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E-grāmata: Comatose Patient

(Professor of Neurology Mayo Clinic College of Medicine Chair, Division of Critical Care Neurology Consultant, Neurosciences Intensive Care Unit Saint Marys Hospital Mayo Clinic, Rochester, MN)
  • Formāts: 688 pages
  • Izdošanas datums: 28-Apr-2014
  • Izdevniecība: Oxford University Press Inc
  • Valoda: eng
  • ISBN-13: 9780199331222
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  • Bibliotēkām
    • Oxford Medicine Online e-books
  • Formāts: 688 pages
  • Izdošanas datums: 28-Apr-2014
  • Izdevniecība: Oxford University Press Inc
  • Valoda: eng
  • ISBN-13: 9780199331222

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The Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making.

Recenzijas

This is a defining work on coma. This edition has been extensively revised and expanded, adding 25 new case vignettes. All chapters have been updated as reflected by reference lists. * Doody's Notes *

Collection of Videoclips (VC) xvii
Preface to the Second Edition xix
Preface to the First Edition xxi
PART I UNDERSTANDING, DIAGNOSING, AND CARE OF COMATOSE STATES
1 A History of Coma: Evolution of Ideas
3(57)
Understanding Brain Herniation
4(14)
Concepts and Benchmarks
4(11)
Revision of a Paradigm
15(3)
Understanding the Role of Increased Intracranial Pressure
18(3)
Understanding Localization and Key Clinical Signs in Coma
21(8)
Decerebrate Rigidity
21(2)
Fixed Dilated Pupil
23(3)
Oculovestibular Reflex
26(1)
Breathing Patterns
27(2)
Understanding the Mechanisms of Metabolic and Diffuse Encephalopathies
29(3)
Understanding Psychogenic Unresponsiveness
32(3)
Understanding the Spectrum of Prolonged Comatose States
35(12)
Classification of Coma and Major Works
47(6)
Prognostication of Coma
53(3)
Conclusions
56(4)
2 The Neuroscience of the Awake State
60(21)
Early Studies
61(3)
The Anatomy of the Awake State
64(6)
The Chemistry of the Awake State
70(5)
The Physiology of the Awake State
75(1)
Translation into Clinical Practice
76(2)
Conclusions
78(3)
3 Neurologic Examination of the Comatose Patient and Localization Principles
81(30)
Definitions
82(2)
Locked-in Syndrome
82(1)
Hypersomnia
82(1)
Acute Confusional State and Delirium
83(1)
Stupor and Coma
83(1)
The Clinical Examination of a Comatose Patient
84(16)
Fundamentals of Functional Anatomy
85(3)
Physical Examination
88(1)
Neurologic Examination: Coma Scales and the Four Score
89(5)
Neurologic Examination: Clinical Observations
94(1)
Breathing Patterns
94(1)
Cranial Nerve Examination
95(5)
Spontaneous Movements
100(1)
Localization Principles and Brain Displacement Syndromes
100(7)
Conclusions
107(4)
4 The Clinical Diagnosis of Prolonged Impaired Consciousness
111(20)
Categories of Outcome
112(1)
Persistent Vegetative State
113(3)
Minimally Conscious State and Akinetic Mutism
116(3)
Laboratory Investigations
119(5)
Prediction of Outcome
124(2)
Conclusions
126(5)
5 The Clinical Diagnosis of Brain Death
131(25)
Code of Practice
132(2)
The Clinical Examination
134(13)
Prerequisites and Major Confounders
134(4)
The Bedside Examination
138(4)
Confirmatory Tests
142(2)
Documentation
144(3)
Special Issues
147(3)
Pathophysiological Response to Brain Death
150(1)
Organ Procurement
151(1)
Conclusions
152(4)
6 Neuroimaging, Neurophysiology, and Neuropathology
156(49)
Neuroimaging in Coma
157(18)
Diagnostic Imaging of Brain Tissue Shift
160(8)
Diagnostic Imaging of Gray and White Matter Disorders
168(7)
Neurophysiology of Coma
175(9)
EEG Patterns in Coma
176(6)
Continuous EEG Monitoring
182(1)
Evoked Potentials
