Neurologic Complications of Critical Illness

Hardcover | May 11, 2009

byEelco F.M. Wijdicks

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Consults in the Intensive Care Unit to evaluate and manage acute neurological clinical problems are usually of considerable complexity and are the most challenging ones. This single authored monograph is the standard reference on neurological complications of critically ill patients and hasbeen the first and only book of its kind. This comprehensive book will assist the neurologist to recognize and treat complex neurological complications in critically ill patients admitted to medical, surgical, trauma, and transplant intensive care units. Every chapter provides a representativeselection of the state of the art in the intensive care unit, necessary for an understanding of critical care medicine. It offers practical advice on how to best deal wtih coma after cardiopulmonary resuscitation, failure to awaken after surgery, delirium, new onset seizures, generalized weakness, acute paraplegia, movement disorders, and many other manifestations of a neurologic emergency. Other topics includeneurologic complications after organ transplantation, spinal cord injury after thoracoabdominal surgery, neurologic complications of invasive procedures and devices, complications from cardiac surgery, traumatic brain, spine, and peripheral nerve injury, and environmental injuries such ashypothermia and near drowning. This book also addresses end of life care in the intensive care unit and the responsibilities of the consulting neurologist. This third edition has been thoroughly updated and expanded with new chapters on viral infectious outbreaks (West Nile and tick-borne encephalitis), intoxication, poisoning, and chemical and biowarfare. The book closes with a new chapter that provides a practical model on how to best approach thesecomplex patients and five common scenarios are discussed. This third edition adds more than 100 new figures, tables and helpful maangement algorithms, and over 500 new references. All major topics are discussed systematically, thoroughly, and logically. This book is a key practical text forneurologists, intensivists, trauma surgeons, transplant surgeons, and trainees, but also is essential for the critical care nursing staff.

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Consults in the Intensive Care Unit to evaluate and manage acute neurological clinical problems are usually of considerable complexity and are the most challenging ones. This single authored monograph is the standard reference on neurological complications of critically ill patients and hasbeen the first and only book of its kind. This...

Eelco F.M. Wijdicks is Professor of Neurology at the Mayo Medical Center, in Rochester, Minnesota.

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Format:HardcoverDimensions:480 pages, 10 × 7.09 × 0.05 inPublished:May 11, 2009Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195371097

