Neurointensive Care will adopts a problem- and condition-based approach to present all possible neurologic conditions which intensivists encounter in neurointensive care. It will be a comprehensive reference source covering topics from the basic principles of neurointensive care, neurologic examination, postoperative care, clinical monitoring, and pharmacologic care to systemic care including palliative and nursing care. It will also describe some of the commonly performed procedures in the neurointensive care unit and include a section on the case management of conditions such as traumatic brain injury, status epilepticus, subdural haemorrhage, and cerebral hyperperfusion syndrome. The Appendix will provide the latest guidelines related to intensive care management, and clinical scales and scores that are commonly used in the neurologic ICU.
Table of Contents
Foreword by JL Vincent
Preface
Acknowledgements
1 Introduction and history of Neurointensive Care
PART 1
Basic principles of Neurointensive Care
2 Cerebral blood flow and dynamics
3 Cerebrospinal fluid dynamics
4 Intracranial pressure
Postoperative Care
5 Postoperative care of neurosurgical patients
Clinical monitoring
6 Hemodynamic monitoring
7 Respiratory monitoring
8 Intracranial pressure monitoring
9 Cerebral oxygenation
10 Cerebral metabolism
11 Electrophysiological monitoring
12 Neuroimaging
13 Use of Ultrasound
Pharmacological Care
14 Sedation and analgesia
15 Osmotherapy agents
16 Vasoactive drugs
17 Anticonvulsants
18 Corticosteroids
19 Anticoagulants
20 Muscle relaxants
21 Antibiotics
Fluids and dyselectrolytemia
22 Fluid management
23 Dyselectrolytemias: Water and electrolyte management
Neurological Care
24 Altered mental status
25 Intracranial Hypertension
26 Cerebral oedema
27 Hydrocephalus
28 Vasospasm
29 Pneumocephalus
30 Central nervous system infections
31 Brain protective strategies
Metabolic care
32 Glycaemic Control
33 Arterial blood gas analysis
34 Fever
35 Hypothermia
Respiratory Care
36 Respiratory Care of neurologic patients
Cardiovascular care
37 Cardiovascular care of neurologic patients
Renal Care
38 Acute kidney injury
39 Renal replacement therapy
Haematological Care
40 Anaemia
41 Coagulopathy
42 Blood transfusion
43 Deep Vein Thrombosis
Endocrinal care
44 Endocrine care of neurologic patient
Neuromuscular Care
45 Critical illness polyneuropathy and myopathy
Gastrointestinal care
46 Gastrointestinal Bleeding
47 Gastrointestinal dysfunction and Ileus
48 Feeding - calculations, types and complications
49 Immunonutrition
Psychological care
50 Neuropsychological Assessment in the Neurointensive Care Setting: A Time Based Approach
51 Assessment & Management of Delirium in Medical Practice
52 Cognitive dysfunctions in psychiatric and neurological conditions
Ethical Care
53 End of life care
54 Brain death
55 Organ donation
Palliative Care
56 Palliative Care of neurologic patients
Nursing Care and Physiotherapy
57 Nursing care
58 Physiotherapy
Clinical procedures in neuro-ICU
59 Arterial and Venous access
60 Fibreoptic bronchoscopy and bronchial lavage
61 Intra-parenchymal ICP catheter insertion
62 External ventricular drainage systems
63 Lumbar drainage system
64 Subdural Evacuating Port System (SEPS) Placement for Chronic Subdural Hematoma Evacuation
65 Percutaneous tracheostomy
66 Percutaneous Endoscopic Gastrostomy
67 Evaluation of Intracranial pressure using bedside ultrasonography: Estimation of Optic Nerve Sheath Diameter (ONSD)
68 Echocardiography and Ultrasound in Neuro ICU
69 Cervical Spine Fixation with the Halo Brace
PART 2
Case management
70 Adult traumatic brain injury
71 Paediatric traumatic brain injury
72 Hypoxic ischemic encephalopathy
73 Status Epilepticus
74 Aneurysmal Subarachnoid Haemorrhage
75 Intracerebral hemorrhage
76 Acute ischaemic stroke - Hemispheric Middle cerebral artery stroke
77 Acute ischaemic stroke - Basilar Artery Stroke
78 Myasthenia gravis
79 Guillain Barré syndrome
80 Cerebral hyperperfusion syndrome
81 Cerebral venous thrombosis
82 Spinal cord injury
83 ICU acquired muscle weakness
84 Appendix
Scales and Scores
