Epilepsy and Intensive Care Monitoring

Author: Bruce J Fisch, MD
Publisher: Demos Medical Publishing
ISBN: 1935281593
Release Date: 2009-10-23
Genre: Medical

Unlike many other diagnostic procedures, EEG, now over 80 years old, and epilepsy monitoring, now over 40 years old, have demonstrated their usefulness and stood the test of time. Although the benefits of these diagnostic procedures are clear, monitoring is currently not available to the majority of patients in need. One of the factors limiting broader implementation is the lack of practitioners with special expertise. Epilepsy and Intensive Care Monitoring was developed to address this concern. This practical volume contains detailed chapters covering all areas of clinical epilepsy monitoring. Featuring expert authors from major epilepsy centers, this seminal work reviews all current procedures and applications for monitoring adults and children with epilepsy in the Epilepsy Monitoring Unit and the ICU. Opening sections are devoted to indications, procedures, administrative considerations, and technical aspects of the Epilepsy Monitoring Unit and ICU monitoring, followed by dedicated sections on EEG diagnosis and localization and monitoring of neurological disorders in the Epilepsy Monitoring Unit and ICU. The book concludes with special procedures and an Appendix with guidelines for organizing epilepsy monitoring centers and technical aspects of EEG monitoring. Key Features include Covers both adult and pediatric Epilepsy Monitoring Unit and ICU monitoring Contains over 235 high-quality EEGs and other illustrations, including an 8-page color section Comprehensive coverage; no other book in this area has comparable breadth and depth Clinical Focus Expert authors tell you when and how to perform the procedures they discuss

Continuous EEG Monitoring

Author: Aatif M. Husain
Publisher: Springer
ISBN: 9783319312309
Release Date: 2017-01-04
Genre: Medical

This book is designed to meet the need for a practically oriented textbook on the rapidly growing field of continuous EEG (cEEG) monitoring. A wide range of key clinical aspects are addressed, with explanation of status epilepticus classification, criteria for institution of monitoring, seizure patterns and their recognition, quantitative EEG analysis, and neuroimaging in patients undergoing cEEG monitoring. The value of cEEG and the nature of cEEG findings in various special situations are then reviewed, covering particular pathologies, critical care considerations, and prognostication. Treatments of nonconvulsive status epilepticus (NCSE) and nonconvulsive seizures (NCS) are discussed. The concluding section is devoted to important administrative issues including billing, staffing issues, comparison of EEG machines, and information technology (IT) issues.Continuous EEG monitoring offers the only reliable means of detecting seizures that are not clinically obvious in critically ill patients. Such seizures are common: approximately 20% of patients undergoing cEEG monitoring in hospital have NCSE or NCS. Against this background, many hospitals have started to offer cEEG monitoring as a basis for delivery of appropriate treatment. By presenting the state of the art in cEEG monitoring, this book will be invaluable to practitioners including neurophysiologists, neurologists, neurointensivists, intensivists, neurophysiology and epilepsy fellows, and neurology residents.

Atlas of EEG in Critical Care

Author: Lawrence Hirsch
Publisher: John Wiley & Sons
ISBN: 9780470746691
Release Date: 2010-01-07
Genre: Medical

As the population ages, technology improves, intensive care medicine expands and neurocritical care advances, the use of EEG monitoring in the critically ill is becoming increasingly important. This atlas is a comprehensive yet accessible introduction to the uses of EEG monitoring in the critical care setting. It includes basic EEG patterns seen in encephalopathy, both specific and non-specific, nonconvulsive seizures, periodic EEG patterns, and controversial patterns on the ictal–interictal continuum. Confusing artefacts, including ones that mimic seizures, are shown and explained, and the new standardized nomenclature for these patterns is included. The Atlas of EEG in Critical Care explains the principles of technique and interpretation of recordings and discusses the techniques of data management, and 'trending' central to long-term monitoring. It demonstrates applications in multi-modal monitoring, correlating with new techniques such as microdialysis, and features superb illustrations of commonly observed neurologic events, including seizures, hemorrhagic stroke and ischaemia. This atlas is written for practitioners, fellows and residents in critical care medicine, neurology, epilepsy and clinical neurophysiology, and is essential reading for anyone getting involved in EEG monitoring in the intensive care unit.

