The Conundrum of Postoperative Hematoma in Intracranial Surgery
Postoperative intracranial hematoma is a devastating complication following intracranial surgery and entails high degree of morbidity and mortality unless evacuated urgently. It commonly occurs at the operative site and mostly evolves during the first few
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Challenging Topics in Neuroanesthesia and Neurocritical Care
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Challenging Topics in Neuroanesthesia and Neurocritical Care
Zahid Hussain Khan Editor
Challenging Topics in Neuroanesthesia and Neurocritical Care
Editor Zahid Hussain Khan Anesthesiology and Intensive Care Tehran University of Medical Sciences Tehran Iran
ISBN 978-3-319-41443-0 ISBN 978-3-319-41445-4 (eBook) DOI 10.1007/978-3-319-41445-4 Library of Congress Control Number: 2017939136 © Springer International Publishing Switzerland 2017 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. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Foreword
While training as a young intensive care consultant, I was always amazed at how little emphasis was placed on the well-being of the lump of gray matter sitting in our heads called the brain. Numerous ICU conferences elaborated on the exciting topics of ARDS and ventilation, diagnosis and mechanisms of sepsis, oscillators and jet ventilation, and ECMO. We discussed heart disease and physiology, pulmonary mechanics, dialysis, sepsis, and various other thought-provoking areas. But there existed a general lack of awareness that the point of all this was to ensure that the brain was maintained in an adequately working state. The impact of diseases and treatments on the brain were largely ignored. When the brain was directly impacted by disease such as following traumatic brain injury (TBI), stroke, or SAH, most clinicians took a relatively nihilistic view that as outcomes could not be significantly impacted by hospital management and as most patients survived who made it to hospital (although the level of functioning was largely ignored), there was little interest in pursuing rese
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