Update on neurologic critical care:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1997
|
| Schriftenreihe: | Critical care clinics
13,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII, 233 S. Ill., graph. Darst. |
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| 245 | 1 | 0 | |a Update on neurologic critical care |c Michael N. Diringer, guest Ed. |
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Datensatz im Suchindex
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| adam_text |
UPDATE ON NEUROLOGIC CRITICAL CARE
CONTENTS
Preface xi
Michael N. Diringer
Management
Guillain Barre Syndrome 1
J. R. Fulgham and Eelco F. M. Wijdicks
The leading cause of acute neuromuscular weakness in the devel¬
oped world is Guillain Barre syndrome (GBS). Mortality rates
vary widely. This article discusses the care and management of
patients with GBS, with an emphasis on those patients who
require admission to an intensive care unit.
Status Epilepticus 17
Troy A. Payne and Thomas P. Bleck
Generalized convulsive status epilepticus is a medical emergency.
Knowledge of the pathophysiology of status epilepticus and the
pharmacology of the medications used to treat it allow one to
devise a rational protocol for management. Anticipation of medi¬
cal complications facilitates intervention when required. Progno¬
sis depends largely on the underlying causes.
Nutritional Management of the Critically 111 Neurologic
Patient 39
Diana Twyman
The metabolic sequelae and importance of nutritional support of
the patient with severe neurologic injury have received extensive
CRITICAL CARE CLINICS VOLUME 13 • NUMBER 1 • JANUARY 1997 V
attention. Most of the research of the last 14 years has focused on
the nutritional and metabolic management of the patient with
head trauma. This article focuses on the metabolic and physio¬
logic consequences of traumatic and ischemic brain injury and
the role of nutritional support in their management.
Monitoring
Monitoring of Cerebral Hemodynamics with Jugular Bulb
Catheters 51
Zeev Feldman and Claudia S. Robertson
Jugular venous oxygen saturation (SjvO2) monitoring is useful for
detecting episodes of cerebral hypoxia/ischemia in patients with
head injury, patients undergoing neurosurgical procedures, and
patients undergoing cardiopulmonary bypass. The use of SjvO2
monitoring can direct the treatment of ischemic episodes and
identify the optimal level of cerebral perfusion pressure and Pco2
for the individual patient.
Transcranial Doppler Ultrasonography in the Neurocritical
Care Unit 79
Edward M. Manno
Transcranial Doppler ultrasonography represents a noninvasive
means to study the cerebral vasculature. By varying the depth
and angle of a pulsed sound wave, a map of the cerebral arteries
can be generated. This information can be used to guide medical
strategies in the neurocritical care unit. This article provides an
overview of the use of transcranial Doppler ultrasonography and
its application to specific neurologic problems, and also outlines
its potential use in the future.
Controversial and Emerging Therapies
Osmotherapy: Basic Concepts and Controversies 105
Richard P. Paczynski
Osmotherapy with compounds such as mannitol has become a
mainstay of neurologic and neurosurgical intensive care. Elevated
intracranial pressure is the most common indication. A substan¬
tive debate remains as to the appropriate timing of administration
and the optimal fluid management protocol, and experts disagree
about the clinically relevant mechanisms of action of osmotic
diuretics. This article briefly summarizes the basic literature on
the physical actions of mannitol, addresses commonly asked
questions, and highlights some of the controversies that arise at
the bedside.
Vi CONTENTS
Management of Hypertension in Acute Intracerebral
Hemorrhage 131
Robert E. Adams and William J. Powers
Hypertension commonly occurs in the acute period following
spontaneous intracerebral hemorrhage. Management of this hy¬
pertension is controversial. Some advocate lowering blood pres¬
sure to reduce the risk of rebleeding, edema formation, and
systemic hypertensive complications, whereas others advocate
allowing blood pressure to run its natural course as a protective
measure against cerebral ischemia. This article reviews the perti¬
nent clinical and experimental data regarding these issues and
briefly discusses the use of antihypertensive agents commonly
administered in this setting.