Handbook of ICU EEG Monitoring

Author: Suzette LaRoche
Publisher: Demos Medical Publishing
ISBN: 9781936287390
Release Date: 2012-12-20
Genre: Medical

Handbook of Continuous EEG Monitoring in the ICU addresses a wide range of technical and clinical issues involved in successfully monitoring critically ill patients to detect seizure activity and prevent serious nervous system impairment. Divided into five sections, the handbook covers image acquisition and other technical considerations, clinical indications, EEG interpretation, treatment, and practical and administrative concerns such as billing and coding and report generation. Written by leading international experts the chapters are brief and formatted for maximum utility with bulleted text, pearls, and take-home points to reinforce key information. Full-page examples of routine and quantitative EEG findings hone interpretive understanding and build skills for detecting clinically significant EEG changes in the ICU.

Atlas of Video EEG Monitoring

Author: Joseph Sirven
Publisher: McGraw Hill Professional
ISBN: 9780071597432
Release Date: 2010-03-03
Genre: Medical

The single-best resource available for learning how to perform and interpret video EEG Companion DVD shows real-time Video EEG in practice! The Atlas of Video-EEG Monitoring explains the essentials of video EEG for use in all settings. This full-color atlas thoroughly covers the basics of performing video EEG for diagnosis along with how to use video EEG for the diagnosis and interpretation of first and/or repeated seizures, during treatment of epilepsy, in the emergency department and intensive care unit, and during surgery. Features Over 340 full-color images and EEGs Detailed overview of epileptic seizures, from simple partial seizures and primary generalized tonic-clonic seizures to epileptic spasms In-depth survey of seizure mimics, including psychogenic non-epileptic spells; panic spells; dissociative spells; movement disorders; sleep disorders; and syncope Thorough review of status epilepticus, including epilepsia partialis continua, non-epileptic movements in coma, and other syndromes Cutting-edge guidance on intracranial video-EEG monitoring, including placement and interpretation of grid and strip electrodes, and depth electrodes DVD contains videos linked to EEG patterns in the book—-allowing you to see each problem in real time

Neurocritical Care Monitoring

Author: Chad M. Miller, MD
Publisher: Demos Medical Publishing
ISBN: 9781617051883
Release Date: 2014-10-10
Genre: Medical

"I commend the editors for their careful perspective on the current state of neuromonitoring. The individual chapters provide excellent overviews of specific neuromonitoring tools and paradigms" -From the Foreword by J. Claude Hemphill III, MD, MAS, FNCS While damage resulting from a primary injury to the brain or spine may be unavoidable, harm from secondary processes that cause further deterioration is not. This practical, clinical resource describes the latest strategies for monitoring the brain after acute injury. With a focus on individualization of treatment, the book examines the role of various monitoring techniques in limiting disability and potentiating patient recovery during the acute phase of brain injury. International experts in diagnosis and treatment of secondary injury explain in detail the current utilization, benefits, nuances, and risks for each commercially available monitoring device as well as approaches vital to the care of brain and spine injured patients. They cover foundational strategies for neuromonitoring implementation and analysis, including proper catheter placement, duration of monitoring, and treatment thresholds that indicate the need for clinical intervention. The book also addresses multimodality monitoring and common programmatic challenges, and offers guidance on how to set up a successful multimodal monitoring protocol in the ICU. Also included is a chapter on the key role of nurses in neuromonitoring and effective bedside training for troubleshooting and proper execution of treatment protocols. Numerous illustrations provide further illumination. Key Features: Presents state-of-the-art neuromonitoring techniques and clinical protocols for assessment and treatment Emphasizes practical implementation for successful patient outcomes Written by international experts at the forefront of neurocritical care monitoring Provides a framework for practitioners who wish to individualize patient care with an emphasis upon the needs of the critically ill brain Discusses the key role of nurses in neuromonitoring and effective bedside training for management and troubleshooting of devices

Pediatric Critical Care

Author: Bradley P. Fuhrman
Publisher: Elsevier Health Sciences
ISBN: 9780323415583
Release Date: 2016-11-29
Genre: Medical

