Head injury is a major health problem in all communities. Mortality statistics reflect only a small part of the total community burden of suffering and economic loss. The outcome for patients with severe head injuries has improved in recent years due to a number of factors. Better organization of services has led to effective early resuscitation and transfer to trauma centres. CT scanning, more widely available, allows early diagnosis and evacuation of blood clots. The hour-by-hour monitoring of patients has been rendered more reliable by the Glasgow Coma Score. None-the-less, the mortality and morbidity for patients who are in coma 24 hours after head injury remains high, and it is this group which forms the subject of the present book. It sets out to analyse the pathophysiology of severe head injury and the currently available methods of treatment.
The book is aimed at those specialists who are involved in the acute management of patients with severe head injury from the time of retrieval at the accident site to the transfer to a neurosurgical unit and management in the high-dependency unit.
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a welcome addition to the neurosurgical literature...well produced and beautifully presented...an indispensible companion for those of us who still have to care for these distressing and still too frequent cases.
Journal of Neurology, Neurosurgery and Psychiatry
...the mixing of experts from different continents works well and the sources and perspectives are truly international. I strongly recommend it to departmental libraries and interested individuals.
British Journal of Anaesthesia
a welcome addition to the neurosurgical literature. It is wll produced and beautifully presented...an indispensable companion for those of us who still have to care for these distressing and still too frequent cases.
Journal of Neurology and Neurosurgery and Psychiat
The mixing of experts from different continents works well...the source and perspectives are truly international
British Journal of Anaesthesia
Part One The Injury
Epidemiology
Biomechanics of closed head injury
Pathology
Primary and secondary brain injury
Brain metabolism and cerebral blood flow
Intracranial pressure and elastance
Injury and cell function
Part Two Measuring and Monitoring Injury
Clinical examination and grading
Imaging the injury
Intracranial pressure monitoring
Measuring cerebral blood flow and metabolism
Electrical function monitoring
Transcranial Doppler
Magnetic resonance spectroscopy
Part Three: Treatment
From accident to trauma centre
Fluid, electrolyte and metabolic management
Respiratory and cardiovascular support
Sedation and anaesthesia
Management of intracranial pressure and cerebral perfusion
The role of surgery for intracranial mass lesions after head injury
Neuroprotection
Outcome after severe head injury
Appendix 1: Antibiotics recommended for infections of the CNS
Appendix 2: Seizure management in acute head injury
Appendix 3: Pressure agents.
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Hardcover. Condizione: Good. 1. Head injury is a major health problem in all communities. Mortality statistics reflect only a small part of the total community burden of suffering and economic loss. The outcome for patients with severe head injuries has improved in recent years due to a number of factors. Better organization of services has led to effective early resuscitation and transfer to trauma centres. CT scanning, more widely available, allows early diagnosis and evacuation of blood clots. The hour-by-hour monitoring of patients has been rendered more reliable by the Glasgow Coma Score. None-the-less, the mortality and morbidity for patients who are in coma 24 hours after head injury remains high, and it is this group which forms the subject of the present book. It sets out to analyse the pathophysiology of severe head injury and the currently available methods of treatment.The book is aimed at those specialists who are involved in the acute management of patients with severe head injury from the time of retrieval at the accident site to the transfer to a neurosurgical unit and management in the high-dependency unit. Codice articolo SONG0412585405
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