Neurocritical Care Management of the Neurosurgical Patient

 

Description: Kumar and colleagues’ Neurocritical Care Management of the Neurosurgical Patient provides the reader with thorough coverage of neuroanatomical structures, operative surgical approaches, anesthetic considerations, as well as the full range of known complications relating to elective and non-elective neurosurgical procedures. Drawing upon the expertise of an interdisciplinary team of physicians from neurosurgery, neurology, anesthesiology, critical care, and nursing backgrounds, the text covers all aspects intensivists need to be aware of in order to provide optimal patient care.

Features:

Expert Consult digital version included with purchase. This enhanced digital experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. Over 100 world-renowned authors from multispecialty backgrounds (neurosurgeons, neuro-interventionalists, and neurointensivists) and top institutions contribute their unique perspectives to this challenging field. Six sections cover topics such as intraoperative monitoring, craniotomy procedures, neuroanesthesiology principles, spine and endovascular neurosurgery, and additional specialty procedures. Includes 300 tables and boxes, 70 line artworks, and 350 photographic images. Clinical pearls pulled out of the main text offer easy reference.

 

Section 1: Neuroanesthesia and Perioperative Care

1: Effects of Anesthetics, Operative Pharmacotherapy, and Recovery from Anesthesia

Introduction

Respiratory Muscle Effects

Anesthetic Effect on Respiratory Control

Anesthetic Effects on Bronchial Tree, Mucociliary Function, and Surfactant Production

Anesthesia Effects on Respiratory Arousal from Sleep, Rapid Eye Movement Rebound, and Obstructive Sleep Apnea

Effects of Anesthetics and Surgery on Postoperative Nausea and Vomiting

Effects of Anesthetics and Surgery on Postoperative Glycemic Control

Effects of Anesthetics and Surgery on Temperature Regulation

Effects of Anesthetics and Surgery on Pain and Pain Control

Effects of Anesthetics and Surgery on Consciousness and Cognition

Summary

2: Patient Positioning for Neurosurgical Procedures

Introduction

General Principles

Head Fixation and Positioning

Body Positioning

Summary

3: Anesthetic Considerations for Craniotomy

Introduction

Preanesthesia Evaluation and Optimization

Goals of Anesthetic Management

Airway Management for Craniotomy

Choice of Anesthetic Agents

Hemodynamic Management under Anesthesia

Intraoperative Monitoring

Intracranial Pressure Management and Brain Relaxation

Glycemic Management

Temperature Management

Emergence from General Anesthesia

Immediate Postoperative Management

Summary

4: Perioperative Anesthetic and ICU Considerations for Spinal Surgery

Introduction

Perioperative Concerns in Management of Patients Undergoing Spinal Surgery

Specific Operative Procedures and Complications

Other Complications and Postoperative Management Issues

Summary

5: Anesthetic Considerations for Endovascular Neurosurgery

Introduction

The Interventional Neuroradiology Suite

Interventional Neuroradiology Procedures

Anesthesia in the Neurointerventional Suite

Postprocedure Care of INR Patients

Common INR Procedures

Summary

6: Intraoperative Neuromonitoring for Specific Neurosurgical Procedures

Introduction

Evoked Potentials

Electromyography

Electroencephalography

Conclusion

7: Intraoperative Catastrophes

Exsanguination

Venous Air Embolism

Massive Brain Swelling

Cardiac Arrest

Summary

Section 2: Craniotomy

Vascular Neurosurgery

8: Carotid Endarterectomy

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusion

9: Aneurysm Surgery

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusions

10: Intracranial Arteriovenous Malformations and Dural Arteriovenous Fistulas

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Normal Perfusion Pressure Breakthrough and Occlusive Hyperemia

Intraoperative/Postoperative Considerations

Conclusions

11: Cavernous Malformations

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusion

12: Bypass Surgeries for Moyamoya Disease

Introduction

Perioperative Considerations

Neuroanatomy and Procedure

Postoperative Complications

Conclusion

Acknowledgments

Funding Disclosures

13: Evacuation of Intracerebral Hemorrhages

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative ICU Management

Conclusions

Oncologic Neurosurgery

14: Pituitary Surgery

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Postoperative Management

Conclusion

15: Meningiomas

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusions

16: Gliomas

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusions

17: Tumors of the Lateral Ventricle and the Pineal Region

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusion

18: Skull-Base Tumors

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Management

Neurologic Complications

Nonneurologic Complications

Conclusion

19: Cerebellopontine Angle Tumors

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Summary

20: Infratentorial and Cerebellar Tumors

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusion

21: Postoperative Management Following Craniotomy for Resection of Metastatic Lesions

