Management of Severe Traumatic Brain Injury
portes grátis
Management of Severe Traumatic Brain Injury
Evidence, Tricks, and Pitfalls
Luoto, Teemu; Rosenlund, Christina; Unden, Johan; Sundstrom, Terje; Graende, Per-Olof; Wester, Knut Gustav
Springer Nature Switzerland AG
06/2020
689
Dura
Inglês
9783030393823
15 a 20 dias
1796
Descrição não disponível.
Introduction.- Part I Traumatic brain injury as a public health problem.- Epidemiological aspects.- Challenges in low- and middle income countries.- Challenges in the elderly.- Challenges in children.- Biomechanics and prevention.- Part II Classification and assessment.- Pathophysiology of severe traumatic brain injury.- Classification of head injury.- Primary clinical assessment.- Part III Prehospital management.- Prehospital guidelines.- What the neurosurgeon and the trauma team want to know: what, who, when, and where?.- Transportation.- Part IV Admission, diagnostics and planning.- The trauma team concept.- Trauma protocol (ABCDE).- Hospital response to mass casualty incidents.- Cervical spine injury.- Blast-induced injury.- Radiological evaluation of head trauma.- Radiological evaluation of cervical spine trauma.- Blood samples.- To treat or not to treat in the acute setting (withholding) and withdrawal of treatment.- Potential organ donor: organ donor management.- Ethical aspects and communication.- Part V Acute surgical treatment.- Basic trauma craniotomy.- Surgical management of traumatic intracranial haematomas.- Surgical management of penetrating brain injuries.- Decompressive craniectomy.- Skull fractures.- Vessel injuries.- Insertion of intracranial monitoring devices.- Maxillofacial fractures.- Considerations in patients with concomitant cervical spine injuries.- Soft tissue injuries.- Surgery outside neurosurgical units.- Planning of cranial and extracranial surgery in multitraumatised patients.- Part VI Perioperative anaesthesia.- Choice of anaesthesia, drugs and medications.- Blood pressure, CO2 and oxygen saturation.- Intracranial pressure reduction.- Part VII Monitoring in neurointensive care
Secondary clinical assessment.- A wake-up test in the neurointensive care management of patients with severe TBI: pros and cons.- Intracranial pressure (ICP):Theoretical and practical aspects.- Brain tissue oxygen monitoring.- Monitoring microdialysis.- Jugular bulb measurements (SJVO2).- Cerebral blood flow (CBF) and cerebral metabolic rate (CMR).- Transcranial Doppler (TCD).- Near infrared spectroscopy (NIRS) or cerebral oximetry.- Clinical Neurophysiology: Evoked Potentials.- Clinical Neurophysiology: Continous EEG Monitoring.- Imaging of severe traumatic brain injury in the neurointensive care unit.- Serum protein biomarkers in the management of severe traumatic brain injury.- Cardiopulmonary aspects.- Renal aspects.- Neuroendocrine aspects.- Part VIII Treatment in neurointensive care.- Guidelines for treatment of patients with severe traumatic brain injury.- The Lund therapy: a physiological approach.- Pharmacological neuroprotection.- Subacute surgery in neurointensive care.- Management of extracranial injuries.- CSF Drainage.- Hyperventilation.- Osmotherapy.- Barbiturates for ICP management.- Management of fluid and electrolyte disturbances.- Sedation: including pain treatment and withdrawal symptoms.- Nutrition.- Managementof CNS-related infection.- Management of extracranial infections.- Temperature management.- Seizures.- Paroxysmal sympathetic hyperactivity.- Prophylaxis against venous thromboembolism.- Coagulopathy (bleeding tendency).- Corticosteroids.- Management of acute psychiatric problems.- Part IX Rehabilitation and follow-up.- Rehabilitation after severe TBI.- Long-term follow-up.- Part X Outcome and prognosis.- General overview.- Somatic consequences.- Neuropsychiatric consequences.- Neuropsychological perspectives.- Neurosurgical challenges.- Minimally conscious and vegetative state.- Specific peadiatric concerns.- Socioeconomic consequences.- Subacute MR Imaging: Traumatic axonal injury, brain stem lesions and prognostic factors.- Neurodegeneration and dementia.- Part XI Research in severe TBI.- The neurointensive care unit as a platform for advanced clinical research.- Current state-of-the-art in neurotrauma research.- Index.
