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El. knyga: Neuro ICU Procedure Atlas

  • Formatas: 174 pages
  • Išleidimo metai: 21-Jan-2021
  • Leidėjas: Thieme Medical Publishers Inc
  • Kalba: eng
  • ISBN-13: 9781638536277
  • Formatas: 174 pages
  • Išleidimo metai: 21-Jan-2021
  • Leidėjas: Thieme Medical Publishers Inc
  • Kalba: eng
  • ISBN-13: 9781638536277

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Atlas provides insightful guidance on how to perform core procedures in the neuro ICU

Neuro ICU Procedure Atlas by distinguished neurosurgeons Jack I. Jallo and David F. Slottje is a visually rich, step-by-step atlas describing technical aspects of common bedside procedures performed in patients with grave neurological conditions. With contributions from an impressive group of contributors, the book features 13 chapters encompassing fundamental techniques, such as shunt externalization/shunt tap, lumbar puncture, lumbar drain, ICP monitor, PbtO2 and JvO2 monitors, central and arterial line, cervical traction, intubation, cricothyrotomy, chest tube, and more.

Key Highlights

  • In-depth, reader friendly discussion of vital clinical issues including indications and contraindications, relevant anatomy/physiology, and complications
  • Clinical pearls and troubleshooting sections for each approach
  • Illustrations of ventricular drain or ICP monitor placement, non-conventional ventricular drain insertion points, trajectory lines for ventricular drain insertion, and more provide detailed visual learning guides

This essential resource will help neurosurgical residents and early-career neurosurgeons, intensivists, nurse practitioners, and physician assistants accelerate the learning curve for the bedside care of critically ill patients.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Preface xvi
Contributors xvii
1 External Ventricular Drain
1(17)
David F. Slottje
Nitesh V. Patel
Ira Goldstein
1.1 Introduction
1(1)
1.2 Relevant Anatomy and Physiology
1(2)
1.3 Indications
3(2)
1.3.1 ICP Monitoring
3(2)
1.3.2 CSF Diversion
5(1)
1.3.3 Intrathecal Access
5(1)
1.4 Contraindications
5(1)
1.4.1 Special Situations
5(1)
1.5 Equipment
6(1)
1.6 Technique
6(7)
1.6.1 Preparation
6(1)
1.6.2 Medications
7(1)
1.6.3 Positioning/Equipment Setup
7(1)
1.6.4 Procedure
7(5)
1.6.5 Alternative Approaches
12(1)
1.7 Complications
13(2)
1.7.1 infection
13(1)
1.7.2 Hemorrhage
13(1)
1.7.3 Upward Herniation
14(1)
1.7.4 Aneurysm Re-rupture
15(1)
1.7.5 Motor Cortex Injury
15(1)
1.7.6 Superior Sagittal Sinus Injury
15(1)
1.8 Expert Suggestions/Troubleshooting
15(3)
1.8.1 Scalp Bleeding
15(1)
1.8.2 Entry Site
16(1)
1.8.3 Tunneling Direction
16(1)
1.8.4 Fracture Lines/Cranial Defects
16(1)
1.8.5 Ventricular Collapse
16(2)
2 Shunt Tap and Shunt Externalization
18(11)
Yehuda Herschman
2.1 Introduction
18(1)
2.2 Relevant Anatomy and Physiology
19(2)
2.3 Indications--Shunt Tap
21(1)
2.4 Contraindications--Shunt Tap
22(1)
2.5 Equipment--Shunt Tap
22(1)
2.6 Technique--Shunt Tap
22(2)
