Brain Disorders in Critical Illness

Brain Disorders in Critical Illness PDF Author: Robert D. Stevens
Publisher: Cambridge University Press
ISBN: 1107434424
Category : Medical
Languages : en
Pages : 457

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Book Description
Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.

Brain Disorders in Critical Illness

Brain Disorders in Critical Illness PDF Author: Robert D. Stevens
Publisher: Cambridge University Press
ISBN: 1107434424
Category : Medical
Languages : en
Pages : 457

Get Book Here

Book Description
Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.

The Cerebral Circulation

The Cerebral Circulation PDF Author: Marilyn J. Cipolla
Publisher: Biota Publishing
ISBN: 1615047239
Category : Medical
Languages : en
Pages : 82

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Book Description
This e-book will review special features of the cerebral circulation and how they contribute to the physiology of the brain. It describes structural and functional properties of the cerebral circulation that are unique to the brain, an organ with high metabolic demands and the need for tight water and ion homeostasis. Autoregulation is pronounced in the brain, with myogenic, metabolic and neurogenic mechanisms contributing to maintain relatively constant blood flow during both increases and decreases in pressure. In addition, unlike peripheral organs where the majority of vascular resistance resides in small arteries and arterioles, large extracranial and intracranial arteries contribute significantly to vascular resistance in the brain. The prominent role of large arteries in cerebrovascular resistance helps maintain blood flow and protect downstream vessels during changes in perfusion pressure. The cerebral endothelium is also unique in that its barrier properties are in some way more like epithelium than endothelium in the periphery. The cerebral endothelium, known as the blood-brain barrier, has specialized tight junctions that do not allow ions to pass freely and has very low hydraulic conductivity and transcellular transport. This special configuration modifies Starling's forces in the brain microcirculation such that ions retained in the vascular lumen oppose water movement due to hydrostatic pressure. Tight water regulation is necessary in the brain because it has limited capacity for expansion within the skull. Increased intracranial pressure due to vasogenic edema can cause severe neurologic complications and death.

Transcranial Doppler Sonography

Transcranial Doppler Sonography PDF Author: Rune Aaslid
Publisher: Springer Science & Business Media
ISBN: 3709188644
Category : Medical
Languages : en
Pages : 187

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Book Description
Every few years a dissertation comes to the area of clinical application of medical technology which carries us forward as on a magic carpet into new regions of understanding and patient care. This book is such a magic carpet. It brings together, in a clear and incisive fashion, important hemodynamic principles with a simple noninvasive method of application to a part of the cerebral vasculature which has been relatively inaccessible. To the lucky and perceptive person who reads this book, a feeling of excitement and hope for progress is engendered. The diligent application of the potentials of transcranial Doppler ultrasound brings new power to our efforts in understanding the cerebral circulation and the causes, treatment and prevention of cerebrovascular disorders. Merrill P. Spencer, M. D. Director Institute of Applied Physiology and Medicine Seattle, Wash. , July 1986 Acknowledgements I am greatly indebted to Prof. He1ge Nornes, Oslo, who introduced me to the fascinating study of cerebral hemodynamics in the early 1970's and since then continually encouraged my interest in this field. It was through his pioneering work on the cerebral circulation-using peroperative electromagnetic flowmetry and Doppler techniques-that the basis was laid for the noninvasive trans cranial approach to the circle of Willis described in this book. I also gratefully acknowledge the stimulating case discussions with Prof. Peter Huber, Berne, at the very early introduction of trans cranial Doppler, the inspiring exchange of ideas with Dr. Merrill P.