The Use of Hyperventilation and Its Impact on Cerebral
Ischemia in the Treatment of Traumatic Brain Injury 163
Kent D. Yundt and Michael N. Diringer
Traumatic brain injury is a common occurrence in the United
States, leading to approximately 190,000 deaths or long term disa¬
bilities. Following the primary insult, secondary disturbances in
cerebral blood flow (CBF) and metabolism may have deleterious
effects on potentially viable neurons. Recent studies evaluating
CBF immediately following head injury have revealed flows low
enough to produce cerebral ischemia. Hyperventilation is used
routinely to lower suspected increased intracranial pressure (ICP).
Aggressive hyperventilation produces a marked reduction in
CBF, which may give rise to or exacerbate cerebral ischemia, thus
enhancing rather than reducing secondary injury. This article
reviews the role of hyperventilation in the treatment of increased
ICP and its impact on cerebral ischemia following traumatic
brain injury.
Intravenous Agents and Intraoperative Neuroprotection:
Beyond Barbiturates 185
Mary Ann Cheng, M. Angele Theard, and Rene Tempelhoff
The authors discuss the role of intravenous anesthetic agents in
brain protection. The newer intravenous anesthetics, etomidate
and propofol, have been proposed as neuroprotective agents.
Thiopental remains the drug of choice, however, for use prior to
intraoperative ischemic events. The anesthetic ketamine presents
surprising similarities to other N methyl D aspartate receptor in¬
hibitors, but remains controversial in its use in neurologically
compromised patients.
Thrombolytic Therapy in Neurointensive Care 201
Draga Jichici and Jeffrey I. Frank
Thrombolytic therapy has been studied in acute ischemic stroke,
intracranial hemorrhage, intraventricular hemorrhage, subarach
CONTENTS vii
noid hemorrhage, and sagittal sinus thrombosis. This form of
therapy has an evolving role in contemporary neurologic practice,
and increased investigational fervor will ensure more exacting
therapeutic alternatives for stroke victims in the future.
Index 229
Subscription Information Inside back cover
viJi CONTENTS |
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| indexdate | 2024-08-14T00:49:10Z |
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| language | English |
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| physical | XII, 233 S. Ill., graph. Darst. |
| publishDate | 1997 |
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| series | Critical care clinics |
| series2 | Critical care clinics |
| spelling | Update on neurologic critical care Michael N. Diringer, guest Ed. Philadelphia [u.a.] Saunders 1997 XII, 233 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Critical care clinics 13,1 Nervensystem (DE-588)4041643-4 gnd rswk-swf Hirnkrankheit (DE-588)4025013-1 gnd rswk-swf Krankheit (DE-588)4032844-2 gnd rswk-swf Intensivmedizin (DE-588)4027263-1 gnd rswk-swf Lebensbedrohende Krankheit (DE-588)4283991-9 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Nervensystem (DE-588)4041643-4 s Krankheit (DE-588)4032844-2 s Intensivmedizin (DE-588)4027263-1 s DE-604 Hirnkrankheit (DE-588)4025013-1 s Lebensbedrohende Krankheit (DE-588)4283991-9 s Diringer, Michael N. Sonstige oth Critical care clinics 13,1 (DE-604)BV000019838 13,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007508217&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Update on neurologic critical care Critical care clinics Nervensystem (DE-588)4041643-4 gnd Hirnkrankheit (DE-588)4025013-1 gnd Krankheit (DE-588)4032844-2 gnd Intensivmedizin (DE-588)4027263-1 gnd Lebensbedrohende Krankheit (DE-588)4283991-9 gnd |
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| title | Update on neurologic critical care |
| title_auth | Update on neurologic critical care |
| title_exact_search | Update on neurologic critical care |
| title_full | Update on neurologic critical care Michael N. Diringer, guest Ed. |
| title_fullStr | Update on neurologic critical care Michael N. Diringer, guest Ed. |
| title_full_unstemmed | Update on neurologic critical care Michael N. Diringer, guest Ed. |
| title_short | Update on neurologic critical care |
| title_sort | update on neurologic critical care |
| topic | Nervensystem (DE-588)4041643-4 gnd Hirnkrankheit (DE-588)4025013-1 gnd Krankheit (DE-588)4032844-2 gnd Intensivmedizin (DE-588)4027263-1 gnd Lebensbedrohende Krankheit (DE-588)4283991-9 gnd |
| topic_facet | Nervensystem Hirnkrankheit Krankheit Intensivmedizin Lebensbedrohende Krankheit Aufsatzsammlung |
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