ISBN: 0-412-58540-5
Godina izdanja: 1997
Jezik: Engleski
Oblast: Neurologija
Autor: Strani

Pathophysiology and Management of Severe Closed Injury

Izdavač: Chapman & Hall Medical, London
Urednici: Peter Reilly, Ross Bullock
Povez: tvrd
Broj strana: 478
Ilustrovano.
Format: 22 x 28,5 cm
Veoma dobro očuvana.

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

C O N T E N T S

PART ONE: THE INJURY
1. Epidemiology
2. Biomechanics of closed head injury
3. Pathology
4. Primary and secondary brain injury
5. Brain metabolism and cerebral blood flow
6. Intracranial pressure and elastance
7. Injury and cell function

PART 2: MEASURING AND MONITORING INJURY
8. Clinical examination and grading
9. Imaging the injury
10. Intracranial pressure monitoring
11. Measuring cerebral blood flow and metabolism
12. Electrical function monitoring
13. Transcranial Doppler
14. Magnetic resonance spectroscopy

PART THREE: TREATMENT
15. From accident site to trauma center
16. Fluid, electrolyte and metabolic management
17. Respiratory and cardiovascular support
18. Sedation and anesthesia
19. Management of intracranial pressure and cerebral perfusion
20. The role of surgery for intracranial mass lesions after head injury
21. Neuroprotection in head injury
22. Outcome after severe head injury

(K-44)