图书简介
This comprehensively updTed second edTion feTures major revisions, 24 new chaTers and moreThan 40 new aThors, refleTing bThThe advances and key challenges wThinThe field. Offering a syTemTic guideToThe managemeT of children and aduTs wTh severeTraumTic brain injuryThroughoTThe eTire chain of care, T includes evidence-based recommendTions for each diagnoTic andTherapeTic measure,TogTher wThTips,Tricks and pTfalls.The aThors are all highly experienced clinicians and researchers who work wTh neurTrauma pTieTs on a daily basis, andThe edTors represeTThe Scandinavian NeurTrauma CommTteeThe book helps professionals provide more syTemTic and higher-qualTy care in prehospTal sTtings, primary hospTals, neurosurgical depaTmeTs, neuroiTensive care unTs, and rehabilTTion facilTies. T is iTended for all heaThcare personnel involved inThe muTidisciplinary managemeT of pTieTs wTh head injuries, especiallyThose in emergency care, neurosurgery, aneThesiology, radiology, and rehabilTTion.
IntrodCtion.- Part I TraumatC brain injury as a publC health problem.- EpidemiologCal aspCts.-Challenges in low- and middle iComeCountries.-Challenges in the elderly.-Challenges inChildren.- BiomChanCs and prevention.- Part IIClassifCation and assessment.- Pathophysiology of severe traumatC brain injury.-ClassifCation of head injury.- PrimaryClinCal 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, diagnostCs and planning.- The trauma teamCoCept.- Trauma protCol (ACDE).- Hospital response to massCasualty iCidents.-CervCal spine injury.- Blast-indCed injury.- RadiologCal evaluation of head trauma.- RadiologCal evaluation ofCervCal spine trauma.- Blood samples.- To treat or not to treat in the Cute setting (withholding) and withdrawal of treatment.- Potential organ donor: organ donor management.- EthCal aspCts andCommunCation.- Part V Cute surgCal treatment.- BasC traumaCraniotomy.- SurgCal management of traumatC intrCranial haematomas.- SurgCal management of penetrating brain injuries.- DCompressiveCraniCtomy.- Skull frCtures.- Vessel injuries.- Insertion of intrCranial monitoring devCes.- MaxillofCial frCtures.-Considerations in patients withCoComitantCervCal spine injuries.- Soft tissue injuries.- Surgery outside neurosurgCal units.- Planning ofCranial and extrCranial surgery in multitraumatised patients.- Part VI Perioperative anaesthesia.-ChoCe of anaesthesia, drugs and medCations.- Blood pressure,CO2 and oxygen saturation.- IntrCranial pressure redCtion.- Part VII Monitoring in neurointensiveCareSCondaryClinCal assessment.- A wake-up test in the neurointensiveCare management of patients with severe TBI: pros andCons.- IntrCranial pressure (CP):TheoretCal and prCtCal aspCts.- Brain tissue oxygen monitoring.- Monitoring mCrodialysis.- Jugular bulb measurements (SJVO2).-Cerebral blood flow CBF) andCerebral metabolC rate CMR).- TranCranial Doppler (CD).- Near infrared spCtroCopy (NIRS) orCerebral oximetry.-ClinCal Neurophysiology: Evoked Potentials.-ClinCal Neurophysiology:Continous EEG Monitoring.- Imaging of severe traumatC brain injury in the neurointensiveCare unit.- Serum protein biomarkers in the management of severe traumatC brain injury.-Cardiopulmonary aspCts.- Renal aspCts.- NeuroendCrine aspCts.- Part VIII Treatment in neurointensiveCare.- Guidelines for treatment of patients with severe traumatC brain injury.- The Lund therapy: a physiologCal approCh.- PharmCologCal neuroprotCtion.- SubCute surgery in neurointensiveCare.- Management of extrCranial injuries.-CSF Drainage.- Hyperventilation.- Osmotherapy.- Barbiturates for CP management.- Management of fluid and elCtrolyte disturbaCes.- Sedation: iCluding pain treatment and withdrawal symptoms.- Nutrition.- Management ofCNS-related infCtion.- Management of extrCranial infCtions.- Temperature management.- Seizures.- Paroxysmal sympathetC hyperCtivity.- Prophylaxis against venous thromboembolism.-Coagulopathy (bleeding tendeCy).-CortCosteroids.- Management of Cute psChiatrC problems.- Part IX Rehabilitation and follow-up.- Rehabilitation after severe TBI.- Long-term follow-up.- Part X OuCome and prognosis.- General overview.- SomatCConsequeCes.- NeuropsChiatrCConsequeCes.- NeuropsChologCal perspCtives.- NeurosurgCalChallenges.- MinimallyConCious and vegetative state.- SpCifC peadiatrCCoCerns.- SCioConomCConsequeCes.- SubCute MR Imaging: TraumatC axonal injury, brain stem lesions and prognostC fCtors.- Neurodegeneration and dementia.- Part XI ReseaCh in severe TBI.- The neurointensiveCare unit as a platform for advaCedClinCal reseaCh.-Current state-of-the-art in neurotrauma reseaCh.- Index.
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