Neurocritical Care

Events in a neurological intensive care unit are not always predictable and patients can often be unstable. This practical manual is a clear and concise guide for recognising and managing neurological emergencies. Each chapter covers a crucial topic in neurocritical care, from understanding the pathophysiology of various neurological diseases, to neuroradiology used in diagnosis, and best practice for difficult decision making in the ICU. A variety of conditions are described such as haemorrhage (intracerebral, subdural, and subarachnoid), seizures, trauma and temperature dysregulation. An international team of experts have contributed chapters, providing a breadth of experience and knowledge for readers. This is an invaluable guide for clinicians on the front line of caring for patients with neurological emergencies who need life-saving answers quickly.

•  Reviews the pathophysiology of neurological emergencies, leading readers to a deeper understanding of why these occur in their patients.
• Wide ranging content encompasses the majority of disorders encountered by neurointensivists and other clinicians caring for patients with neurological emergencies.

• Provides practical, easy-to-follow, structured, and focused protocols for the assessment, management, and treatment of neurocritically ill patients that is accessible for clinicians at any stage of their career.

Contents
List of Contributors page x
1 Introduction: The Practice of Neurocritical
Care
Andrew M Naidech 1
2 Intracranial Pressure Monitoring and
Management
Tanuwong Viarasilpa, Charles L Francoeur, and Stephan
A Mayer 6
3 Disorders of Temperature Regulation
Ameeta Karmarkar and Andrew M Naidech 32
4 Approach to Neuroimaging of the Brain,
Vessels, and Cerebral Edema
Muhammad Umair, Tyler Hinkel, Alexander W Korutz,
Eric J Russell, and Alexander J Nemeth 65

5 Airway and Ventilator Management of the
Neurologically Critically Ill Patient
Howard Lee and Michael L Ault 90
6 Neurocritical Care Pharmacology
Deepika P McConnell 111
7 Intracerebral Hemorrhage
Brandon Francis 134
8 Correction of Coagulopathy
Ahmed M Salem and Tiffany R Chang 147
9 Subarachnoid Hemorrhage
H Alex Choi and Swathi Kondapalli 164
10 Subdural Hematoma
Peter Pruitt 184
11 Critical Care Management of Neurotrauma
Giang T Quach and Michael Shapiro 196

12 Critical Care Management before and after
Open and Intravascular Procedures
Aimee Aysenne and Martha Robinson 227
13 Shared Decision-Making in the Neuro-ICU
Kelsey Goostrey and Susanne Muehlschlegel 252
14 Status Epilepticus and EEG Monitoring
Dionne E Swor and Deepika P McConnell 271
15 Evaluation of the Comatose Patient and
Overview of the Brain Death Examination
Sherri A Braksick and Alejandro A Rabinstein 295
Index 318