial pressure monitoring in cerebrovascular disease

2. Cerebral blood flow

3. Brain tissue oxygen monitoring in cerebrovascular diseases

4. Cerebral microdialysis in cerebrovascular disease

5. Ultrasound and other noninvasive techniques used in monitoring cerebrovascular disease

6. Scales in the neurointensive care unit

Section 2. Interventions

7. Antiedema therapy in cerebrovascular disease

8. Decompressive surgery in cerebrovascular disease

9a. Neuroradiologic intervention in cerebrovascular disease

9b. Neuroradiological interventions in cerebrovascular disease: intracranial revascularization

10. The use of hypothermia in cerebrovascular disease

11. External ventricular drainage in hemorrhagic stroke

12. Management of lumbar drains in cerebrovascular disease

Section 3. Critical Care of Ischemic Stroke

13. Intravenous and intra-arterial thrombolysis for acute ischemic stroke

14. Decompressive surgery and hypothermia

15. Space-occupying hemispheric infarction: clinical course, prediction, and prognosis

16. Critical care of basilar artery occlusion

17. Critical care of cerebellar stroke

18. Rare specific causes of stroke

19. Blood pressure management in acute ischemic stroke

Section 4. Critical Care of Intracranial Hemorrhage

20. Management of intracranial hemorrhage: early expansion and second bleeds

21a. Management of acute hypertensive response in the ICH patient

21b. Respiratory care of the ICH patient

21c. Nutrition in the ICH patient

21d. Management of infections in the ICH patient

21e. Management of cerebral edema in the ICH patient

22a. Surgery for spontaneous intracerebral hemorrhage

22b. Minimally invasive treatment options for spontaneous intracerebral hemorrhage

22c. Image-guided endoscopic evacuation of spontaneous intracerebral hemorrhage

23. Intraventricular hemorrhage

24. Interventions for cerebellar hemorrhage

25. Interventions for brainstem hemorrhage

Section 5. Critical Care of Arteriovenous Malformations

26. Surgery for arteriovenous malformations

27. Radiation therapy for arteriovenous malformations

28. Management of cavernous angiomas of the brain

Section 6. Critical Care of Subarachnoid Hemorrhage

29. Medical interventions for subarachnoid hemorrhage

30. Craniotomy for treatment of aneurysms

31. Endovascular interventions for subarachnoid hemorrhage

32. Management of vasospasm in subarachnoid hemorrhage

33. Management of metabolic derangements in subarachnoid hemorrhage

34. Management of cardiopulmonary dysfunction in subarachnoid hemorrhage

Section 7. Critical Care of Cerebral Venous Thrombosis

35. Identification, differential diagnosis, and therapy for cerebral venous thrombosis

Section 8. Vascular Disease Syndromes Associated With Traumatic Brain Injury

36. Ischemic brain damage in traumatic brain injury (TBI): extradural, subdural, and intracerebral hematomas and cerebral contusions

Index