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)
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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
Authors
Hemanshu Prabhakar Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, AIIMS, New Delhi, India.Dr. Hemanshu Prabhakar, MD, PhD, FSNCC, 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 and has published over 350 papers in peer-reviewed national and international journals. Dr. Prabhakar is a Reviewer for various national and international journals and is also a Review Author for the Cochrane Collaboration. 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.