Still the #1 resource for today’s pediatric ICU teams, Pediatric Critical Care, 5th Edition covers the entire field, from basic science to cutting-edge clinical applications. Drs. Bradley P. Fuhrman and Jerry J. Zimmerman, accompanied by an expert team of editors and contributors from around the world, bring you today’s best information on the current and future landscape of pediatric critical care so you can consistently deliver optimum care to your young patients. Boasts highly readable, concise chapters with hundreds of useful photos, diagrams, algorithms, and clinical pearls. Clear, logical, organ-system approach allows you to focus on the development, function, and treatment of a wide range of disease entities. Includes new content on the expanding use of ultrasound at the bedside and the increase in nursing responsibilities in the PICU. Eighteen new chapters cover topics such as delirium, metabolism, endocrinology, nutrition, nursing, and much more. Features expanded and updated information on critical communication, professionalism, long-term outcomes, palliative care, ultrasonography, PCCM in resource-limited settings, ventilator-induced lung injury, non-invasive ventilation, updated CNS pathophysiology, the ‘Erythron’, and immunity and infection.

Oh s Intensive Care Manual E Book

Author: Andrew D Bersten
Publisher: Elsevier Health Sciences
ISBN: 9780702076060
Release Date: 2018-08-15
Genre: Medical

For nearly 40 years, Oh’s Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today’s intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. Short, to-the-point chapters distill the essential information you need to know for safe, effective care of patients in the ICU. Each topic includes theoretical knowledge, practical methods of treating the condition described, a review of the available evidence, and common pitfalls in treatment and management. Ideal for daily quick reference as well as an efficient review for professional examinations in critical care medicine.

Yearbook of Intensive Care and Emergency Medicine 2007

Author: Jean-Louis Vincent
Publisher: Springer Science & Business Media
ISBN: 9783540494331
Release Date: 2007-12-08
Genre: Medical

The Yearbook compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

Seizures in Critical Care

Author: Panayiotis N. Varelas
Publisher: Springer
ISBN: 9783319495576
Release Date: 2017-05-09
Genre: Medical

Updated and expanded to provide the neurologic, intensive and critical care communities a comprehensive guide to common critical care illnesses and seizures, this third edition remains the premier resource on seizures in critical care. In addition to covering etiology, pathophysiology, diagnosis, differential diagnosis and treatment options, chapters feature the latest technologies and treatments and integrate current literature. This unique and specialized text offers neurologists, intensivists, neurosurgeons, trauma surgeons, epileptologists, electrophysiologists and residents in various specialties clarity on this challenging set of comorbidities.

Seizures in Critical Care

Author: Panayiotis Varelas
Publisher: Springer Science & Business Media
ISBN: 1603275320
Release Date: 2009-12-24
Genre: Medical

The first edition of Seizures in Critical Care: A Guide to Diagnosis and Therapeutics, which appeared in 2005, filled an important need in the ar- mentarium of the neurological, neurosurgical, and medical intensivists who deal with seriously ill patients in the ICU setting. Unlike epilepsy, as it u- ally presents in the outpatient department, seizures in ICU patients are nearly always secondary phenomena that signify that something is seriously amiss in very ill patients with primary medical or surgical disease. The job of the int- sivist is to identify the cause of the seizure or seizures, examine the myriad of potential contributing factors, and provide appropriate management and tre- ment that takes all aspects of the patient’s illness into consideration. As in the first edition, Dr. Varelas and his associates recognize the extreme importance of prompt recognition, diagnosis, and sophisticated management of seizures in this group of seriously ill patients. Dr. Varelas has now recollected his group of contributors and produced a new and up to date compendium of what one needs to know in order to work effectively in this difficult and demanding area. A welcome addition to the new edition is the chapter by Friedman and Hirsch on the role of continuous monitoring in the ICU which is essential for the diagnosis and treatment of nonconvulsive seizures as these may be the most common form of seizures in this setting but are often missed in the evaluation of patients in stupor or coma.