Cerebral Autoregulation and Neurovascular Coupling in Brain Disorders

Cerebral Autoregulation and Neurovascular Coupling in Brain Disorders PDF Author: Xiuyun Liu
Publisher: Frontiers Media SA
ISBN: 2889765946
Category : Science
Languages : en
Pages : 270

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Book Description


Primer on Cerebrovascular Diseases

Primer on Cerebrovascular Diseases PDF Author: K. Michael Welch
Publisher: Academic Press
ISBN: 0127431705
Category : Medical
Languages : en
Pages : 855

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Book Description
Primer on Cerebrovascular Diseases is a handy reference source for scientists, students, and physicians needing reliable, up-to-date information on basic mechanisms, physiology, pathophysiology, and medical issues related to brain vasculature. The book consists of short, specific chapters written by international experts on cerebral vasculature, and presents the information in a comprehensive and easily accessible manner. The book also contains valuable information on practical applications of basic research. Presents topics in a comprehensive and accessible format Written by international authorities on cerebral vasculature Provides practical applications for researchers

Kids, Sports, and Concussion

Kids, Sports, and Concussion PDF Author: William Paul Meehan III
Publisher: Bloomsbury Publishing USA
ISBN:
Category : Psychology
Languages : en
Pages : 210

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Book Description
A comprehensive summary of sport-related concussion for parents, coaches, and athletes that considers the physics behind the injury, identifies what can be done to reduce the risk of its occurrence, and describes how to respond to a suspected concussion. Concussion injury among athletes continues to be a subject of great concern. Increasing attention and research is focusing on the most vulnerable of athletes—children. What strategies can be taken to best protect young athletes in sports from grammar school football leagues to high school hockey and soccer teams from concussion? How do we treat youngsters who suffer head injuries in sports? What are the ethical considerations in allowing children to play such sports, given the risks to still-developing brains? In this updated and expanded guide, William Meehan, MD, explains simply and clearly how coaches, parents, and others who work with young athletes can recognize concussion; best help children and youths recover from concussion injuries; and take steps to become proactive to prevent concussion. Readers will learn what causes a sport-related concussion; what happens to brain cells during a concussion; and why concussion, which in the past was dismissed as a trivial injury, is taken so much more seriously now. The book explains how to decrease the risk of concussion; addresses the potential for cumulative effects from multiple concussions, including chronic traumatic encephalopathy; and discusses the ethical dimensions of deciding whether an athlete with multiple concussions should continue to participate in high-risk sports.

Basic Physiology for Anaesthetists

Basic Physiology for Anaesthetists PDF Author: David Chambers
Publisher: Cambridge University Press
ISBN: 1108463991
Category : Medical
Languages : en
Pages : 469

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Book Description
Easily understood, up-to-date and clinically relevant, this book provides junior anaesthetists with an essential physiology resource.

Textbook of Stroke Medicine

Textbook of Stroke Medicine PDF Author: Michael Brainin
Publisher: Cambridge University Press
ISBN: 1107047498
Category : Medical
Languages : en
Pages : 425

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Book Description
Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.

Cerebral Small Vessel Disease

Cerebral Small Vessel Disease PDF Author: Leonardo Pantoni
Publisher: Cambridge University Press
ISBN: 1107031664
Category : Medical
Languages : en
Pages : 375

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Book Description
Up-to-date discussion of the etiology, diagnosis, treatment, and prevention of this common cause of stroke and cognitive impairment.

Core Topics in Neuroanaesthesia and Neurointensive Care

Core Topics in Neuroanaesthesia and Neurointensive Care PDF Author: Basil F. Matta
Publisher: Cambridge University Press
ISBN: 1139499858
Category : Medical
Languages : en
Pages : 535

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Book Description
Core Topics in Neuroanesthesia and Neurointensive Care is an authoritative and practical clinical text that offers clear diagnostic and management guidance for a wide range of neuroanesthesia and neurocritical care problems. With coverage of every aspect of the discipline by outstanding world experts, this should be the first book to which practitioners turn for easily accessible and definitive advice. Initial sections cover relevant anatomy, physiology and pharmacology, intraoperative and critical care monitoring and neuroimaging. These are followed by detailed sections covering all aspects of neuroanesthesia and neurointensive care in both adult and pediatric patients. The final chapter discusses ethical and legal issues. Each chapter delivers a state-of-the art review of clinical practice, including outcome data when available. Enhanced throughout with numerous clinical photographs and line drawings, this practical and accessible text is key reading for trainee and consultant anesthetists and critical care specialists.