Textbook of Neuroanaesthesia and Critical Care

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9781900151733: Textbook of Neuroanaesthesia and Critical Care

Neuroanaesthesia is perhaps the branch of anaesthesia in which the expertise and competence of the anaesthetist can most significantly influence patient outcome. High quality research has driven clinical practice and led to an increasingly multimodal and multidisciplinary approach to patient care. All aspects of the modern practice of neuroanaesthesia are covered in this up-to-date, highly illustrated textbook. Aimed at the general anaesthetic department and ICU, as well as specialist neurosurgical and trauma units, this book covers the key areas needed for a firm understanding of the principles of neuroanaesthesia, such as functional anatomy, advances in bedside monitoring and imaging techniques, and then goes on to address practical issues of diagnosis and patient care. Best clinical practice is described in detail throughout, and the authors also evaluate some of the latest techniques of patient monitoring currently available, as well as looking at avenues for research that will lead to changes in practice in the future. It is an essential, one-stop review of modern neuroanaesthesia and neurocritical care for anaesthetists, intensivists and surgeons at all levels of practice.

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Book Description:

All aspects of neuroanaesthesia are covered in this up-to-date, highly illustrated textbook. Written for general anaesthetic departments and ICUs, as well as specialist neurosurgical and trauma units, it covers the key areas needed to understand the principles of neuroanaesthesia, such as functional anatomy, advances in bedside monitoring and imaging techniques. It addresses practical issues of diagnosis and patient care. Best clinical practice is described in detail throughout. It is an essential, one-stop review of modern neuroanaesthesia and neurocritical care for anaesthetists, intensivists and surgeons at all levels of practice.

Review:

Until recently, practitioners or residents in anesthesia taking an interest in neuroanesthesia were confronted with a limited choice of texts dedicated to this particular field of anesthesia. However, in the last decade a number of neuroanesthesia texts were published, covering most topics related to this subspecialty. This abundance of existing texts on the subject makes it quite difficult to justify a publication of just another textbook of neuroanesthesia unless it provides some additional information pertaining to this particular field or takes a novel approach to discussing established topics. That is what this newest textbook is attempting to do. This is a concise, up-to-date text covering most issues related to modern neuroanesthesia and neurointensive care. The textbook is divided into five sections containing 29 chapters altogether. Although the first five chapters conventionally deal with neuroanatomy, neurophysiology, and neuropharmacology, the rest of the book's focus is rather unconventional. One quarter of the book is entirely devoted to issues of central nervous system monitoring in neurosurgical and critical care patients. These include an in-depth description of the most recent modes of brain monitoring, some still in development, such as multi-modal monitoring, brain chemistry monitoring, and cerebral oximetry. Possible future modalities of brain monitoring are discussed providing the reader with a useful perspective of ongoing research in this area. It is unlikely that continuous studies of cerebral blood flow, the main focus of neuroanesthesia research until now, will lead to any further significant improvements in patients' morbidity. Such a progress would require a development of newer and different monitoring modalities of brain well being. This point of view justifies heavy emphasis on the subject of brain monitoring chosen by the authors. The section on postoperative and intensive care provides an extensive overview of this topic, including practical recommendations on different aspects of critical care of patients in neurointensive care units. This probably reflects the fact that the neuroanesthesiologists in the UK are directly involved in the decision-making process regarding these patients. This section also contains an interesting chapter on issues of brain death and organ donation that provides useful information on differences existing on both sides of the Atlantic in regard to this subject. The section on anesthesia techniques for neuroimaging procedures contains an excellent overview of various issues related to admi

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