Secondary clinical assessment.- A wake-up test in the neurointensive care management of patients with severe TBI: pros and cons.- Intracranial pressure (ICP):Theoretical and practical aspects.- Brain tissue oxygen monitoring.- Monitoring microdialysis.- Jugular bulb measurements (SJVO2).- Cerebral blood flow (CBF) and cerebral metabolic rate (CMR).- Transcranial Doppler (TCD).- Near infrared spectroscopy (NIRS) or cerebral oximetry.- Clinical Neurophysiology: Evoked Potentials.- Clinical Neurophysiology: Continous EEG Monitoring.- Imaging of severe traumatic brain injury in the neurointensive care unit.- Serum protein biomarkers in the management of severe traumatic brain injury.- Cardiopulmonary aspects.- Renal aspects.- Neuroendocrine aspects.- Part VIII Treatment in neurointensive care.- Guidelines for treatment of patients with severe traumatic brain injury.- The Lund therapy: a physiological approach.- Pharmacological neuroprotection.- Subacute surgery in neurointensive care.- Management of extracranial injuries.- CSF Drainage.- Hyperventilation.- Osmotherapy.- Barbiturates for ICP management.- Management of fluid and electrolyte disturbances.- Sedation: including pain treatment and withdrawal symptoms.- Nutrition.- Managementof CNS-related infection.- Management of extracranial infections.- Temperature management.- Seizures.- Paroxysmal sympathetic hyperactivity.- Prophylaxis against venous thromboembolism.- Coagulopathy (bleeding tendency).- Corticosteroids.- Management of acute psychiatric problems.- Part IX Rehabilitation and follow-up.- Rehabilitation after severe TBI.- Long-term follow-up.- Part X Outcome and prognosis.- General overview.- Somatic consequences.- Neuropsychiatric consequences.- Neuropsychological perspectives.- Neurosurgical challenges.- Minimally conscious and vegetative state.- Specific peadiatric concerns.- Socioeconomic consequences.- Subacute MR Imaging: Traumatic axonal injury, brain stem lesions and prognostic factors.- Neurodegeneration and dementia.- Part XI Research in severe TBI.- The neurointensive care unit as a platform for advanced clinical research.- Current state-of-the-art in neurotrauma research.- Index.
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Emergency Treatment;ICU Treatment;Neurorehabilitation;Neurotrauma;Head injury;Neurointensive;Trauma;Neurosurgery
Introduction.- Part I Traumatic brain injury as a public health problem.- Epidemiological aspects.- Challenges in low- and middle income countries.- Challenges in the elderly.- Challenges in children.- Biomechanics and prevention.- Part II Classification and assessment.- Pathophysiology of severe traumatic brain injury.- Classification of head injury.- Primary clinical assessment.- Part III Prehospital management.- Prehospital guidelines.- What the neurosurgeon and the trauma team want to know: what, who, when, and where?.- Transportation.- Part IV Admission, diagnostics and planning.- The trauma team concept.- Trauma protocol (ABCDE).- Hospital response to mass casualty incidents.- Cervical spine injury.- Blast-induced injury.- Radiological evaluation of head trauma.- Radiological evaluation of cervical spine trauma.- Blood samples.- To treat or not to treat in the acute setting (withholding) and withdrawal of treatment.- Potential organ donor: organ donor management.- Ethical aspects and communication.- Part V Acute surgical treatment.- Basic trauma craniotomy.- Surgical management of traumatic intracranial haematomas.- Surgical management of penetrating brain injuries.- Decompressive craniectomy.- Skull fractures.- Vessel injuries.- Insertion of intracranial monitoring devices.- Maxillofacial fractures.- Considerations in patients with concomitant cervical spine injuries.- Soft tissue injuries.- Surgery outside neurosurgical units.- Planning of cranial and extracranial surgery in multitraumatised patients.- Part VI Perioperative anaesthesia.- Choice of anaesthesia, drugs and medications.- Blood pressure, CO2 and oxygen saturation.- Intracranial pressure reduction.- Part VII Monitoring in neurointensive care