2.6.1 Preparation
22(1)
2.6.2 Medications
22(1)
2.6.3 Positioning/Equipment Setup
23(1)
2.6.4 Procedure
23(1)
2.7 Indications--Shunt Externalization
24(1)
2.8 Contraindications--Shunt Externalization
25(1)
2.9 Equipment--Shunt Externalization
25(1)
2.10 Technique--Shunt Externalization
25(2)
2.10.1 Preparation
25(1)
2.10.2 Medications
25(1)
2.10.3 Positioning/Equipment Setup
26(1)
2.10.4 Procedure
26(1)
2.11 Complications
27(1)
2.11.1 Infection
27(1)
2.11.2 Catheter Retraction
27(1)
2.11.3 Air Lock of Shunt System
28(1)
2.12 Expert Suggestions/Troubleshooting
28(1)
2.12.1 Inability to Tap Shunt Valve
28(1)
2.12.2 Distal Catheter Resistance
28(1)
2.12.3 Partial Retraction of the Shunt Catheter
28(1)
3 Lumbar Puncture
29(13)
R. Nick Hernandez
Neil Majmundar
Amna Sheikh
3.1 Introduction
29(1)
3.2 Relevant Anatomy
29(1)
3.2.1 Cerebrospinal Fluid
29(1)
3.2.2 Lumbar Spine
30(1)
3.3 Indications
30(2)
3.3.1 Obtain a CSF Sample
31(1)
3.3.2 Measure Pressure
31(1)
3.3.3 Therapeutic Drainage
32(1)
3.4 Contraindications
32(2)
3.4.1 Intracranial Space-Occupying Lesion or Existing Brain Shift
32(1)
3.4.2 Obstructive Hydrocephalus
33(1)
3.4.3 Coagulopathy/Clotting Dysfunction/Bleeding Disorder
33(1)
3.4.4 Insertion Site Infection
33(1)
3.5 Equipment
34(1)
3.6 Technique
35(4)
3.6.1 Patient Positioning
35(1)
3.6.2 Preparation
36(1)
3.6.3 Needle Insertion
36(1)
3.6.4 Pressure Measurement
37(1)
3.6.5 CSF Collection
38(1)
3.6.6 Closure
39(1)
3.7 Complications
39(1)
3.8 Expert Suggestions/Troubleshooting
40(2)
4 Lumbar Drain
42(10)
Neil Majmundar
Curkirat Kohli
R. Nick Hernandez
RachidAssina
4.1 Introduction
42(1)
4.2 Relevant Anatomy/Physiology
42(2)
4.3.1 Craniotomy
43(1)
4.3.2 Endoscopic Skull Base Surgery
43(1)
4.3.3 CSF Leak
43(1)
4.3.4 Normal Pressure Hydrocephalus
44(1)
4.3.5 Thoracoabdominal Aortic Surgery
44(1)
4.3.6 Miscellaneous
44(1)
4.4 Contraindications
44(1)
4.4.1 Intracranial Mass Lesion
44(1)
4.4.2 Obstructive Hydrocephalus
45(1)
4.4.3 Skin Infection/Spinal Epidural Abscess
45(1)
4.4.4 Coagulopathy/Thrombocytopenia/Anticoagulant Therapy
45(1)
4.5 Equipment
45(1)
4.6 Technique
45(3)
4.6.1 Positioning and Equipment Setup
45(2)
4.6.2 Procedure
47(1)
4.7 Complications
48(1)
4.7.1 Headache
48(1)
4.7.2 Cerebral Herniation
49(1)
4.7.3 Infection
49(1)
4.7.4 Retained Catheter
49(1)
4.7.5 Spinal Cord Injury/Parethesia
49(1)
4.8 Expert Suggestions/Troubleshooting
49(2)
4.8.1 Overdrainage
49(1)
4.8.2 Catheter Shearing
50(1)
4.8.3 No CSF Egress
50(1)
4.8.4 Severe Pre-existing CSF Leak
50(1)
4.9 Conclusion
51(1)
5 Parenchymal Intracranial Pressure Monitor
52(9)
M. Omar Iqbal
5.1 Introduction
52(1)
5.2 Relevant Anatomy and Physiology k
52(3)
5.3.1 Recommendations from the 4th Edition Brain Trauma Foundation Guidelines
54(1)
5.3.2 Recommendations from the Prior (3rd) Edition Not Supported by Evidence Meeting Current Standards
54(1)
5.4 Contraindications
55(1)
5.5 Equipment
55(1)
5.6 Technique
56(2)
5.6.1 Preparation
56(1)
5.6.2 Medications
56(1)
5.6.3 Positioning/Equipment Setup
57(1)
5.6.4 Procedure
