Chapter

Neurosciences

Stuart Gillon, Chris Wright, Cameron Knott, Mark McPhail and Luigi Camporota

in Revision Notes in Intensive Care Medicine

Published on behalf of Oxford University Press

Published in print June 2016 | ISBN: 9780198754619
Published online August 2016 | e-ISBN: 9780191816246 | DOI: https://dx.doi.org/10.1093/med/9780198754619.003.0005

Series: Oxford Specialty Training: Revision Texts

Neurosciences

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The Neurosciences chapter begins with discussion regarding sedation, anaesthesia, and analgesia on the intensive care unit, covering both pharmacology and practicalities. The aetiology and investigation of coma and the coma-like states are described. There is discussion of traumatic brain injury including pathophysiology, monitoring, the consequences of and response to raised intracranial pressure, and neuroprotection. Seizure disorders are explored including the investigation with the electroencephalogram and the pharmacology of anti-epileptic drugs. The approach to ischaemic stroke and intra-cerebral haemorrhage on the intensive care unit is discussed. There is coverage of subarachnoid haemorrhage: complications (including hydrocephalus, vasospasm, re-bleeding), investigation, and management. The approach to the patient with neuromuscular weakness is described, including the aetiology and investigation of intensive-care-acquired weakness. The, prevention, assessment of, and approach to delirium are described. The chapter finished with discussion of the central nervous system infections, namely meningitis and encephalitis.

Chapter.  11924 words.  Illustrated.

Subjects: Critical Care

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