Processes And Structures Of Care For Critically Ill Patients With Acute Brain Injury

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Processes and Structures of Care for Critically Ill Patients with Acute Brain Injury

Author : Victoria Anne McCredie
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (133 download)

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Book Synopsis Processes and Structures of Care for Critically Ill Patients with Acute Brain Injury by : Victoria Anne McCredie

Download or read book Processes and Structures of Care for Critically Ill Patients with Acute Brain Injury written by Victoria Anne McCredie and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Examining the differences in quality and intensity of care within the context of ICU structure is needed to better understand the mortality differences observed between centers, and may help to improve the design of future trials for this neurocritically ill patient population. Methods: This dissertation uses several methods to examine the relationship between processes, organization of care and outcome for critically ill patients with acute brain injury. Results: First in a cohort study, I evaluated the association between centers rendering early decisions to withdraw life-sustaining therapies in severe traumatic brain injury (sTBI), as measured by time until death, and overall risk-adjusted mortality. After adjustment for case mix, care in a center with a preponderance of early deaths (within the first 5 days of ICU admission) was not associated with increased odds of death (adjusted odds ratio (OR) 0.95; 95% confidence interval (CI) 0.83-1.09). Secondly in a meta-analysis, I examined the relationship between the timing of tracheostomy in acutely brain injured patients and mortality. Early tracheostomy was associated with lower long-term mortality (risk ratio [RR] 0.57. 95% CI 0.36-0.90), reduced duration of mechanical ventilation (mean difference [MD] -2.72 days, 95% CI -1.29 to -4.15) and ICU length of stay (MD -2.55 days, 95% CI -0.50 to -4.59), but, was not associated with lower short-term mortality (RR 1.25; 95% CI 0.68-2.30), and, as expected, increased the probability of ever receiving a tracheostomy (RR 1.58, 95% CI 1.24-2.02). Lastly in a cohort study combined with survey data, I examined the association between dedicated neurocritical care units, the presence of standardized management protocols for sTBI, and mortality. Care in a dedicated neurocritical care unit was not associated with a lower risk-adjusted in-hospital mortality (OR 0.97 (95% CI 0.80-1.19), but the utilization of standardized TBI management protocols for these patients was associated with lower risk-adjusted in-hospital mortality (OR 0.77; 95% CI 0.63-0.93). Conclusions: Using several analytical approaches, these findings highlight important opportunities to reduce variability in care negatively impacting on acute brain injury outcomes.

Nutrition and Traumatic Brain Injury

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309210089
Total Pages : 444 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Nutrition and Traumatic Brain Injury by : Institute of Medicine

Download or read book Nutrition and Traumatic Brain Injury written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-01 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) accounts for up to one-third of combat-related injuries in Iraq and Afghanistan, according to some estimates. TBI is also a major problem among civilians, especially those who engage in certain sports. At the request of the Department of Defense, the IOM examined the potential role of nutrition in the treatment of and resilience against TBI.

Process of Care and Outcome of Critically Ill Patients with Traumatic Brain Injury

Author : Abdulaziz Alali
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Process of Care and Outcome of Critically Ill Patients with Traumatic Brain Injury by : Abdulaziz Alali

Download or read book Process of Care and Outcome of Critically Ill Patients with Traumatic Brain Injury written by Abdulaziz Alali and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Neurocritical Care

Author : Lori Shutter
Publisher : Pittsburgh Critical Care Medic
ISBN 13 : 0199375348
Total Pages : 329 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Neurocritical Care by : Lori Shutter

Download or read book Neurocritical Care written by Lori Shutter and published by Pittsburgh Critical Care Medic. This book was released on 2018 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, neurocritical care has grown and matured as a subspecialty of Critical Care Medicine with the advent of new monitoring, diagnostic, and therapeutic capabilities. The goal of neurocritical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. Neurocritical Care provides 'at the bedside' guidance on the medical knowledge and technical skills required to care for critically ill patients with neurologic conditions such as cerebrovascular disorders, neurotrama, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general ICU or specialty Neuro ICU unit. Readers will gain an understanding of background knowledge and concrete solutions to questions and situations encountered in daily practice.

