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Management of Severe Traumatic Brain Injury : Evidence, Tricks, and Pitfalls

https://libcat.nshealth.ca/en/permalink/provcat45583
Terje Sundstrøm, Per-Olof Grände, Teemu Luoto, Christina Rosenlund, Johan Undén, Knut Gustav Wester, editors. (Second edition) --Cham: Springer , c2020.
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This comprehensively updated second edition features major revisions, 24 new chapters and more than 40 new authors, reflecting both the advances and key challenges within the field. Offering a systematic guide to the management of children and adults with severe traumatic brain injury throughout the entire chain of care, it includes evidence-based recommendations for each diagnostic and therapeutic measure, together with tips, tricks and pitfalls. The authors are all highly experienced clinicia…
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Other Authors
Sundstrøm, Terje
Grände, Per-Olof
Luoto, Teemu
Rosenlund, Christina
Undén, Johan
Wester, Knut Gustav
Responsibility
Terje Sundstrøm, Per-Olof Grände, Teemu Luoto, Christina Rosenlund, Johan Undén, Knut Gustav Wester, editors
Edition
Second edition
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xxxi, 689 p.) : 83 illus., 38 illus. in color
ISBN
9783030393830
9783030393823 (Print ed.)
9783030393847 (Print ed.)
9783030393854 (Print ed.)
Subjects (MeSH)
Brain Injuries, Traumatic - therapy
Specialty
Critical Care
Emergency Medicine
Neurology
Neurosurgery
Traumatology
Abstract
This comprehensively updated second edition features major revisions, 24 new chapters and more than 40 new authors, reflecting both the advances and key challenges within the field. Offering a systematic guide to the management of children and adults with severe traumatic brain injury throughout the entire chain of care, it includes evidence-based recommendations for each diagnostic and therapeutic measure, together with tips, tricks and pitfalls. The authors are all highly experienced clinicians and researchers who work with neurotrauma patients on a daily basis, and the editors represent the Scandinavian Neurotrauma Committee. The book helps professionals provide more systematic and higher-quality care in prehospital settings, primary hospitals, neurosurgical departments, neurointensive care units, and rehabilitation facilities. It is intended for all healthcare personnel involved in the multidisciplinary management of patients with head injuries, especially those in emergency care, neurosurgery, anesthesiology, radiology, and rehabilitation.
Contents
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 -- Management of 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.
Format
e-Book
Location
Online
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Operative Techniques and Recent Advances in Acute Care and Emergency Surgery

https://libcat.nshealth.ca/en/permalink/provcat44140
Paolo Aseni, Luciano De Carlis, Alessandro Mazzola, Antonino M. Grande, editors. --Cham: Springer , 2019.
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The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of tr…
Available Online
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Other Authors
Aseni, Paolo
De Carlis, Luciano
Mazzola, Alessandro
Grande, Antonino M.
Responsibility
Paolo Aseni, Luciano De Carlis, Alessandro Mazzola, Antonino M. Grande, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xii, 800 p.) : 541 illus., 364 illus. in color
ISBN
9783319951140
9783319951133 (Print ed.)
9783319951157 (Print ed.)
Subjects (MeSH)
Advanced Trauma Life Support Care
Critical Care
Emergency Medicine
Surgical Procedures, Operative
Specialty
Critical Care
Emergency Medicine
Surgical Procedures, Operative
Abstract
The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of treatment options for acute organ failure, with a focus on peculiar clinical situations that call for special treatment, including: extracorporeal membrane oxygenation (ECMO), circulatory support and urgent liver transplantation. In order to identify the key determinants in decision-making and therapeutic support that can help avoid critical errors, authors not only define and discuss specific surgical techniques, but also present major issues and controversies related to it. In essence, the book can be considered a “What to do guide” that offers easy access to both basic and advanced lifesaving surgical procedures, due in part to text boxes highlighting “Tips, Tricks and Pitfalls” as well as advice on “Complications Management”. Many chapters are enriched by providing clinical case scenarios, an important educational resource including self–assessment questionnaires.
Format
e-Book
Location
Online
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