57(1)
5.6.5 Postprocedure
58(1)
5.7 Complications
58(1)
5.7.1 Infection
58(1)
5.7.2 Hemorrhage
58(1)
5.7.3 Motor Cortex Injury
59(1)
5.7.4 Superior Sagittal Sinus Injury
59(1)
5.8 Expert Suggestions/Troubleshooting
59(2)
5.8.1 Scalp Bleeding
59(1)
5.8.2 Entry Site
59(1)
5.8.3 Aberrant ICP Measurement
59(2)
6 Brain Tissue Oxygenation: Procedural Steps and Clinical Utility
61(11)
Nitesh V. Patel
Matthew S. Parr
John Kauffmann
6.1 Introduction
61(1)
6.2 Relevant Anatomy and Physiology
61(1)
6.2.1 Anatomic Considerations
61(1)
6.2.2 Physiologic Principles
62(1)
6.2.3 Devices
62(1)
6.3 Indications
62(2)
6.5 Equipment
64(1)
6.5.1 Pre-Op Checklist and Equipment/Supplies
64(1)
6.5.2 Sedation
64(1)
6.6 Technique
64(4)
6.6.1 Positioning
64(1)
6.6.2 Incision Planning
64(1)
6.6.3 Prep and Drape
65(1)
6.6.4 Incision and Twist Drill
65(1)
6.6.5 Dural Opening
66(1)
6.6.6 Probe Placement and Securement
66(1)
6.6.7 Connection to Monitoring System
67(1)
6.6.8 Closure and Dressing
68(1)
6.6.9 Postprocedure Imaging
68(1)
6.7 Complications
68(1)
6.7.1 Hemorrhage
68(1)
6.7.2 CSF Leak
68(1)
6.7.3 Skull Fracture
68(1)
6.7.4 Infection
69(1)
6.8 Expert Suggestions/Troubleshooting
69(1)
6.8.1 Sedation Issues
69(1)
6.8.2 Positioning Issues and Tips
69(1)
6.8.3 Scalp Bleeding and Avoidance
69(1)
6.8.4 Craniotomy Angulation and Tips
70(1)
6.8.5 Dural Opening
70(1)
6.8.6 Probe Pull-Out and Avoidance
70(1)
6.9 Conclusion
70(2)
7 Jugular Bulb Oxygen Monitor
72(5)
Amanda Carpenter
Brent Lewis
7.1 Introduction
72(1)
7.2 Relevant Anatomy and Physiology
73(1)
7.3 Indications
74(1)
7.4 Contraindications
74(1)
7.5 Equipment
74(1)
7.6 Technique
75(1)
7.7 Complications
75(1)
7.8 Expert Suggestions/Troubleshooting
76(1)
8 Central Line
77(15)
Ahmed M. Meleis
john W. Liang
8.1 Introduction
77(1)
8.2 Anatomy/Physiology
77(1)
8.2.1 Subclavian Vein Anatomy
77(2)
8.2.2 Internal Jugular Vein Anatomy
79(1)
8.2.3 Femoral Vein Anatomy
79(1)
8.3 Indications
80(1)
8.4 Contraindications
81(1)
8.5 Equipment
81(1)
8.5.1 Catheter Types
81(1)
8.6 Technique
82(7)
8.6.1 Subclavian Vein Technique
84(2)
8.6.2 Femoral Vein Technique
86(1)
8.6.3 Internal Jugular Vein Technique
87(2)
8.7 Complications
89(1)
8.8 Expert Suggestions/Troubleshooting
89(3)
9 Arterial Line
92(5)
Irene Say
Celina Crisman
Nitesh V. Patel
9.1 Introduction
92(1)
9.2 Anatomy/Physiology
93(1)
9.3 Indications
93(1)
9.3.1 Measurement of Intra-arterial Blood Pressure
93(1)
9.3.2 Arterial Access for Frequent Blood Sampling
93(1)
9.4 Contraindications
94(1)
9.5 Equipment
94(1)
9.6 Technique
94(1)
9.7 Complications
95(1)
9.8 Expert Suggestions/Troubleshooting
96(1)
10 Cervical Traction
97(16)
Michael Cohen
Irene Say
Robert F. Heary
10.1 Introduction
97(1)
10.2 Relevant Anatomy and Physiology
97(2)
10.2.1 Cervical Spine Anatomy
97(1)
10.2.2 Pathophysiology of Cervical Traction
98(1)
10.3 Indications
99(3)
10.3.1 Facet Dislocations
99(1)
10.3.2 Displaced or Angulated Hangman's Fractures
99(1)
10.3.3 Displaced or Angulated Type 11 Odontoid Fractures
99(1)