Procedures and Protocols in the Neurocritical Care Unit

Author : Niraj Arora
Publisher : Springer Nature
ISBN 13 : 3030902250
Total Pages : 713 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis Procedures and Protocols in the Neurocritical Care Unit by : Niraj Arora

Download or read book Procedures and Protocols in the Neurocritical Care Unit written by Niraj Arora and published by Springer Nature. This book was released on 2022-01-28 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical book covers neuro-critical care procedures performed in medical or surgical ICU and different procedures dedicated to acute neurological care. The book's format allows for quick decisions about care and protocols while treating neurologically injured patients. Divided into two sections, the first focuses on procedures. The outlines of these chapters include indication, technique, types of kits available, and challenges. The second section covers the protocols; these chapters feature flowcharts, drugs/device, doses of drugs, description of device, indication, evidence, and future prospects. This succinct guide will serve as a go-to reference for residents, fellows, intensivists, or any healthcare personnel within neuro-critical care unit.

Annual Update in Intensive Care and Emergency Medicine 2014

Author : Jean-Louis Vincent
Publisher : Springer Science & Business Media
ISBN 13 : 3319037463
Total Pages : 755 pages
Book Rating : 4.3/5 (19 download)

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Book Synopsis Annual Update in Intensive Care and Emergency Medicine 2014 by : Jean-Louis Vincent

Download or read book Annual Update in Intensive Care and Emergency Medicine 2014 written by Jean-Louis Vincent and published by Springer Science & Business Media. This book was released on 2014-02-06 with total page 755 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Yearbook compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

Translational Research in Traumatic Brain Injury

Author : Daniel Laskowitz
Publisher : CRC Press
ISBN 13 : 1498766579
Total Pages : 388 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Translational Research in Traumatic Brain Injury by : Daniel Laskowitz

Download or read book Translational Research in Traumatic Brain Injury written by Daniel Laskowitz and published by CRC Press. This book was released on 2016-04-21 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme

Neurotrauma and Critical Care of the Brain

Author : Jack Jallo
Publisher : Georg Thieme Verlag
ISBN 13 : 1626233403
Total Pages : 434 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Neurotrauma and Critical Care of the Brain by : Jack Jallo

Download or read book Neurotrauma and Critical Care of the Brain written by Jack Jallo and published by Georg Thieme Verlag. This book was released on 2018-05-23 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurotrauma and Critical Care of the Brain, 2nd edition by renowned neurosurgeons Jack Jallo and Christopher Loftus incorporates salient components of the highly praised first edition. The updated text reflects cutting-edge discussion on traumatic brain injury management in a neurocritical care setting. Contributions from top experts in neurosurgery, neurology, critical care, cardiac and pulmonary care, and trauma surgery provide a concise review of a complex and evolving field. The book lays a solid foundation with discussion of TBI classification, pathophysiology, key blood biomarkers, noninvasive neuromonitoring in severe TBI patients, multimodality monitoring in neurocritical care, and brain imaging modalities. From the prehospital setting to intensive care, top experts share clinical pearls and core guidelines on the management of mild, moderate, and severe TBI and complications. Chapters new to this edition include concomitant injuries, orbital/facial fractures, vascular injuries, spine fractures, autonomic dysfunction, and temperature management. Key Highlights Specialized topics include wartime penetrating injuries, cardiovascular complications of TBI, venous thromboembolism prophylaxis, ethical considerations, TBI costs in the U.S. and the financial return on helmets Management of pediatric brain injuries in the NICU with illustrative cases Nearly 200 high quality illustrations facilitate understanding of complex anatomy and techniques Summary tables provide a handy overview of injury type, causes, characteristics, and recommended imaging modalities This remarkable resource is essential reading for neurosurgeons, neurologists, trauma physicians, critical care and rehabilitation medicine specialists, and residents in these specialties. Paired with Neurotrauma and Critical Care of the Spine, 2nd edition, this dynamic duo is the most up-to-date neurocritical care reference available today.