ISBN - 13:9780195371093

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Table of Contents

Part I: General Clinical Neurological Problems in the Intensive Care Unit1. Coma and Other States of Altered Awareness in the Intensive Care UnitDefinitions of Altered States of ConsciousnessNeurologic Examination of the Acutely Confused PatientNeurologic Examination of the Comatose PatientNeurologic Examination in Brain DeathConclusions2. Neurologic Manifestations of Drugs Used for Analgesia and Anesthesia in the Intensive Care UnitPrinciples of Pharmacodynamics and Pharmacokinetics in Critical IllnessEffect of Drugs on Neuromuscular JunctionEffect of Drugs on Level of ConsciousnessMalignant HyperthermiaConcusions3. Seizures in the Intensive Care UnitGeneralized Tonic-Clonic SeizuresDrug-Induced and Drug-Withdrawal SeizuresSeizures and Acute Metabolic DerangementsConvulsive Status EpilepticusNon-Convulsive Status EpilepticusManagement of Seizures and Status EpilepticusConclusions4. Generalized Weakness in the Intensive Care UnitGeneral ConsiderationsDisorders of the Spinal CordDisorders of Peripheral NervesDisorders of the Neuromuscular JunctionDisorders of Skeletal MuscleConclusionsPart II: Neurologica Complications in Medical and Surgical Intensive Care Units and Transplantation Units5. Neurologic Complications of Invasive ProceduresGeneral ConsiderationsConclusions6. Neurologic Manifestations of Acute Bacterial InfectionsBacterial MeningitisSpinal Epidural AbscessInfective EndocarditisClostridial SyndromesSepsisConclusions7. Neurological Manifestations of Infectious OutbreaksWest Nile VirusTick Borne EncephalitisEndemic InfluenzaConclusions8. Neurologic Complications of Cardiac ArrestGeneral Considerations in Resuscitation MedicinePostresuscitation EncephalopathySupportive CareSpecific Treatment and Therapeutic HypothermiaConclusions9. Neurologic Manifestations of Acid-Base Derangements, Electrolyte Disorders, and Endocrine CrisesAcid-Base DisordersElectrolyte DisordersGlucose Control and Monitoring in ICUEndocrine EmergenciesConclusions10. Neurologic Complications of Acute Renal DiseaseUremic EncephalopathyDialysis DysequilibriumHypertensive Encephalopathy SyndromesNeuromuscular DisordersConclusions11. Neurologic Manifestations of Acute Hepatic FailureGeneral ConsiderationsHepatic EncephalopathyBrain Edema in Fulminant Hepatic FailureConclusions12. Neurologic Complications Associated with Disorders of Thrombosis and HemostasisGeneral ConsiderationsDisseminated Intravascular CoagulationThrombolysis and AnticoagulationNeoplastic CoagulopathiesThrombotic Thrombocytopenic PurpuraConclusions13. Neurologic Complications of Acute Vasculitis SyndromesGeneral ConsiderationsLarge Vessel VasculitisPolyarteritis NodosaChurg-Strauss SyndromeWegener's GranulomatosisDrug-Induced VasculitisConclusions14. Neurologic Complications in the Critically Ill Pregnant PatientEclampsiaHellp SyndromeAmniotic Fluid EmbolismNeurologic Complications of Tocolytic AgentsConclusions15. Neurologic Complications of Cardiac SurgeryVascular Anatomy of the Spinal CordScope of the ProblemNeurologic Features of Spinal Cord InfarctionDiagnostic Evaluation of Spinal Cord InfarctionTherapeutic OptionsPlexopathiesAortic DissectionConclusions16. Neurologic Complications of Cardiac SurgeryGeneral ConsiderationsIschemic StrokeNeuropsychologic ImpairmentRetinal DamagePeripheral Nerve DamageConclusions17. Neurologic Complications of Acute Environmental IllnessThermal BurnsSmoke InhalationElectrical BurnsLightning InjuryAccidental HypothermiaHeat StrokeNear-DrowningConclusions18. Neurologic Complications of Drug Overdose, Poisoning, and TerrorismThe Presenting Emergency and Principles of ManagementSpecific PoisoningsDrugs of AbuseBiological and Chemical Warfare19. Neurologic Complications of Multisystem TraumaClinical Spectrum of Head InjuryNeuroradiologic Findings in Head InjuriesGeneral Principles of ManagementManagement of Increased Intracranial PressureManagement of Traumatic Intracranial HematomasManagement of Traumatic Cerebral AneurysmTrauma of Spine and Spinal CordAcute Spinal Cord InjuryPost-Traumatic Neuropathies Associated with FracturesFat Embolism SyndromeWar Related InjuryConclusions20. Neurologic Complications of Organ TransplantationSurgical Techniques of TransplantationNeurologic Complications in TransplantationNeurologic Complications of Graft-Versus-Host DiseaseConclusionsPart III: Outcome in Central Nervous System Catastrophes21. Outcome of Acute Injury to the Central Nervous SystemDescription of Outcome CategoriesOutcome in Metabolic EncephalopathiesOutcome in StrokeOutcome in Central Nervous System InfectionsOutcome in Head InjuryOutcome in Traumatic Spine InjuryConclusionsPart IV: The Clinical Practice of Consultative Neurology in the Intensive Care Unit22. The Neurologist Consulting in the Intensive Care UnitPreparation and History TakingCommon Requests for Consults in the ICUThe Role of the Neurologist in Family Discussions12. The Neurologist and End of Life Care in the Intensive Care UnitGeneral ConsiderationsLegals Aspects of Withdrawal of CareDecisions in Withdrawal of CareWithdrawal of CareWithdrawal of Care in Special Neurologic CircumstancesBrain Death and Organ DonationCardiac Death and Organ DonationConclusionsIndex