183(1)
Neuropathology of Coma
184(1)
Specific Types of Injury
184(11)
Hypoxemia and Ischemia
184(2)
Infarction and Hemorrhage
186(2)
Trauma and Abuse
188(2)
Infection
190(3)
Demyelination
193(1)
Neurotoxicity
194(1)
Disease States
195(6)
Pathology of Brain Herniation
195(2)
Persistent Vegetative State
197(2)
Brain Death
199(2)
Conclusions
201(4)
7 Clinical Diagnosis and Decisions
205(24)
Clinical Decisions in the Comatose Patient
206(10)
Respiratory and Hemodynamic Stabilization
206(2)
Further Questions to Family or Bystanders
208(1)
Consolidation of Neurologic Findings
209(1)
Interpretation of Neuroimaging: Abnormal CT Scan Findings and Their Consequences
210(5)
Interpretation of Neuroimaging: Normal CT Scan Findings and Their Consequences
215(1)
The Comatose Patient in Various Hospital Locations
216(10)
Coma in the Emergency Department
217(6)
Coma in the ICU
223(2)
Coma on the Ward
225(1)
Conclusions
226(3)
8 Medical Care of the Comatose Patient
229(31)
Supportive Care of the Comatose Patient
230(16)
Systematic Approach to Care
230(1)
Infection Control
230(2)
Blood Glucose Control
232(1)
Temperature Control
233(1)
Eye and Mouth Care
234(1)
Airway and Pulmonary Care
235(5)
Cardiac Care
240(3)
Circulation Care
243(1)
Gastrointestinal Care
243(2)
Bladder Care
245(1)
Medical Complications of Immobilization
246(3)
Communication With the Family
249(4)
Clinical Practice of Withdrawal of Support
253(2)
Conclusions
255(5)
9 Recovery and Rehabilitation
260(18)
Early Interventions
261(8)
Physiotherapy
262(1)
Pharmaceutical Interventions
262(4)
Stimulation Programs
266(1)
Other Adjunctive Therapies
267(2)
Neurorehabilitation
269(5)
Metrics in Neurorehabilitation
270(2)
Technology and New Options
272(2)
Conclusions
274(4)
10 Law and Bioethics
278(21)
The Court Cases in the United States
279(10)
The Quinlan Case
279(1)
The Jobes Case
280(1)
The Brophy Case
281(1)
The Cruzan Case
281(2)
The Wendland Case
283(1)
The Schiavo Case
283(3)
Lessons Learned From the Court Cases
286(2)
Legal Aspects of Withdrawal of Support
288(1)
Applied Ethics
289(5)
Spirituality and Health Care
289(2)
Comatose States as a Bioethical Controversy
291(3)
Ethics in Organ Donation After Cardiac Death
294(2)
Conclusions
296(3)
11 Media and Popular Culture
299(14)
News Writing on Coma
299(2)
The Newspaper and Coverage of Coma
301(3)
Television and Coma
304(2)
The Internet and Coma
306(1)
Cinema and Coma
307(2)
Conclusions
309(4)
PART II THE CLINICAL APPROACH TO THE COMATOSE PATIENT
12 An Introduction to 100 Vignettes
313(2)
13 Comatose and Traumatic Brain Injury
315(7)
14 Comatose and Gunshot Wounds
322(5)
15 Comatose and Traumatic Brainstem Lesion
327(4)
16 Comatose and Shaken-Impact Syndrome
331(5)
17 Comatose and Acute Epidural Hematoma
336(4)
18 Comatose and Acute Subdural Hematoma
340(5)
19 Comatose and Cerebral Hematoma
345(7)
20 Comatose and Intraventricular Hemorrhage
352(4)
21 Comatose and Pontine Hemorrhage
356(4)
22 Comatose and Cerebellar Hemorrhage
360(6)
23 Comatose and Aneurysmal Subarachnoid Hemorrhage
366(6)
24 Comatose and Cerebral Venous Thrombosis
372(6)
25 Comatose and Hemispheric Stroke
378(5)
26 Comatose and Bihemispheric Stroke
383(3)
27 Comatose and Basilar Artery Occlusion
386(5)
28 Comatose and Bacterial Meningitis
391(6)
29 Comatose and Brain Abscess
397(4)
30 Comatose and Empyema
401(4)
31 Comatose and Herpes Simplex Encephalitis
405(6)
32 Comatose and H1N1 Influenza
411(4)
33 Comatose and Rabies Encephalitis
415(4)
34 Comatose and Mumps Encephalitis
419(4)
35 Comatose and Acute Necrotizing Encephalitis
423(4)
36 Comatose and Zoonotic Disease
