Emergenze e urgenze

Neurocritical care is a multidisciplinary specialty that provides comprehensive management for all life-threatening disorders of the central nervous system and their complications. Increased understanding of the pathophysiology of acute central nervous system disorders and their impact on systemic organ systems, in association with advances in neuromonitoring and neuroimaging techniques, has led to the introduction of more effective and individualised treatment strategies that have translated into improved outcomes for critically ill neurological patients. As well as treatments targeted to the acute neurological disorder, critically ill neurological patients require meticulous general intensive care support to maintain systemic physiological stability and optimize neurological outcomes. The second edition of the Oxford Textbook of Neurocritical Care brings together international experts from various disciplines to provide a comprehensive global perspective on this field. In 33 updated or new chapters, the book discusses the pathophysiology of acute neurological conditions, advancements in monitoring and imaging techniques, evidenced-based treatment strategies, prognostication, patient outcomes, and ethics. Each chapter highlights advancements within specific areas and underscores the critical attention to detail that is the basis of neurocritical care practice. While primarily designed for those in the neurocritical care field, this textbook also serves as a valuable resource for other clinical professionals who encounter patients with acute neurological conditions in their practice. It is also a useful resource for trainees from many disciplines

Great for Neurosurgery, Emergency Medicine, Neurology, and Medicaland Surgical Critical Care Board Review! The NeuroICU Board Review, Second Edition provides complete coverage of every topic found on the neurocritical care board exam. This high-yield resource delivers a thorough overview of neurological disease states, neurosurgical management, critical care medicine, as well as ethics and professionalism. More than 700 questions with detailed answer explanations strengthen your understanding of critical care topics and prepare you for practice in the NeuroICU. This second edition has been enhanced with valuable Clinical Pearls that follow each chapter and provide concise, practical insights for patient care. Essential for passing the neurocritical care boards, this is also an ideal resource for reviewing neurocritical care topics found on board exams in neurosurgery, emergency medicine, neurology, and medical and surgical critical care.

Published in 1997 as the first single-authored book on critical care neurology, The Practice of Emergency and Critical Care Neurology serves as a comprehensive guide to managing all aspects of critically ill neurologic patients. Following patients from the moment they enter the emergency department, this textbook demonstrates how specialists in the neurosciences assume full responsibility for patient care. Edited succinctly for relevance, this book differs from conventional textbooks by following the time course of clinical complexities as they emerge and change, instead of focusing on just the theoretical aspects of the field. Great emphasis is placed on the management of unstable and deteriorating patients. As any patient presents a unique, complex problem, the book pays special care in describing the considerations behind the rapid-fire decisions that comprise the work environment of the neurointensivist. In this new third edition, all chapters have been revised with added information and, in some, new concepts and ideas. Key features of this new edition include: 1. Additional chapters on the basics of neuroimaging and its interpretation; basic pharmacology issues in the intensive care setting (e.g., drug interactions and side effects); intoxications; the principles of critical care ultrasound and its relevance in the NeuroICU and the principles of neuro palliation including neuroethics 2. Rich illustrations using color photos of patients and drawings of important basic concepts of mechanisms in diseases of neurocritical care 3. Fully updated and comprehensive reference list 4. Narrated instruction video of the coma FOUR score

Giunta alla quarta edizione, l'opera fornisce gli strumenti diagnostici più appropriati e i suggerimenti terapeutici più aggio

Patients with neurologic symptoms are frequently seen in the emergency department and require rapid and thorough evaluation. Appropriate assessment with tailored history-taking, localization of the neurological problem, differential diagnosis, focused testing, and urgent treatment when indicated are essential to prevent patient morbidity. Neurological examination and testing of patients are covered in-depth, along with common neurological presentations using a symptom-based approach, such as coma, dizziness and gait disturbance. Specific neurological disorders are also explored, including traumatic brain injury, ischemic stroke and transient ischemic attack and neurotoxicology. Chapters follow a basic outline, including an introduction and a pearls and pitfalls section, providing a succinct overview and key takeaway points for the busy clinician. This well organized handbook will serve as a concise, valued reference for the clinician to use in assisting the evaluation of the most common neurology related emergency department visits.

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.

This practical book covers neuro-critical care procedures performed in medical or surgical ICU and different procedures dedicated to acute neurological care.   The book's format allows for quick decisions about care and protocols while treating neurologically injured patients. Divided into two sections, the first focuses on procedures. The outlines of these chapters include indication, technique, types of kits available, and challenges. The second section covers the protocols; these chapters feature flowcharts, drugs/device, doses of drugs, description of device, indication, evidence, and future prospects.   This succinct guide will serve as a go-to reference for residents, fellows, intensivists, or any healthcare personnel within neuro-critical care unit.