10.3.4 Rotary Atlantoaxial Subluxations
100(1)
10.3.5 Subaxial Burst Fractures
101(1)
10.4 Contraindications
102(1)
10.5 Equipment
103(4)
10.5.1 Gardner-Wells Tongs
103(1)
10.5.2 Halo Ring
104(1)
10.5.3 Modified Hospital Bed
104(1)
10.5.4 Weight
105(1)
10.5.5 Halo Vest
105(2)
10.6 Technique
107(2)
10.6.1 Patient Assessment
107(1)
10.6.2 Tong Placement
107(1)
10.6.3 Patient Positioning
108(1)
10.6.4 Weight Application
108(1)
10.6.5 Neurological Monitoring
109(1)
10.6.6 Radiographic Assessment
109(1)
10.7 Complications
109(2)
10.8 Expert Suggestions/Troubleshooting
111(1)
10.8.1 Resource Management
111(1)
10.8.2 Halo Vest
111(1)
10.8.3 Force Vector
111(1)
10.8.4 Converting to Open Reduction and Internal Fixation
111(1)
10.9 Conclusion
112(1)
11 Intubation
113(15)
John W. Liang
Elena Solli
David A. Wyler
11.1 Introduction
113(1)
11.2 Relevant Anatomy/Physiology
113(2)
11.3 Indications
115(1)
11.3.1 Airway
115(1)
11.3.2 Lung
115(1)
11.3.3 Tissue
115(1)
11.4 Contraindications (and Precautions)
116(1)
11.4.1 General Assessment for Difficult Airway
116(1)
11.5 Equipment
117(2)
11.6 Technique
119(3)
11.6.1 Using Direct Laryngoscope (the Curved Macintosh Blade or the Straight Miller Blade)
120(1)
11.6.2 Using Video Laryngoscope (Glidescope)-"Down, Up, Down, Up"
121(1)
11.6.3 Complications/Precautions
121(1)
11.6.4 Difficult Airway Algorithm
121(1)
11.6.5 Supraglottic Assist Devices
122(1)
11.7 Expert Suggestions/Troubleshooting
122(1)
11.8 Special Circumstances
123(5)
11.8.1 Intubation of Patients with Maxillofacial Injury
123(2)
11.8.2 Intubation of Patients with Cervical Spine Trauma
125(1)
11.8.3 Intubation of Patients with Dislodged Tracheostomy Tube
126(1)
11.8.4 Intubation of Patients Post Carotid Endarterectomy or Cervical Spine Surgery
126(1)
11.8.5 Intubation of Patients Post Transphenoidal Surgery
126(1)
11.8.6 Intubation of Patients with Moya-Moya
126(1)
11.8.7 Intubation of Morbidly Obese Patients
127(1)
12 Cricothyrotomy
128(14)
David F. Slottje
Adam D. Fox
Matthew Vibbert
12.1 Introduction
128(1)
12.2 Relevant Anatomy and Physiology
128(2)
12.3 Indications
130(1)
12.4 Contraindications
131(2)
12.5 Equipment
133(1)
12.6 Technique
133(3)
12.6.1 Preparation
133(1)
12.6.2 Medications
133(1)
12.6.3 Positioning/Equipment Set-up
134(1)
12.6.4 Procedure
134(2)
12.7 Complications
136(3)
12.7.1 Acute Complications
136(1)
12.7.2 Delayed Complications
137(2)
12.8 Expert Suggestions/Troubleshooting
139(3)
12.8.1 Controlled Chaos
139(1)
12.8.2 Time Management
140(1)
12.8.3 Don't Lose the Airway
140(2)
13 Chest Tube Insertion
142(9)
Amna Sheikh
Amandeep S. Dolla
13.1 Introduction
142(1)
13.2 Relevant Anatomy/Physiology
142(1)
13.3.1 Emergency Indications
142(1)
13.3.2 Nonemergent Indications
143(1)
13.4 Contraindications
143(1)
13.5 Equipment
143(1)
13.6 Technique
144(4)
13.6.1 Preparation
144(1)
13.6.2 Seldinger Technique
145(2)
13.6.3 Standard Technique
147(1)
13.7 Removal
148(1)
13.7.1 Technique for Removal
148(1)
13.8 Complications
149(1)
13.9 Expert Suggestions/Troubleshooting
149(2)
Index 151