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The Jefferson Manual for Neurocritical Care

The quintessential reference for bedside medical management of neurocritical care patients Medical management of patients in the neurocritical care unit (NCCU) often spells the difference between life or death and return to normal function or a lifetime disability. As such, it is vital that patients...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Jallo, Jack I.
Otros Autores: Urtecho, Jacqueline S.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: NEW YORK : Thieme Medical Publishers, Incorporated, 2020.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • The Jefferson Manual for Neurocritical Care
  • Title Page
  • Copyright
  • Contents
  • Preface
  • Contributors
  • 1. Encephalopathy and Delirium
  • 1.1 Encephalopathy
  • 1.1.1 Definition
  • 1.1.2 Causes of Encephalopathy
  • 1.1.3 Diagnosis of Encephalopathy
  • 1.1.4 Treatment of Encephalopathy
  • 1.1.5 Relationship to Delirium
  • 1.2 Delirium
  • 1.2.1 Definition
  • 1.2.2 Duration of Symptoms
  • 1.2.3 Level of Activity
  • 1.2.4 Risk Factors for Delirium
  • 1.2.5 Clinical Assessment
  • 1.3 Treatment
  • 1.3.1 Medications for Agitation
  • 1.3.2 Pharmacologic Management of Hyperactive Delirium and Agitation
  • 1.3.3 Nonpharmacologic Treatments for Delirium
  • 2. Cerebrovascular Emergency: Acute Stroke Diagnosis and Management
  • 2.1 Epidemiology
  • 2.2 Etiology
  • 2.2.1 Nonmodifiable Risk Factors
  • 2.2.2 Modifiable Risk Factors
  • 2.2.3 Stroke Subtypes
  • 2.3 Common Clinical Presentations
  • 2.4 Differential Diagnosis for Acute Ischemic Stroke
  • 2.5 Acute Stroke Diagnosis, Treatment, and Management
  • 2.5.1 Stroke Activation
  • 2.6 Criteria for Endovascular Therapy
  • 2.6.1 Neurocritical Care Management of Ischemic Stroke
  • 2.7 Stroke Workup and Management
  • 2.7.1 Post Stroke Complication
  • 3. Cerebrovascular Emergency: Spontaneous Intracerebral Hemorrhage (ICH)
  • 3.1 Epidemiology
  • 3.2 Etiologies/Differential Diagnosis
  • 3.3 Common Clinical Presentations
  • 3.4 Neuroimaging
  • 3.5 Treatment
  • 3.5.1 Aggressive Reduction in SBP to Goal of 140
  • 3.5.2 Seizures
  • 3.5.3 Intracranial Pressure
  • 3.5.4 Medical Issues
  • 3.5.5 Coagulopathies
  • 3.5.6 Surgical Options
  • 3.5.7 Craniotomy
  • 3.5.8 Craniectomy
  • 3.5.9 Minimally Invasive Surgical Evacuation
  • 3.6 Prognosis
  • 4. Cerebrovascular Emergencies: Aneurysmal Subarachnoid Hemorrhage (SAH)
  • 4.1 Epidemiology
  • 4.2 Risk Factors
  • 4.3 Diagnosis
  • 4.4 Grading System
  • 4.4.1 Hunt and Hess Grade
  • 4.4.2 World Federation of Neurological Surgeons Grade
  • 4.4.3 Modified Fischer Scores
  • 4.5 Management of Subarachnoid Hemorrhage
  • 4.5.1 Early Phase
  • 4.5.2 Late Phase
  • 4.6 Vasospasm, Delayed Neurologic Deterioration (DND), and Delayed Cerebral Ischemia (DCI)
  • 4.6.1 Detection and Management of Vasospasm and DCI
  • 4.7 Hyponatremia and Endocrine Dysfunction
  • 4.7.1 Hyponatremia
  • 4.7.2 Endocrine Dysfunction
  • 5. Transfusion Medicine and Anticoagulation
  • 5.1 Introduction
  • 5.2 Anemia in the ICU
  • 5.3 Red Cell Transfusion
  • 5.3.1 Leukocyte Reduction Indications
  • 5.3.2 Washed RBC
  • 5.3.3 Irradiation
  • 5.3.4 Complications of Red Blood Cell Transfusion
  • 5.3.5 Benefits to Transfusion
  • 5.4 Hemoglobin "Triggers"
  • 5.5 Thrombocytopenia
  • 5.6 Prophylaxis Thresholds
  • 5.6.1 Treatment of Bleeding
  • 5.7 Antiplatelet Reversal in Intracranial Hemorrhage
  • 5.8 Coagulation Cascade and Anticoagulants
  • 5.9 Anticoagulants
  • 5.9.1 Warfarin