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Record Nr. |
UNINA9910819111003321 |
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Autore |
Wijdicks Eelco F. M. <1954-> |
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Titolo |
The comatose patient / / Eelco F. M. Wijdicks |
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Pubbl/distr/stampa |
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New York, New York : , : Oxford University Press, , 2014 |
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©2014 |
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ISBN |
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0-19-933123-5 |
0-19-938165-8 |
0-19-933122-7 |
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Edizione |
[Second edition.] |
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Descrizione fisica |
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1 online resource (809 p.) |
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Disciplina |
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Soggetti |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Description based upon print version of record. |
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Nota di bibliografia |
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Includes bibliographical references at the end of each chapters and index. |
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Nota di contenuto |
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""Cover""; ""THE COMATOSE PATIENT""; ""Copyright""; ""CONTENTS""; ""COLLECTION OF VIDEOCLIPS (VC)""; ""PREFACE TO THE SECOND EDITION""; ""PREFACE TO THE FIRST EDITION""; ""Part I Diagnosing, and Care of Comatose States""; ""1 A History of Coma: Evolution of Ideas""; ""Understanding Brain Herniation""; ""Concepts and Benchmarks""; ""Revision of a Paradigm""; ""Understanding the Role of Increased Intracranial Pressure""; ""Understanding Localization and Key Clinical Signs in Coma""; ""Decerebrate Rigidity""; ""Fixed Dilated Pupil""; ""Oculovestibular Reflex""; ""Breathing Patterns"" |
""Understanding the Mechanisms of Metabolic and Diffuse Encephalopathies""""Understanding Psychogenic Unresponsiveness""; ""Understanding the Spectrum of Prolonged Comatose States""; ""Classification of Coma and Major Works""; ""Prognostication of Coma""; ""Conclusions""; ""2 The Neuroscience of the Awake State""; ""Early Studies""; ""The Anatomy of the Awake State""; ""The Chemistry of the Awake State""; ""The Physiology of the Awake State""; ""Translation into Clinical Practice""; ""Conclusions""; ""3 Neurologic Examination of the Comatose Patient and Localization Principles"" |
""Definitions""""Locked-in Syndrome""; ""Hypersomnia""; ""Acute Confusional State and Delirium""; ""Stupor and Coma""; ""The Clinical Examination of a Comatose Patient""; ""Fundamentals of Functional |
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Anatomy""; ""Physical Examination""; ""Neurologic Examination: Coma Scales and the FOUR Score""; ""Neurological Examination: Clinical Observations""; ""Breathing Patterns""; ""Cranial Nerve Examination""; ""Spontaneous Movements""; ""Localization Principles and Brain Displacement Syndromes""; ""Conclusions""; ""4 The Clinical Diagnosis of Prolonged Impaired Consciousness"" |
""Categories of Outcome""""Persistent Vegetative State""; ""Minimally Conscious State and Akinetic Mutism""; ""Laboratory Investigations""; ""Prediction of Outcome""; ""Conclusions""; ""5 The Clinical Diagnosis of Brain Death""; ""Code of Practice""; ""The Clinical Examination""; ""Prerequisites and Major Confounders""; ""The Bedside Examination""; ""Coma""; ""Absence of Brainstem Reflexes""; ""No Breathing Drive""; ""Confirmatory Tests""; ""Documentation""; ""Special Issues""; ""Pathophysiological Response to Brain Death""; ""Organ Procurement""; ""Conclusions"" |
""6 Neuroimaging, Neurophysiology, and Neuropathology""""Neuroimaging in Coma""; ""Diagnostic Imaging of Brain Tissue Shift""; ""Diagnostic Imaging of Gray and White Matter Disorders""; ""Neurophysiology of Coma""; ""EEG Patterns in Coma""; ""Continuous EEG Monitoring""; ""Evoked Potentials""; ""Neuropathology of Coma""; ""Specific Types of Injury""; ""Hypoxemia and Ischemia""; ""Infarction and Hemorrhage""; ""Trauma and Abuse""; ""Infection""; ""Demyelination""; ""Neurotoxicity""; ""Disease States""; ""Pathology of Brain Herniation""; ""Persistent Vegetative State""; ""Brain Death"" |
""Conclusions"" |
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Sommario/riassunto |
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The Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making. |
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