By Eelco F.M. Wijdicks
Sufferers within the neurointensive care unit pose many scientific demanding situations for the attending healthcare professional. Even skilled clinicians sometimes arrive on the element the place diagnostic, work-up, remedy, or prognostic pondering turns into blocked. Neurocritical Care is the subsequent quantity within the "What Do I Do Now? " sequence and offers the clinician with particular concentration and perception on interventions in acute neurologic issues. Neurocritical care in day-by-day perform relates to handling deteriorating sufferers, therapy of problems but additionally end-of-life care supporting households with tough judgements. Written with a conversational tone and utilizing a case- established strategy, Neurocritical Care emphasizes how one can deal with relatively universal scientific difficulties emergently.
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14 Antidotes for the Intoxicated Patient How to manage a comatose patient with a serious intoxication is discussed. Options for antidotes, dialysis, and other measures to correct laboratory abnormalities are concisely reviewed. 15 Failure to Awaken After Surgery Failure to awaken fully after surgery is a common reason for consultation. One example of a patient with a postoperative stroke is presented to illustrate the discussion on differential diagnosis. 16 Stupor After Brain Surgery Successful brain surgery, but no awakening of the patient.
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Another trial (RESCUEicp) is ongoing. ” Studies have not found any difference between these two approaches. However, treatment of CPP alone with less attention to increased intracranial pressure may be a wrong approach. It is not only cerebral perfusion that matters, and increasing ICP will eventually lead to brainstem displacement and permanent brainstem injury. 1). Some have argued that in the most severe cases prophylactic placement of a vena cava filter is a better option than waiting for pulmonary emboli to occur.
Neurocritical Care by Eelco F.M. Wijdicks