Brain Disorders in Critical Illness

Author : Robert D. Stevens
Publisher : Cambridge University Press
ISBN 13 : 1107434424
Total Pages : 457 pages
Book Rating : 4.1/5 (74 download)

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Book Synopsis Brain Disorders in Critical Illness by : Robert D. Stevens

Download or read book Brain Disorders in Critical Illness written by Robert D. Stevens and published by Cambridge University Press. This book was released on 2013-09-19 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.

Oxford Textbook of Critical Care

Author : Webb
Publisher : Oxford University Press
ISBN 13 : 0198855435
Total Pages : 1961 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis Oxford Textbook of Critical Care by : Webb

Download or read book Oxford Textbook of Critical Care written by Webb and published by Oxford University Press. This book was released on 2020-01-10 with total page 1961 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

Monitoring in Neurocritical Care

Author : Peter D. Le Roux
Publisher : Saunders
ISBN 13 : 9781437701678
Total Pages : 0 pages
Book Rating : 4.7/5 (16 download)

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Book Synopsis Monitoring in Neurocritical Care by : Peter D. Le Roux

Download or read book Monitoring in Neurocritical Care written by Peter D. Le Roux and published by Saunders. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ideal for neurosurgeons, neurologists, neuroanesthesiologists, and intensivists, Monitoring in Neurocritical Care helps you use the latest technology to more successfully detect deteriorations in neurological status in the ICU. This neurosurgery reference offers in-depth coverage of state-of-the-art management strategies and techniques so you can effectively monitor your patients and ensure the best outcomes. Understand the scientific basis and rationale of particular monitoring techniques and how they can be used to assess neuro-ICU patients. Make optimal use of the most advanced technology, including transcranial Doppler sonography, transcranial color-coded sonography, measurements of jugular venous oxygen saturation, near-infrared spectroscopy, brain electrical monitoring techniques, and intracerebral microdialysis and techniques based on imaging. Apply multimodal monitoring for a more accurate view of brain function, and utilize the latest computer systems to integrate data at the bedside. Access practical information on basic principles, such as quality assurance, ethics, and ICU design. Seamlessly search the full text of Monitoring in Neurocritical Care online at www.expertconsult.com.

Oxford Textbook of Respiratory Critical Care

Author : Consultant Respiratory and Intensive Care Physician Professor of Practice Suveer Singh
Publisher : Oxford University Press
ISBN 13 : 0198766432
Total Pages : 593 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Oxford Textbook of Respiratory Critical Care by : Consultant Respiratory and Intensive Care Physician Professor of Practice Suveer Singh

Download or read book Oxford Textbook of Respiratory Critical Care written by Consultant Respiratory and Intensive Care Physician Professor of Practice Suveer Singh and published by Oxford University Press. This book was released on 2024-01-13 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respiratory critical care is essential to modern critical care medicine. To successfully support critically ill patients, an understanding of specific lung conditions and syndromes, their pathophysiological basis, and evidence-based management strategies is of vital importance. The Oxford Textbook of Respiratory Critical Care provides an authoritative account of respiratory critical care medicine with a clear focus on how to manage respiratory disease in the critically ill. The fundamentals of pathophysiology, diagnosis, and treatment, for respiratory diseases and conditions are outlined with a specific focus on management in the critical care setting. Across 66 chapters, common and unusual respiratory conditions are included as well as those aspects of pulmonary disease in which the management in critical illness is unique. The text equips the reader with up-to-date knowledge of clinical practice for the respiratory system, lung diseases within critical care medicine and the impact of critical illness on lung biology. Each chapter highlights advances in the field as well as emphasising the importance of getting the basics right. Key messages, controversies, and directions to further research points allow both focused reading and deeper engagement. A dedicated chapter to COVID-19, and sections throughout explore the impact of this novel virus in specific areas of respiratory critical care. Edited and written by an international group of recognized experts from many disciplines, this essential textbook is relevant to medics globally. This is an indispensable guide for clinicians, researchers and nurses working in Critical Care, Anaesthesia, Respiratory Medicine, Acute Medicine, and Emergency Medicine.

Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309486890
Total Pages : 211 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-05-20 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.