Based on the highly-regarded Walls Manual of Emergency Airway Management and part of the Manual of Emergency Medicine series envisioned by leading authority in emergency medicine, Dr. Ron M. Walls, Manual of Neurologic Emergencies provides evidence-based, easy-to-read coverage on the diagnosis and management of neurologic emergencies. Through the direction and expertise of editors Drs. Andy S. Jagoda and Christopher A. Lewandowski, this reference is a practical guide to approaching the patient with a neurologic complaint in a systematic way, providing a hands-on framework for clinical decision making and therapeutic interventions.    Walks you through all aspects of diagnosis and management, including a rapid diagnosis and directed approach which are especially critical to optimal outcomes. Reviews neuroanatomy, performing a history, selecting appropriate imaging, and structuring/modifying the physical exam for the needs of the individual patient. Provides helpful information such as pathophysiology, differential diagnosis, evidence-based analysis of the literature, best practice recommendations, and treatment algorithms for a wide range of clinical presentations. Covers altered consciousness and behavior, neuromuscular disorders, multiple sclerosis and Parkinson’s disease, dizziness and vertigo, head trauma, acute stroke, headache, seizures, central nervous system infections, and more. Facilitates best practices and promotes communication across all specialties, whether in the emergency department, ICU, urgent care setting, pre-hospital environment, or anywhere else neurologic emergencies may occur. Shares the experience as well as extensive knowledge the editors and authors have with neurologic emergencies. , Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech. ,  

Simulation in Acute Neurology is a textbook on the execution of a simulation-based educational program in the management of acute neurologic emergencies. Simulation in Acute Neurology has practical value because it contains detailed descriptions of our simulation scenarios. The foundation of this book is our experience with neurosimulation?and it has been a very good one. Part I provides an overview of the principles of simulation in medicine and examines the many unique opportunities simulation provides as an educational tool. Barriers to simulating neurologic emergencies are also discussed. Simulation allows a physician-in-training to be observed directly as he or she evaluates and manages acute neurologic disease. Part II is the core of the book. Fifteen acute neurologic emergencies, including complex neuroethical quandaries, are presented in detail, step by step, decision by decision, error after error. Each chapter in this section starts with an explanation of the essence of the discussed neuroemergency (THE PROBLEM BEFORE US), followed by a description of the scenario itself (THE PRESENTING CLINICAL PROBLEM), how scenarios can be adjusted to different types of learners (ADAPTING THE SCENARIO), and ends with a discussion of topics for feedback, which are generally focused around errors and pitfalls (DEBRIEFING). To show the flow of scenarios, we created two additional main headings: (THE IDEAL LEARNER) and (THE NOT-SO IDEAL LEARNER). Part I provides an overview of the principles of simulation in medicine and examines the many unique opportunities simulation provides as an educational tool. Barriers to simulating neurologic emergencies are also discussed. Simulation allows a physician-in-training to be observed directly as he or she evaluates and manages acute neurologic disease. Part II is the core of the book. Fifteen acute neurologic emergencies, including complex neuroethical quandaries, are presented in detail, step by step, decision by decision, error after error. Each chapter in this section starts with an explanation of the essence of the discussed neuroemergency (THE PROBLEM BEFORE US), followed by a description of the scenario itself (THE PRESENTING CLINICAL PROBLEM), how scenarios can be adjusted to different types of learners (ADAPTING THE SCENARIO), and ends with a discussion of topics for feedback, which are generally focused around errors and pitfalls (DEBRIEFING). To show the flow of scenarios, we created two additional main headings: (THE IDEAL LEARNER) and (THE NOT-SO IDEAL LEARNER).

A practical, protocol-based guide to the emerging field of neurocritical care - updated with the very latest research and developments The goal of neurological critical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. The NeuroICU Book puts that goal within the reach of every neurologist and critical care specialist. Thoroughly updated to keep pace with all the advances in this emerging field, the Second Edition combines the latest clinical perspectives in critical care medicine, neurology, and neurosurgery. This comprehensive, evidence-based text standardizes neurocritical care and takes readers through the rationale for those standards. Filled with detailed case studies and featuring a question-and-answer format, the book not only builds competency in recognizing acute changes in neurological function, but also addresses all organ insufficiencies and failures, reflecting the real-life challenges in the modern neuro-ICU. * Robust, wide-ranging scope goes beyond classic neurology to encompass other organ failures at the time of presentation or during the ICU stay Evidence-based approach leverages the scientific and controlled research that supports the key treatment methods outlined in the book Practical tools including algorithms, tables, illustration, photographs, detailed references, and critical take-home points

Kumar and colleagues' Neurocritical Care Management of the Neurosurgical Patient provides the reader with thorough coverage of neuroanatomical structures, operative surgical approaches, anesthetic considerations, as well as the full range of known complications relating to elective and non-elective neurosurgical procedures. Drawing upon the expertise of an interdisciplinary team of physicians from neurosurgery, neurology, anesthesiology, critical care, and nursing backgrounds, the text covers all aspects intensivists need to be aware of in order to provide optimal patient care.

This 6-volume SET of the Core Principles of Acute Neurology by Eelco F.M. Wijdicks of Mayo Clinic College of Medicine is a series of short volumes that cover major topics not found in sufficient detail elsewhere and provides useful context in the field of Neurocritical Care. This 6-Volume set includes: 1.

Questo volume presenta i risultati ottenuti dal prestigioso Istituto Neurochirurgico "Burdenko" di Mosca sulle lesioni post traumatiche cranio-encefaliche di interesse chirurgico che hanno la caratteristica di presentarsi in fase tardiva e che vengono descritte col termine di "sequele". L'opera è frutto della vasta esperienza maturata dagli Autori nel corso degli anni e di rigorose ricerche cliniche e scientifiche, sempre condotte ad altissimo livello.