"The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations"--Provided by publisher.

lgli/_468641.9f8bb70e17ae22a7a8c0387fe3ee4038.pdf

lgrsnf/_468641.9f8bb70e17ae22a7a8c0387fe3ee4038.pdf

zlib/Medicine/George A. Mashour, Ehab Farag/Case Studies in Neuroanesthesia and Neurocritical Care_1200202.pdf

George A Mashour, 1969-

Mashour, George A.

Cambridge medicine, Cambridge, New York, England, 2011

Cambridge medicine (Series), Cambridge, 2011

United Kingdom and Ireland, United Kingdom

Cambridge University Press, Leiden, 2011

2011 12 30

lg762246

Includes bibliographical references and index.

Cover......Page 1
Half-title......Page 3
Title......Page 5
Copyright......Page 6
Contents......Page 7
Contributors......Page 12
Preface......Page 19
Section I: Neuroanesthesia......Page 21
Case description......Page 23
4. Develop a plan......Page 24
References......Page 25
Discussion......Page 27
References......Page 30
Case description......Page 31
Discussion......Page 32
References......Page 34
Discussion......Page 35
References......Page 36
Intravenous analgesics......Page 37
Regional anesthesia......Page 38
Endnote......Page 40
Discussion......Page 41
Cerebellopontine angle......Page 42
References......Page 43
Discussion......Page 44
References......Page 46
Discussion......Page 47
References......Page 49
Discussion......Page 50
References......Page 52
Pathophysiology......Page 53
Conclusion......Page 54
References......Page 55
Discussion......Page 56
References......Page 57
Case description......Page 58
Discussion......Page 59
References......Page 60
Discussion......Page 61
References......Page 64
Case description......Page 65
Discussion......Page 66
References......Page 67
Discussion......Page 68
References......Page 70
Discussion......Page 71
Scenario 1 – Patient with no coronary stents......Page 72
References......Page 73
Case description......Page 75
Discussion......Page 76
References......Page 77
Discussion......Page 79
References......Page 81
Discussion......Page 83
References......Page 85
Discussion......Page 86
References......Page 88
Discussion......Page 90
References......Page 92
Discussion......Page 93
References......Page 95
Case description......Page 97
Discussion......Page 98
References......Page 99
Discussion......Page 100
References......Page 101
Discussion......Page 103
References......Page 104
Discussion......Page 105
References......Page 106
Monitors of cerebral oxygenation and metabolism......Page 108
Electrophysiologic monitors......Page 109
References......Page 110
Discussion......Page 111
Preventing neurologic decline......Page 112
References......Page 113
Discussion......Page 114
References......Page 115
Discussion......Page 116
References......Page 117
Discussion......Page 119
References......Page 120
Parkinsons disease......Page 123
Conclusion......Page 124
References......Page 125
Discussion......Page 126
References......Page 127
Interactions between the STN DBS and levodopa......Page 128
References......Page 129
Discussion......Page 130
References......Page 132
Discussion......Page 133
References......Page 136
Case description......Page 137
Discussion......Page 138
References......Page 139
Case description......Page 141
Discussion......Page 142
References......Page 144
Delayed consequences......Page 145
References......Page 146
Discussion......Page 148
General principles – preoperative history and physical examination......Page 149
Anesthetic technique......Page 150
Conclusion......Page 151
References......Page 152
Sensory evoked potentials......Page 153
Motor evoked potentials......Page 154
Intraoperative changes......Page 155
References......Page 156
Discussion......Page 157
Inhalational agents......Page 158
References......Page 159
Discussion......Page 160
References......Page 161
Case description......Page 163
Discussion......Page 164
References......Page 165
Case description......Page 166
Discussion......Page 167
References......Page 168
References......Page 169
Mechanism of injury......Page 170
Ischemic optic neuropathy (anterior and posterior)......Page 171
Prevention of postoperative visual loss......Page 172
References......Page 173
Discussion......Page 174
References......Page 176
Discussion......Page 177
References......Page 179
Discussion......Page 180
Strategies for difficult extubation......Page 181
References......Page 182
Discussion......Page 183
References......Page 184
Discussion......Page 185
References......Page 187
Case description......Page 188
Discussion......Page 189
References......Page 191
Discussion......Page 192
Conclusion......Page 194
References......Page 195
Case description 1......Page 197
Case description 2......Page 198
References......Page 201
Discussion......Page 202
References......Page 203
Discussion......Page 204
References......Page 205
Preoperative assessment......Page 207
Intraoperative management......Page 208
References......Page 209
Case description......Page 211
Discussion......Page 212
References......Page 214
Discussion......Page 215
References......Page 218
Case description......Page 219
Discussion......Page 220
References......Page 222
Case description......Page 223
Discussion......Page 224
References......Page 226
Preoperative management......Page 227
Intraoperative management......Page 228
References......Page 229
Discussion......Page 230
References......Page 232
Discussion......Page 235
References......Page 237
Term gestation......Page 238
References......Page 240
Discussion......Page 241
Treatment of convulsions......Page 244
Delivery......Page 245
References......Page 246
Case description......Page 247
Discussion......Page 248
References......Page 249
Common causes of acute liver failure......Page 250
Neurologic manifestations of acute liver failure: encephalopathy, cerebral edema, and increased intracranial pressure......Page 251
References......Page 252
Case description......Page 253
Discussion......Page 255
References......Page 256
Discussion......Page 258
References......Page 259
Discussion......Page 261
References......Page 263
Discussion......Page 264
Conclusion......Page 266
References......Page 267
Section II: Neurocritical care......Page 269
Preload......Page 271
References......Page 272
Modes of mechanical ventilation......Page 273
Ventilator weaning......Page 274
Mechanical ventilation in patients with neurologic disorders......Page 275
References......Page 276
Case description......Page 277
Discussion......Page 278
References......Page 279
Discussion......Page 280
References......Page 281
Discussion......Page 282
Conclusion......Page 283
References......Page 284
Discussion......Page 285
Initiation of cooling......Page 286
References......Page 287
Discussion......Page 289
Conclusion......Page 290
References......Page 291
Discussion......Page 292
References......Page 294
Discussion......Page 295
References......Page 296
Discussion......Page 297
References......Page 299
Discussion......Page 301
References......Page 303
Discussion......Page 304
References......Page 306
Discussion......Page 307
References......Page 309
Anticoagulants......Page 311
Reversal of anticoagulation......Page 312
Conclusions......Page 313
References......Page 314
Presentation and diagnosis......Page 315
Medical management......Page 316
Conclusion......Page 317
References......Page 318
Discussion......Page 319
References......Page 323
Who to treat......Page 324
Optimizing cerebral blood flow and oxygenation......Page 325
Reducing cerebral oxygen consumption and demand......Page 326
References......Page 328
References......Page 329
Discussion......Page 331
References......Page 333
Case description......Page 334
Discussion......Page 335
References......Page 336
Discussion......Page 337
References......Page 338
Discussion......Page 341
References......Page 343
Discussion......Page 344
References......Page 345
Discussion......Page 347
References......Page 348
Case description......Page 349
Discussion......Page 350
References......Page 352
Index......Page 353

<p>The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.</p>

2012-02-04