Neurointensive Care Unit

This book offers valuable guidance to neurointensivists, other neurocritical care staff, and those desiring to develop a neurocritical care unit via a thorough discussion of neurological emergencies and neurocritical care unit organization.This comprehensive volume begins with a review of acute neurological emergencies as managed clinically in the neurocritical care unit. Topics include acute cerebrovascular, neurological, and neurosurgical disorders. The unique aspect of this book is its description of the organization of the neurocritical care unit. We focus on how other services in the hospital interact with and assist neurocritical care operations, telemedicine/telestroke, and neurocritical care personnel and their roles. A review of expected outcomes of neurocritical care conditions is also included.

Neurointensivists, neurocritical care unit staff leadership, hospital administrators, and those interested in developing a neurocritical care unit will find Neurointensive Care Unit: Clinical Practice and Organization to be an invaluable guide.

Auteur
Sarah E. Nelson, MDAssistant Professor of Neurology and Anesthesiology-Critical Care MedicineJohns Hopkins UniversityBaltimore, MDUSA
Paul A. Nyquist, MD, MPHAssociate Professor of Neurology, Anesthesiology-Critical Care Medicine, Medicine, and NeurosurgeryJohns Hopkins UniversityBaltimore, MDUSA

Contenu
Section 1: Review of the Clinical Standards for Acute Neurological Emergencies
Acute Cerebrovascular Emergencies:•Ischemic stroke•Subarachnoid Hemorrhage•Intracranial hemorrhage•Cerebral venous thrombosis
Acute Neurosurgical Emergencies:•TBI•Spinal Cord•Oncological Emergencies•Surgical Emergencies
Acute Neurological Emergencies:•Status epilepticus•Infectious Encephalitis and Meningitis•Autoimmune Encephalitis•Neuromuscular disorders•Acute Causes of Encephalopathy
Section 2: Identified Systems of Care
Outside Access Triage•Triage officer models•Telemedicine•Tertiary/specialty care requests
Triage within Institution•Operating room•Emergency department•Neurology and neurosurgery floors•Patients with acute neurological emergencies and other primary medical needs from other services
Services Interacting with Neurocritical Care Unit•Neurology •Neurosurgery•Neurointerventional services•Emergency department
Nursing care
Special services•Continuous EEG monitoring•Multimodality monitoring•Ultrasound-TCD and bedside•Cardiology•Infection control•Pharmacy•Neuroradiology•Airway management•Ethical and legal issues
Exit Strategies•Patients who recover•Patient with partial recovery•
Economics of neurocritical care units•Physician billing and RVUs•Economic impact of physician substitutes•Economic impact of house staff