427(5)
37 Comatose and Opportunistic Infections (I)
432(4)
38 Comatose and Opportunistic Infections (II)
436(5)
39 Comatose and High-Grade Astrocytoma
441(4)
40 Comatose and CNS Lymphoma
445(4)
41 Comatose and Metastasis
449(4)
42 Comatose and Gliomatosis Cerebri
453(3)
43 Comatose and Paraneoplastic Encephalitis
456(5)
44 Comatose and Autoimmune Encephalitis
461(4)
45 Comatose and Acute Disseminated Encephalomyelitis
465(5)
46 Comatose and Fulminant Multiple Sclerosis
470(4)
47 Comatose and Osmotic Demyelination
474(4)
48 Comatose and Acute Hydrocephalus
478(5)
49 Comatose and CSF Hypotension
483(4)
50 Comatose and Convulsive Status Epilepticus
487(5)
51 Comatose and Nonconvulsive Status Epilepticus
492(4)
52 Comatose in the Recovery Room
496(4)
53 Comatose After Organ Transplantation
500(5)
54 Comatose After Coronary Artery Bypass Surgery
505(4)
55 Comatose on ECMO
509(5)
56 Comatose After Brain Biopsy and Craniotomy
514(5)
57 Comatose After Epilepsy Surgery
519(4)
58 Comatose After Cerebral Angiography
523(4)
59 Comatose After Clipping of a Ruptured Cerebral Aneurysm
527(4)
60 Comatose After Endovascular Treatment of Ruptured Cerebral Aneurysm
531(5)
61 Comatose and Accidental Hypothermia
536(5)
62 Comatose and Carbon Monoxide Inhalation
541(4)
63 Comatose and Heatstroke
545(4)
64 Comatose and Near-Drowning
549(5)
65 Comatose After Cardiopulmonary Resuscitation
554(7)
66 Comatose After Therapeutic Hypothermia
561(4)
67 Comatose After Near-Hanging
565(4)
68 Comatose After Fat Embolism Syndrome
569(4)
69 Comatose and Air Embolism
573(4)
70 Comatose and Status Asthmaticus
577(4)
71 Comatose and Acute Uremia
581(4)
72 Comatose and Hypertensive Crisis
585(6)
73 Comatose and Fulminant Hepatic Failure
591(5)
74 Comatose and Chronic Liver Disease
596(5)
75 Comatose and Thyroid Disease
601(6)
76 Comatose and Sepsis
607(4)
77 Comatose and Endocarditis
611(4)
78 Comatose After Aortic Dissection
615(4)
79 Comatose and Hypoglycemia
619(4)
80 Comatose and Hyperglycemia
623(6)
81 Comatose and Hyponatremia
629(5)
82 Comatose and Hypernatremia
634(4)
83 Comatose and Hypercalcemic Crisis
638(4)
84 Comatose and Hypercapnia
642(4)
85 Comatose and Pituitary Apoplexy
646(5)
86 Comatose and Systemic Lupus Erythematosus
651(5)
87 Comatose and Central Nervous System Vasculitis
656(6)
88 Comatose and Acute Thrombocytopenia
662(4)
89 Comatose and Acute Leukemia
666(4)
90 Comatose and Acute Porphyria
670(5)
91 Comatose and Urea Cycle Disorder
675(4)
92 Comatose and Wernicke-Korsakoff Syndrome
679(4)
93 Comatose and MELAS
683(5)
94 Comatose and Preterm Newborn
688(4)
95 Comatose and Fulminant Cerebral Vasoconstriction
692(4)
96 Comatose and Puerperium
696(5)
97 Comatose and Chemotherapy Toxicity
701(4)
98 Comatose and Baclofen Toxicity
705(3)
99 Comatose and Cefepime Toxicity
708(3)
100 Comatose and Acetaminophen Toxicity
711(4)
101 Comatose and Tricyclic Antidepressant Toxicity
715(4)
102 Comatose and SSRI Toxicity
719(4)
103 Comatose and Alcohol Intoxication
723(5)
104 Comatose and Ethylene Glycol Ingestion
728(4)
105 Comatose and Salicylate Toxicity
732(4)
106 Comatose and Opioid Toxicity
736(4)
107 Comatose and Benzodiazepine Toxicity
740(3)
108 Comatose and Lithium Toxicity
743(4)
109 Comatose After a Rave Party
747(5)
110 Comatose and Rapid Dementing Illness
752(5)
111 Comatose and Malignant Catatonia
757(5)
112 Comatose and Conversion Disorder
762(5)
Index 767
Professor of Neurology Mayo Clinic College of Medicine Chair, Division of Critical Care Neurology Consultant, Neurosciences Intensive Care Unit Saint Marys Hospital Mayo Clinic, Rochester, MN