Pediatric Neurocritical Care

Author: Nicholas S. Abend, MD
Publisher: Demos Medical Publishing
ISBN: 9781617050695
Release Date: 2012-11-28
Genre: Medical

"Pediatric Neurocritical Care is by far the most comprehensive book I have read dealing with this topic... This text will provide an excellent reference for those interested in the pediatric intensive care cases or pediatrics in general. It is written very well and is chock-full of information that Practioners in a pediatric ICU setting would use." --Donna Jacobs, R. EEG T., CNIM, The Neurodiagnostic Journal Caring for children with neurocritical illness often requires multi-specialty collaboration and the understanding of an ever-expanding body of data. This book gives clinicians the up-to-date, concise, and clinically relevant guidance they need to provide optimal care to children with these acute neurologic disorders. The chapters in Pediatric Neurocritical Care are authored by experts in each individual topic, and co-edited by a neurologist and intensivist to ensure that all topics have been fully addressed from both perspectives. The book covers the complete continuum of care from assessment, monitoring, and condition specific management through rehabilitation. Early chapters present differential diagnosis and management approaches to common overarching problems such as coma, headache, and elevated intracranial pressure, followed by chapters focusing on the evaluation and management of specific conditions including traumatic brain injury, stroke, seizures, central nervous system infections, and demyelinating disorders. The final chapters address important associated psychological, social, and ethical issues. To reflect the full spectrum of specialties involved in the burgeoning field of pediatric neurocritical care, the book brings together an international group of experts from multiple disciplines including critical care medicine, anesthesiology, neurology, neurosurgery, rehabilitation medicine, psychology, and pediatric subspecialties. Pediatric Neurocritical Care features: Every topic is addressed from a neurologic and critical care perspective. Comprehensive coverage includes the evaluation of common overarching problems and management of specific conditions, in addition to discussion of related psychological, ethical, and social issues. Chapters are written by internationally known experts from the fields of critical care medicine, anesthesiology, neurology, neurosurgery, rehabilitation medicine, and many affiliated specialties.

Handbook of Epilepsy Treatment

Author: Simon Shorvon
Publisher: John Wiley & Sons
ISBN: 1444340808
Release Date: 2010-12-03
Genre: Medical

Make your way through the epilepsy maze Epilepsy is a complex neurological condition. There are many modern treatment options, and treatment should nowadays be tailored to an individual patient. But identification of the best therapy can be a labyrinthine process. The Handbook of Epilepsy Treatment provides a practical pathfinder for treating epilepsy based on published evidence and the author’s 30 years of specialist clinical experience. Direct in style but comprehensive in content, with ample tables and summaries, the Handbook of Epilepsy Treatment covers: Treatment of the different forms and causes of epilepsy Treatment in the different commonly encountered clinical situations Treatment in children, in adults, in the elderly, in women, in epilepsy syndromes and in those with special needs and requirements Epilepsy drugs – their pharmacology, kinetics, side effects, effectiveness and practical usage in the clinic Epilepsy surgery – the various types, the indications, assessment and outcome A succinct pharmacopeia summarizes the entire range of anti-epileptic medications with emphasis on effective prescribing in the clinical setting. The Handbook of Epilepsy Treatment will help you and your patient find the best path to control epilepsy for each individual’s situation.

Neuromonitoring in An sthesie und Intensivmedizinc

Author: E. Rügheimer
Publisher: Springer-Verlag
ISBN: 9783642787522
Release Date: 2013-03-08
Genre: Medical

Einsatzmöglichkeiten des Neuromonitorings in der klinischen Anästhesie und Intensivmedizin sind Thema dieses Bandes. Die Autoren empfehlen gesicherte Verfahren für die klinische Praxis, die bereits heute geeignet sind, das neurologische Outcome bei verschiedenen operativen Eingriffen zu verbessern und die Qualität der Narkoseführung zu optimieren. Die Beiträge vermitteln deshalb auch Kenntnisse über die entsprechenden Grundlagen und die wichtigsten Pathomechanismen akuter Hirnschäden in der perioperativen Phase. Das Buch soll - auch im Hinblick auf ein wachsendes Kostenbewußtsein - einen Beitrag zur Validierung des Neuromonitorings leisten und damit den Patienten nützen.