Spinal Cord Injuries

Spinal Cord Injuries

Anaesthetic and Associated Care

1st Edition - September 28, 1990

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  • Authors: J.D. Alderson, Elizabeth A.M. Frost
  • eBook ISBN: 9781483192062

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Description

Spinal Cord Injuries aims to provide information on the problems associated with the treatment and management of patients with spinal cord injuries and guidance on the appropriate methods of treatment. It also highlights the growing role of anesthetists as vital members of the medical teams in accident and emergency and trauma units, in the intensive care environment and in the relief of pain. This book is organized into 13 chapters. The first two chapters deal with the pathophysiology and initial care for spinal cord injury patients. The succeeding chapters discuss the emergency room care, anesthetic management, intensive care management, chronic care, and nursing care for spinal cord injuries. The final two chapters are about trend in spinal cord injury research and the legal and moral issues associated with the treatments of spinal cord injuries. This book will be of interest to anesthetists and other medical professionals dealing with spinal cord injuries.

Table of Contents


  • Preface

    Foreword

    Contributors

    1 Pathophysiology of Acute Spinal Cord Injury

    Introduction

    Applied Neuroanatomy

    Applied Physiology

    Neurologic Syndromes

    Vertebral Fractures and their Management

    Pathophysiology

    References

    2 Initial Care of Spinal Cord Injury

    Introduction

    Out-Of-Hospital Organization

    Epidemiology of Spinal Injury

    Accident Site Management

    References

    3 Emergency Room Care of The Patient with Spinal Cord Injury

    Introduction

    Resuscitation

    Diagnosis

    Further Diagnosis

    Treatment

    References

    4 Anesthetic Management of Acute Spinal Cord Injury

    Introduction

    Cervical Injuries

    Thoracolumbar Spine

    Anesthetic Problems

    Anesthesia

    References

    5 Associated Injuries

    Introduction

    Head Injury

    Abdominal Injuries

    Fluid Therapy

    Positioning

    Summary

    References

    6 Intensive Care Management of Spinal Cord Injury

    Intensive Care Management

    Conclusions

    References

    7 Anesthetic Care for Spinal Injuries: Parenteral Nutrition

    Introduction

    General Principles

    Metabolic Response to Spinal Cord Injury and Surgery

    Goals and Indications for Parenteral Nutrition

    Practical Aspects of Parenteral Nutrition

    New Horizons

    References

    8 Chronic Care of Spinal Cord Injury

    Introduction

    Cardiovascular Problems

    Respiratory System Problems

    Temperature Regulation

    Genitourinary System

    Haemopoiesis

    Musculoskeletal System

    Spasticity

    Psychological Problems

    Acute Abdomen

    Obstetrics

    References

    9 Nursing Care of Spinal Cord Injuries

    Positioning the Patient

    Hygiene

    Specific Problems

    Paramedical Treatment, and Counseling

    Theater Nursing of Spinal Cord Injuries

    10 Assessment And Management of the Patient with Spinal Cord Injury and Pain

    Introduction

    Pain

    Clinical Assessment of Pain

    Treatment of Pain

    Future Trends

    References

    Further Reading

    11 Anesthesia for Non-Traumatic Spinal Disease

    Preoperative Assessment

    General Anesthesia for Spinal Surgery

    Intradural and Extradural Anesthesia

    Postoperative Care

    Spinal Haematomas

    Scoliosis

    Syringomyelia

    Neurofibromatosis

    Rheumatoid Arthritis

    Spinal Cord Compression by Tumor, Disc and Arteriovenous Malformation

    Down's Syndrome

    Metastatic Disease

    Acromegaly

    Difficult Intubation

    Prevention of Deep Venous Thrombosis

    Malignant Hyperthermia

    References

    12 Trends in Spinal Cord Injury Research

    Introduction

    Models Of Spinal Cord Injury

    Changes Seen in Spinal Cord Injury

    Current Theory of Spinal Cord Injury

    Conclusions

    References

    13 Moral and Legal Issues in the Treatment of Patients with Spinal Cord Injuries

    Introduction

    Models of Decision-Making in the Clinical Setting: The Doctrine of Informed Consent Reconsidered

    Collaborative Model of Medical Care and the Right to Die

    Proxy Consent and Advance Directives

    Quality of Life Arguments and the Limitation of Technological Intervention

    References

    Index


Product details

  • No. of pages: 272
  • Language: English
  • Copyright: © Butterworth-Heinemann 1990
  • Published: September 28, 1990
  • Imprint: Butterworth-Heinemann
  • eBook ISBN: 9781483192062

About the Authors

J.D. Alderson

Elizabeth A.M. Frost

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