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The current practice of medicine is largely moving towards applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using systematic reviews of the medical literature and then translating it into practice by selecting treatment options for specific cases based on the best research (Agency for Healthcare Research and Quality). Clinicians rely on the availability of evidence and accordingly take decisions to provide best treatment to their patients. Clinical management of neurologically compromised patients is challenging and varied; and for this reason treating physicians including neuroanesthesiologists are always in search of best available evidence for patient management and care.
Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care highlights the various controversies which exist in the practice of neuroanaesthesia and provides conclusive evidence-based solutions. This comprehensive resource succinctly discusses evidence-based practice of neuroanesthesia based on systematic reviews in clinical neuroscience research. Topics include neurophysiology: ICP or CPP thresholds, neuropharmacology: intravenous of inhalational anesthetics, and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neurosciences and this book will help residents and trainees to have the knowledge to apply it to their practice.
- Highlights the various controversies which exist in the practice of neuroanaesthesia and provides conclusive evidence-based solutions
- Topics include neurophysiology: ICP or CPP thresholds, neuropharmacology: intravenous of inhalational anesthetics, and neuromonitoring: ICP monitoring
- Provides residents and trainees with the knowledge to apply evidence-based practice of neuroanesthesia to their practice
Trainees, clinicians, and clinical researchers in the fields of neuroanasthesia, neurocritical care, neurosurgery and neurology
I Introduction to Evidence based practice
II Neurophysiology ICP or CPP thresholds
1. Role of hypothermia
2. Role of hyperventilation
3. Mechanical ventilation - PEEP
III Neuropharmacology Intravenous or inhalational anaesthetics?
4. Hyperosmolar therapy
5. Role of nitrous oxide
6. Antibiotic prophylaxis
7. Role of anti-epileptics
8. Treatment of hypertension
9. Role of statins
10. Role of stem cell therapy in neurosciences
IV Neuromonitoring ICP monitoring
11. Type of ICP monitor
12. Newer brain monitoring techniques
13. Intraoperative Neuromonitoring
V Neurosurgical care Crystalloids versus colloids
14. Blood transfusion triggers
15. Reversal of anticoagulation
16. Role of decompressive craniectomy
17. Strategies for brain protection
18. Anaesthesia for carotid endarterectomy
19. Anaesthesia for acute stroke
20. Anaesthesia for spine surgery
VI Neurointensive care Choice of sedation in ICU
21. DVT prophylaxis
22. Role of steroids
23. Initiation of nutrition
24. Glycaemic control
25. Anaesthetics for status epilepticus
26. Early or late tracheosotomy
VII Neurological care Plasmapheresis or immunoglobulins
VIII Ethical issues Diagnosing brain death
- No. of pages:
- © Academic Press 2021
- 1st November 2021
- Academic Press
- Paperback ISBN:
Dr. Hemanshu Prabhakar is Professor in Department of Neuroanesthesiology and Critical Care at the All India Institute of Medical Sciences (AIIMS), New Delhi, India. He received his training in neuroanesthesia and PhD (Neuroanesthesia) in the same institute. He is recipient of the AIIMS Excellence award for notable contribution in academics. He has more than 250 publications in national and international journals to his credit. He is a reviewer for various national and international journals. . He is a guide and mentor of many DM and PhD students. He is also a review author for the Cochrane Collaboration and has special interest in evidence based practice of neuroanesthesia. He is a member of various national and international neuroanesthesia societies and past Secretary of the Indian Society of Neuroanesthesia and Critical Care. He is the present Secretary of Society of Neurocritical Care, India. He is an invited faculty for various national and international conferences. He is on the Editorial board of Indian Journal of Palliative care and is the past executive editor of the Journal of Neuroanaesthesiology and Critical Care.
Professor, Department of Neuroanesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India
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