Neurocritical Care

This book discusses the factors that affect outcomes in patients requiring various types of neurocritical care.  Neurocritical care was originally developed to manage patients with traumatic brain injury or stroke. Today, neurocritical care involves

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Neurocritical Care

Kosaku Kinoshita Editor

Neurocritical Care

Editor Kosaku Kinoshita Department of Acute Medicine Nihon University School of Medicine Tokyo Japan

ISBN 978-981-13-7271-1    ISBN 978-981-13-7272-8 (eBook) https://doi.org/10.1007/978-981-13-7272-8 © Springer Nature Singapore Pte Ltd. 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

Preface

Intensive care of patients with severe conditions requires systemic management that takes into account the continuous impact of the whole body on the brain and of the brain on the whole body. Neurological outcomes, including higher-order brain functions, must be improved if we are to help more patients return to a fully functional role in society, but there has been little discussion of methods to manage patients that reflect the impact on the brain from clinical conditions like post-cardiac arrest syndrome (PCAS), sepsis, or multiple organ failure. This special edition summarizes the basic knowledge needed for intensive care and discusses 18 topics relevant to the field of neurocritical care today. These topics cover essential areas for neurocritical care, including sedation and analgesia, respiratory therapy, fever management, infection control, fluid management, glycemic control, and nutrition support. The content is discussed from the perspective of the brain rather than from conventional patient management perspectives in general intensive care. The topics cover not only the pathology of head injury and coagulopathy, cerebral hemorrhage, multiple trauma, and central nervous system infection but also nonconvulsive status epilepticus, the specific characteristics of PCAS after cardiac arrest,