LEADER 01051cam0-2200349---450- 001 990004154720403321 005 20150127131214.0 010 $a84-376-0113-4 035 $a000415472 035 $aFED01000415472 035 $a(Aleph)000415472FED01 035 $a000415472 100 $a19990604d1992----km-y0itay50------ba 101 0 $aspa 102 $aES 105 $a--------001cy 200 1 $aEspectáculos y diversiones públicas$aInforme sobre la ley agraria$fGaspar Melchor de Jovellanos$gedición de José Lage 205 $a6. ed. 210 $aMadrid$cCatedra$d1992 215 $a332 p.$d18 cm 225 1 $aLetras hispánicas$v61 676 $a868.4 700 1$aJovellanos,$bGaspar Melchor de$f<1744-1811>$0193747 702 1$aLage,$bJosé 801 0$aIT$bUNINA$gRICA$2UNIMARC 901 $aBK 912 $a990004154720403321 952 $a868.4 JOVE 2(1)$bBibl.22114$fFLFBC 959 $aFLFBC 996 $aInforme sobre la ley agraria$9475751 996 $aEspectáculos y diversiones públicas$9475750 997 $aUNINA LEADER 05543nam 2200541 450 001 9910795669403321 005 20240113030947.0 010 $a1-62623-235-0 024 7 $a10.1055/b-006-149769 035 $a(CKB)5340000000052565 035 $a10.1055-b-006-149769 035 $a(DE-2912)1522918996968 035 $a(MiAaPQ)EBC30789670 035 $a(Au-PeEL)EBL30789670 035 $a(EXLCZ)995340000000052565 100 $a20240113d2017 uy 0 101 0 $aeng 135 $aur||||m|||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aNeurosurgical Intensive Care /$fJaved Siddiqi, editor 205 $aSecond edition. 210 1$aNew York, NY :$cThieme Medical Publishers, Inc.,$d[2017] 210 4$d©2017 215 $a1 online resource (578 pages) $cillustrations 300 $aIncludes index. 311 $a1-62623-234-2 327 $aIntro -- Title Page -- Copyright -- Dedication -- Contents -- Foreword -- Preface -- Acknowledgments -- Contributors -- 1. Bedside Neurologic Exam -- 2. Altered Mental Status and Coma: Pathophysiology and Management -- 3. Neuroimaging and the Neurosurgical Intensive Care Unit Patient -- 4. Diagnostic Laboratory Studies in the ICU Patient: What, When, and How Often? -- 5. Team Management of the Multisystem-Injured Neurosurgical Intensive Care Unit Patient -- 6. The Spinal Cord Injury Patient -- 7. Delayed Intracerebral Hemorrhage -- 8. Sedation and Pain Management in the Neurosurgical Intensive Care Unit Patient -- 9. Homeostatic Mechanisms in the Neurosurgical Intensive Care Unit Patient -- 10. Neurophysiology in the Neurosurgical Intensive Care Unit: Options, Indications, and Interpretations -- 11. Cerebral Perfusion -- 12. Cerebrospinal Fluid Dynamics and Pathology -- 13. Intracranial Pressure Fundamentals -- 14. Cerebral Protection Measures -- 15. Neuropharmacology -- 16. Nutrition -- 17. Fluid Management -- 18. Ventilator Management -- 19. Seizure Disorders: Diagnosis and Management -- 20. Infections -- 21. Cerebral Microdialysis in the Neurosurgical Intensive Care Unit -- 22. Anticoagulation and Antiplatelet Therapy in the Neurosurgical Intensive Care Unit -- 23. Restraints in the Neurosurgical Intensive Care Unit Patient -- 24. Unique Pediatric Neurosurgical Intensive Care Unit Issues -- 25. Systemic Complications and Disease-Specific Phenomena Leading to Ischemic Injury -- 26. Acute Ischemic Stroke -- 27. Brain Death -- 28. Family Communication -- 29. Spiritual Care of the Neurosurgical Intensive Care Unit Patient and Family -- 30. Medical-Legal Issues in the Neurosurgical Intensive Care Unit -- 31. Discharge Planning for the Neurosurgical Intensive Care Unit Patient -- Index. 330 $aAn authoritative pocket-sized guide on the medical and surgical management of neurosurgical intensive care patients Decompression is still the mainstay of surgical intervention for neurosurgeons treating neurocritical care patients. However, during the last 20 years, an evolution away from a mechanistic approach has transformed neurocritical care into an increasingly multidisciplinary field. Neurosurgical Intensive Care, 2nd Edition reflects this new paradigm, authored by a neurosurgeon with contributions from experts in the fields of neurology, vascular neurology, interventional neuroradiology, anesthesiology, critical care, traumatology, nutrition, and advanced practice nursing. Neuromonitoring advances have enabled customized interventions tailored to each patient's unique circumstances. The critical care of neurosurgical patients has evolved from an emphasis on pulmonary care (ventilation and oxygenation) to a more nuanced understanding of cerebral protection measures required to manage a disrupted blood-brain-barrier. This edition encompasses advances in the use of ICP monitors, external ventricular devices, brain tissue oxygen monitoring devices, cerebral microdialysis, fluid and electrolyte correction, as well as the increasing use of continuous EEG in the ICU. Key Features Straightforward summaries for each stage of patient care including bedside exams, neuroimaging, lab work, triage procedures, sedation and pain management, neuropharmacology, nutritional needs, administration of fluids, and more. 159 tables and figures facilitate rapid evaluation and decision making. Clinical pearls on a wide range of ICU scenarios - from pathophysiology and management of coma - to interventions for spinal cord injury, multisystem injuries, acute ischemic stroke, and pediatric cases. Insights on how to handle family communication and spiritual 330 8 $aneeds, medical-legal issues, and discharge planning This compact, highly practical handbook provides a stellar reference for managing critically ill neurosurgical patients in the ICU. It is a must-have resource for nurses, medical students, residents, fellows, and attending physicians who treat these patients. 606 $aNeurological intensive care 606 $aCritical care medicine 606 $aNervous system$xSurgery 606 $aSurgical intensive care 615 0$aNeurological intensive care. 615 0$aCritical care medicine. 615 0$aNervous system$xSurgery. 615 0$aSurgical intensive care. 676 $a616.80428 702 $aSiddiqi$b Javed$f1962- 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910795669403321 996 $aNeurosurgical Intensive Care$93863516 997 $aUNINA