The NeuroICU Book

The first practical, protocol-based guide to the emerging field of neurocritical care

The goal of neurological critical care is to rapidly deliver acute medical therapies and appropriate interventions
through effective monitoring of both neurological and end organ function. The NeuroICU Book puts that goal within the
reach of every neurologist and critical care specialist.

Combining the latest clinical perspectives in critical care medicine, neurology, and neurosurgery, this comprehensive,
evidence-based text standardizes neurocritical care and takes you through the rationale for those standards. Filled
with detailed case studies and featuring a question-and-answer format, the book not only builds competency in
recognizing acute changes in neurological function, but also addresses all organ insufficiencies and failures,
reflecting the real-life challenges in the modern neuro-ICU.

FEATURES

Robust, wide-ranging scope goes beyond classic neurology to encompass other organ failures at the time of presentation
or during the ICU stay
Evidence-based approach leverages the scientific and controlled research that supports the key treatment methods
outlined in the book
Balanced coverage of neuro care and critical care offers outstanding preparation for the neurocritical care board
certification exam as well as an indispensible primer for daily clinical work in critical care medicine
Cutting-edge insights into the care used in some of the more advanced neuroICUs provides a crucial blueprint for
understanding the newer procedures and protocols
Practical tools including algorithms, tables, illustration, photographs, detailed references, and critical take-home
points



Table of contents
Contributors xiii
Foreword xxv
Preface xxvii
Acknowledgments xxix
Section 1 Neurocritical Care Diseases
1. Subarachnoid Hemorrhage
2. Intracerebral Hemorrhage
3. Status Epilepticus
4. Neurotrauma
5. Acute Ischemic Stroke
6. Neuromuscular Diseases
7. Bacterial Meningitis
8. Intensive Care Unit (ICU) Management of Brain Tumors
9. Inflammatory and Demyelinating Central Nervous System Diseases
10. Cardiac Arrest and Anoxic Brain Injury
11. Fulminant Hepatic Failure
Section 2 Neurocritical Care Monitoring
12. Management of Increased Intracranial Pressure
13. Continuous Electroencephalogram Monitoring in the Intensive Care Unit
14. Multimodality Neuromonitoring
15. Advanced Hemodynamic Monitoring
16. Evoked Potentials in the Operating Room and ICU
17. Neurophysiologic Decision Support Systems
Section 3 Neurocritical Care Intervention
18. Sedation
19. Fever and Temperature Modulation
20. Endovascular Surgical Neuroradiology
Section 4 Perioperative Surgical Care
21. Brain Aneurysm and Arteriovenous Malformation Surgery
22. External Ventricular Drain Management and Ventriculoperitoneal Shunt
23. Carotid Revascularization and EC-IC Bypass
24. Postcraniotomy Complication Management
Section 5 Trauma and Surgical Intensive Care
25. Thoracic Trauma and Cardiothoracic Intensive Care Unit Management
26. Abdominal Trauma
27. Traumatic Vascular Injuries
28. Abdominal Emergencies
29. Genitourinary Emergencies
30. Critical Care Ultrasound
Section 6 Cardiovascular Problems
31. Acute Coronary Syndrome
32. Arrhythmias: Rhythm Disturbances in Critically Ill Patients
33. Congestive Heart Failure
34. Cardiogenic Shock and Intra-aortic Balloon Pump
Section 7 Pulmonary Diseases
35. The Neurocritical Care Airway
36. Mechanical Ventilation
37. Acute Respiratory Distress Syndrome
38. Deep Venous Thrombosis and Pulmonary Embolism
39. Percutaneous Tracheostomy
40. Bronchoscopy in the ICU
Section 8 Renal and Electrolyte Disorders
41. Acute Renal Failure
42. Renal Replacement Therapies
43. Disorders of Water Homeostasis: Hypo- and Hypernatremia
44. Management of Systemic Blood Pressure in the NeuroICU
Section 9 Hematology
45. Disseminated Intravascular Coagulation
46. Bleeding Disorders and Coagulopathy Reversal
Section 10 Infectious Disease
47. Severe Sepsis and Septic Shock
48. Antimicrobial Therapies in the ICU
49. Catheter-Related Bloodstream Infections
50. Common Infections in the ICU
Section 11 Nutrition and Endocrinology
51. Nutrition and Metabolic Support
52. Endocrine Disorders in Critical Illness
Section 12 Ethics and End-of-Life Issues
53. Brain Death and Organ Donation
Index