Continuous Renal Replacement Therapy

Author : John A. Kellum
Publisher : Oxford University Press
ISBN 13 : 019022553X
Total Pages : 329 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Continuous Renal Replacement Therapy by : John A. Kellum

Download or read book Continuous Renal Replacement Therapy written by John A. Kellum and published by Oxford University Press. This book was released on 2016 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance for the management of critically ill patients with acute renal failure, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice.

Textbook of Critical Care E-Book

Author : Jean-Louis Vincent
Publisher : Elsevier Health Sciences
ISBN 13 : 0323759300
Total Pages : 2078 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Textbook of Critical Care E-Book by : Jean-Louis Vincent

Download or read book Textbook of Critical Care E-Book written by Jean-Louis Vincent and published by Elsevier Health Sciences. This book was released on 2022-12-21 with total page 2078 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridging the gap between medical and surgical specialties in critical care, Textbook of Critical Care, 8th Edition, offers a practical, multidisciplinary approach to the effective management of adult and pediatric patients in the ICU. An outstanding editorial team, led by world-renowned intensivist Dr. Jean-Louis Vincent, assisted by Dr. Frederick A. Moore and new editors Drs. Rinaldo Bellomo and John J. Marini, provides the evidence-based guidance you need to overcome a full range of practice challenges. A full-color art program, relevant basic science and key summary points in every chapter, and expert contributing authors from all over the world make this an indispensable resource for every member of the critical care team. Provides a concise, readable understanding of the pathophysiology of critical illness and new therapeutic approaches to critical care. Addresses both medical and surgical aspects in critical care for adult and pediatric patients in one comprehensive, easy-to-use reference. Shares the knowledge and expertise of the most recognized and trusted leaders in the field, with more international contributing authors than in previous editions. Covers new information on procedural and diagnostic ultrasound, prone positioning, ECMO, and VADs. Discusses key topics such as organ support, telemedicine, echocardiography, antibiotic stewardship, antiviral agents, coagulation and anti-coagulation, and more. Features a wealth of tables, boxes, algorithms, diagnostic images, and key points that clarify important concepts and streamline complex information for quick reference. Includes companion videos and exclusive chapters online that cover commonly performed procedures. Takes a multidisciplinary approach to critical care, with contributions from experts in anesthesia, surgery, pulmonary medicine, and pediatrics.

Post-Intensive Care Syndrome

Author : Jean-Charles Preiser
Publisher : Springer Nature
ISBN 13 : 3030242501
Total Pages : 377 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Post-Intensive Care Syndrome by : Jean-Charles Preiser

Download or read book Post-Intensive Care Syndrome written by Jean-Charles Preiser and published by Springer Nature. This book was released on 2019-08-31 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, part of the European Society of Intensive Care Medicine textbook series, provides detailed up-to-date information on the physical, cognitive, and psychological impairments that are frequently present following a stay in an intensive care unit and examines in depth the available preventive and therapeutic strategies, including adapted rehabilitation programs. Beyond acquainting readers with the multiple facets of post-intensive care syndrome (PICS), the book aims to promote the effective follow-up of patients, thereby enhancing their ability to work and their functional autonomy, and to identify risk factors for the development of PICS as a stimulus to beneficial organizational changes in intensive care departments. The background to the book is the realization by healthcare providers that the quality of life of patients who have required a stay in an intensive care unit can be severely impaired or even become unacceptable. All too often, the diverse sequelae are overlooked by specialists of other disciplines. Moreover, families and caregivers are also at high risk of post-traumatic stress disorder and depression. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care. This book, written by renowned experts in the field, will facilitate the transmission of key knowledge with significant clinical and financial benefits.

The Comatose Patient

Author : Eelco F.M. Wijdicks
Publisher : Oxford University Press
ISBN 13 : 0199331235
Total Pages : 809 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis The Comatose Patient by : Eelco F.M. Wijdicks

Download or read book The Comatose Patient written by Eelco F.M. Wijdicks and published by Oxford University Press. This book was released on 2014-04-28 with total page 809 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. In addition, video clips on neurologic examination and neurologic manifestations seen in comatose patients can be found here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the first edition have been reformatted and remastered for optimal use, and several more video clips of patients have also been included.