Secondary clinical assessment.- A wake-up test in the neurointensive care management of patients with severe TBI: pros and cons.- Intracranial pressure (ICP):Theoretical and practical aspects.- Brain tissue oxygen monitoring.- Monitoring microdialysis.- Jugular bulb measurements (SJVO2).- Cerebral blood flow (CBF) and cerebral metabolic rate (CMR).- Transcranial Doppler (TCD).- Near infrared spectroscopy (NIRS) or cerebral oximetry.- Clinical Neurophysiology: Evoked Potentials.- Clinical Neurophysiology: Continous EEG Monitoring.- Imaging of severe traumatic brain injury in the neurointensive care unit.- Serum protein biomarkers in the management of severe traumatic brain injury.- Cardiopulmonary aspects.- Renal aspects.- Neuroendocrine aspects.- Part VIII Treatment in neurointensive care.- Guidelines for treatment of patients with severe traumatic brain injury.- The Lund therapy: a physiological approach.- Pharmacological neuroprotection.- Subacute surgery in neurointensive care.- Management of extracranial injuries.- CSF Drainage.- Hyperventilation.- Osmotherapy.- Barbiturates for ICP management.- Management of fluid and electrolyte disturbances.- Sedation: including pain treatment and withdrawal symptoms.- Nutrition.- Managementof CNS-related infection.- Management of extracranial infections.- Temperature management.- Seizures.- Paroxysmal sympathetic hyperactivity.- Prophylaxis against venous thromboembolism.- Coagulopathy (bleeding tendency).- Corticosteroids.- Management of acute psychiatric problems.- Part IX Rehabilitation and follow-up.- Rehabilitation after severe TBI.- Long-term follow-up.- Part X Outcome and prognosis.- General overview.- Somatic consequences.- Neuropsychiatric consequences.- Neuropsychological perspectives.- Neurosurgical challenges.- Minimally conscious and vegetative state.- Specific peadiatric concerns.- Socioeconomic consequences.- Subacute MR Imaging: Traumatic axonal injury, brain stem lesions and prognostic factors.- Neurodegeneration and dementia.- Part XI Research in severe TBI.- The neurointensive care unit as a platform for advanced clinical research.- Current state-of-the-art in neurotrauma research.- Index.
Secondary clinical assessment.- A wake-up test in the neurointensive care management of patients with severe TBI: pros and cons.- Intracranial pressure (ICP):Theoretical and practical aspects.- Brain tissue oxygen monitoring.- Monitoring microdialysis.- Jugular bulb measurements (SJVO2).- Cerebral blood flow (CBF) and cerebral metabolic rate (CMR).- Transcranial Doppler (TCD).- Near infrared spectroscopy (NIRS) or cerebral oximetry.- Clinical Neurophysiology: Evoked Potentials.- Clinical Neurophysiology: Continous EEG Monitoring.- Imaging of severe traumatic brain injury in the neurointensive care unit.- Serum protein biomarkers in the management of severe traumatic brain injury.- Cardiopulmonary aspects.- Renal aspects.- Neuroendocrine aspects.- Part VIII Treatment in neurointensive care.- Guidelines for treatment of patients with severe traumatic brain injury.- The Lund therapy: a physiological approach.- Pharmacological neuroprotection.- Subacute surgery in neurointensive care.- Management of extracranial injuries.- CSF Drainage.- Hyperventilation.- Osmotherapy.- Barbiturates for ICP management.- Management of fluid and electrolyte disturbances.- Sedation: including pain treatment and withdrawal symptoms.- Nutrition.- Managementof CNS-related infection.- Management of extracranial infections.- Temperature management.- Seizures.- Paroxysmal sympathetic hyperactivity.- Prophylaxis against venous thromboembolism.- Coagulopathy (bleeding tendency).- Corticosteroids.- Management of acute psychiatric problems.- Part IX Rehabilitation and follow-up.- Rehabilitation after severe TBI.- Long-term follow-up.- Part X Outcome and prognosis.- General overview.- Somatic consequences.- Neuropsychiatric consequences.- Neuropsychological perspectives.- Neurosurgical challenges.- Minimally conscious and vegetative state.- Specific peadiatric concerns.- Socioeconomic consequences.- Subacute MR Imaging: Traumatic axonal injury, brain stem lesions and prognostic factors.- Neurodegeneration and dementia.- Part XI Research in severe TBI.- The neurointensive care unit as a platform for advanced clinical research.- Current state-of-the-art in neurotrauma research.- Index.
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