Introduction

Neuroanatomy

Perioperative Considerations

Postoperative Management

Epilepsy Surgery

22: Standard Temporal Lobectomy

Introduction

Neuroanatomy and Procedure

Operative Procedure

Postoperative Complications

Conclusions

23: Postoperative Care of the Epilepsy Patient with Invasive Monitoring

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusions

Functional Neurosurgery

24: Deep Brain Stimulation

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Perioperative and Postoperative Complications

Conclusions

Radiosurgery

25: Stereotactic Radiosurgery

Neuroanatomy and Procedure

Preoperative and Perioperative Management Considerations

Management of Intraoperative and Postoperative Complications

Conclusion

Trauma Neurosurgery

26: Hemorrhagic Mass Lesions

Introduction

Neuroanatomy and Procedure

Conclusions

27: Penetrating Traumatic Brain Injury

Introduction

Neuroanatomy

Perioperative Considerations

Procedure

Postoperative Complications

Conclusions

28: Depressed Skull and Facial Fractures

Introduction

Neuroanatomy and Procedure

Preoperative Considerations

Perioperative Surgical Care

Postoperative Complications

Conclusions

29: Decompressive Craniectomy for the Treatment of Traumatic Brain Injury

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusions

Section 3: Spinal Surgery

30: Spine Trauma and Spinal Cord Injury

Introduction

Pathophysiology and Classification

Neurological Status

Management

Cervical Traction

Blood Pressure Management

Autonomic Derangements

Pulmonary/Airway Issues

Prevention of Venous Thromboembolism

Vertebral Artery Injury

Steroids

Traumatic Central Cord Syndrome

Contracture Prevention

Penetrating Spinal Cord Injury

Cervical Spine Clearance in the Comatose Patient

Prognosis

Hypothermia

31: Anterior Cervical Spine Surgery Complications

Introduction

Conclusion

32: Posterior Approaches to the Spine

Introduction

Neuroanatomy

Regional Considerations

General Perioperative and Postoperative Considerations

33: Transthoracic and Transabdominal Approaches to the Spine

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Conclusion

Section 4: Endovascular Neurosurgery

34: Carotid and Intracranial Stent Placement

Neuroanatomy and Procedure

Perioperative Considerations

Complications (Table 34.2)

35: Endovascular Management of Intracranial Aneurysms

Neuroanatomy and Procedure

Perioperative Considerations

Intraoperative and Postoperative Complications

Vascular Access Complications

36: Arteriovenous Malformation and Dural Arteriovenous Fistula Embolization

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Conclusion

37: Acute Stroke Management

Introduction

Neuroanatomy and Procedure

Postoperative Complications

Conclusion

38: Tumor Embolization

Introduction

Tumor Vascular Supply

Tumors Frequently Requiring Embolization

Details of Procedure

Perioperative Considerations

Postoperative Complications

Summary

39: Spinal Vascular Lesions

Neuroanatomy and Procedure

Classification of Vascular Spinal Lesions

Perioperative Considerations: Endovascular Treatment

Postoperative Complications

Section 5: Intracranial Monitors and Special Procedures

40: Shunt Placement and Management

Introduction

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

41: Placement and Complications of Intracranial Monitors and Lumbar Drains

Neuroanatomy and Procedure

Postoperative Complications of External Ventricular Drains and Intracranial Pressure Monitors

Postoperative Complications of Lumbar Drains

Perioperative Considerations of Intracranial Monitoring and Lumbar Drainage

42: Management of Flaps

Introduction

Perioperative Care

Flap Monitoring

Postoperative Complications

Conclusion

43: Combined and Specialty Surgery: Otolaryngology, Plastics

Neuroanatomy and Procedures

Perioperative Considerations

Postoperative Complications

44: Management of Traumatic Brachial Plexus Injuries

Neuroanatomy and Procedure

Perioperative Considerations

Postoperative Complications

Section 6: Specific Intensive Care Unit Complications

45: Delayed Emergence after Neurosurgery

Introduction

Emergence from Neurosurgical Procedures

Approach to Delayed Emergence

Conclusion

46: Management of Postoperative Hemorrhage

Introduction

Epidemiology

Risk Factors

Clinical Presentation

Laboratory Evaluation and Imaging

Management

Prognosis

Summary

47: Management of Postoperative Intracranial Hypertension

Introduction

Common Clinical Scenarios

General Approach to Raised Intracranial Pressure

48: Management of Postoperative Stroke

Introduction

Management

Summary

49: Management of Postoperative Seizures

Introduction

Background

Prophylaxis

Management

Summary

50: Postoperative Neurosurgical Infections

Introduction

Epidemiology, Etiology, and Pathogenesis

Clinical Symptoms and Signs

Diagnostic Studies

Diagnostic Approach

Principles of Management

Index

 

An aparitie	29/03/2017
Autor	Kumar, Levine, Schuster & Kofke
Dimensiuni	216 X 276 mm
Editura	Elsevier
Format	Hardcover
ISBN	9780323321068
Limba	Engleza
Nr pag	558
Versiune digitala	DA