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Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care

  • 1st Edition - November 17, 2021
  • Latest edition
  • Editor: Hemanshu Prabhakar
  • Language: English

The current practice of medicine is largely moving toward applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using sy… Read more

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Description

The current practice of medicine is largely moving toward 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. 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; 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 that exist in the practice of neuroanesthesia 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 or inhalational anesthetics; and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neuroscience, and this book will help residents and trainees gain knowledge to apply it to their practice.

Endorsements/Reviews:

"Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties." -- Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC)

Key features

  • Highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions
  • Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring
  • Provides residents and trainees with the knowledge to apply evidence-based practice of neuroanesthesia to their practice

Readership

Trainees, clinicians, and clinical researchers in the fields of neuroanasthesia, neurocritical care, neurosurgery and neurology

Table of contents

Section A - Introduction

1. Introduction to evidence-based practice

Section B - Neurophysiology

2. ICP or CPP thresholds

3. Role of hypothermia

4. Mechanical ventilation—PEEP

Section C - Neuropharmacology

5. Intravenous or inhalational anesthetics?

6. Hyperosmolar therapy

7. Role of nitrous oxide

8. Antimicrobial prophylaxis

9. Role of antiepileptics

10. Treatment of hypertension

11. Role of statins for neuroprotection

12. Role of stem cell therapy in neurosciences

Section D - Neuromonitoring

13. ICP monitoring

14. Type of ICP monitor

15. Newer brain monitoring techniques

16. Intraoperative neuromonitoring

Section E - Neuromonitoring

17. Blood transfusion triggers

18. Reversal of anticoagulation in neurosurgical and neurocritical care settings

19. Role of decompressive craniectomy

20. Strategies for brain protection

21. Anesthesia for carotid endarterectomy

22. Anesthesia for acute stroke

23. Anesthesia for spine surgery

Section F - Neurointensive care

24. Choice of sedation in ICU

25. DVT prophylaxis

26. Role of steroids

27. Initiation of nutrition

28. Glycemic control

29. Anesthetics for status epilepticus

Section G - Ethical issues

30. Diagnosing brain death

Section H - Recent advances

31. Simulations in clinical neurosciences

Section I - Webliography

32. Webliography

Review quotes

"This book is a great addition to the clinical decision making in neuroanesthesiology and neurocritical care, as evidence-based practice continues to reveal its importance in clinical scenarios. This book provides up-to-date evidence in a concise manner, with the help of comparison charts, algorithms, and consensus guidelines, which otherwise would require large amounts of time to cover in the vast literature. This book is unique as it is geared toward answering specific, hard clinical management questions with the most up-to-date evidence for the question or controversy at hand. In a few specific chapters, it is unable to give a strong consensus recommendation due to the lack of evidence currently available, but still presents sources of evidence for clinicians to individualize care for their patients. It does not provide textbook-type chapters that cover the whole management of a specific pathology, which makes it a great resource for advanced residents or practicing clinicians as it does require some basic knowledge to maximize its value. The book Problem Based Learning Discussions in Neuroanesthesia and Neurocritical Care, Prabhakar et al. (Springer, 2020), which shares multiple authors with this book including the editor, might be a more comprehensive and excellent addition to this book."—© Doody’s Review Service, 2021, Andres R Brenes Bastos, MD, reviewer, expert opinion

"Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties."—Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC)

Product details

  • Edition: 1
  • Latest edition
  • Published: November 17, 2021
  • Language: English

About the editor

HP

Hemanshu Prabhakar

Dr. Hemanshu Prabhakar is a Professor at the Department of Neuroanaesthesiology and Critical Care at the All India Institute of Medical Sciences (AIIMS), New Delhi, India. He is a recipient of the AIIMS Excellence Award 2012 for his notable contribution to academia. He has a special interest in the evidence-based practice of neuroanesthesia and ERAS. Dr. Prabhakar is a Member of various national and international neuroanesthesia societies and is the Past Secretary of the Indian Society of Neuroanesthesia and Critical Care (ISNACC) and the Society of Neurocritical Care (SNCC). He is also the Immediate Past President of the SNCC. To date, he has published more than 25 books on neuroanesthesia and neurocritical care. He is featured in the Limca Book of Records as a prolific Writer in the field of neuroanesthesiology. He actively collaborates on research activities among the low-income and middle-income countries.

Affiliations and expertise
Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, AIIMS, New Delhi, India

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