Cerebral Edema: State of the Art
Figure 26.1. Hemorrhagic stroke with cytotoxic edema as indicated by hypodensity surrounding the hemorrhage. While clinical changes are the most important endpoint of cerebral edema, they indicate an advanced stage…
NEUROLOGY
Acinetobacter Infections: An Emerging Problem in the Neurosurgical Intensive Care Unit
59 Acinetobacter Infections: An Emerging Problem in the Neurosurgical Intensive Care Unit A. Rodríguez-Guardado 1, A. Blanco 2, F. Pérez 3, M. Álvarez Vega 4, JM Torres 4, JA Cartón…
The Diagnosis and Management of Central Nervous System Infections in the Neurocritical Care Unit
Figure 57.1. Coronal view illustrating meningeal layers and common sites of central nervous system infections [3]. 57.3 Pathogenesis of Bacterial CNS Infections Clinical complications of bacterial CNS infections are largely…
Strategies for the Prevention and Management of Ventilator-associated Pneumonia in a Neurocritical Unit
56 Strategies for the Prevention and Management of Ventilator-associated Pneumonia in a Neurocritical Unit Mònica Magret 1, Jordi Rello 2 1 Critical Care Department. Sant Joan University Hospital, Rovira i…
Selective Decontamination of the Oropharynx and Gastrointestinal Tract in Neurocritical Care Unit: A Useful Tool?
Figure 55.1. The four components of the full protocol of SDD, and the type of infection controlled by each component. PPM = potentially pathogenic microorganism; ICU = intensive care unit. 55.4 Efficacy of SDD…
Control and Management of Nosocomial Infections in Neurocritical Care Units
X X + goggles or face shield Table 54.1. Precautions for invasive procedures. X = recommended; (X) = useful in some cases, not required; CVC = central venous catheter (includes Swan-Ganz catheters); # Contact time according…
Neurocritical Care of Patients With Arteriovenous Malformations
Figure 52.1. Example of MAV 1. 52.9 Conclusions and Key Points Intracranial hemorrhage is the most common form of presentation of AVMs. The presence of aneurysms in the feeding…
Acute Management of Cerebral Venous Thrombosis
49 Acute Management of Cerebral Venous Thrombosis José M Ferro 1, Patrícia Canhão 1 1 Department of Neurosciences, Serviço de Neurologia, Hospital de Santa Maria, University of Lisboa, Lisboa, Portugal…
Intensive Care Management in Space-Occupying Middle Cerebral Artery Stroke
Figure 48.1. Diffusion-weighted MRI (A) and corresponding ADC map (B) of a 53-year-old patient with aphasia and right-sided hemiparesis (NIHSS 19) show signs of cytotoxic edema indicating acute left-sided MCA…
Regional Stroke Systems of Care and the Role of Telemedicine in Supporting Acute Stroke Care: Case Study of the US system
Figure 41.1. Stroke death rates in relation to availability of neurologists in Alabama. From CDC Heart Disease and Stroke Maps. A. Stroke death rates, total population aged 35+, 1991-1998. B….
