Brain Hypothermia Treatment

ISBN-13: 9784431404460 / Angielski / Twarda / 2003 / 325 str.

Nariyuki Hayashi; Dalton W. Dietrich; N. Hayashi

Opis

Recent breakthroughs in understanding the effectiveness of brain hypothermia treatment have been brought about by rapid progress in experimental gene studies along with new findings in the areas of brain-injury mechanisms, brain thermo-pooling, hemoglobin dysfunction, insulin-resistant hyperglycemia, radical damage involving states of consciousness, management of lipid-dominant metabolism in the intensive care unit (ICU), and management of immune crises under conditions of hypothermia. This book explains the mechanism of brain hypothermia and presents advanced techniques for ICU management of brain hypothermia for critically brain-injured patients. Especially useful for bedside care in the ICU are the easy-reference care-management "cards" in the appendix of the book. Brain Hypothermia Treatment provides a valuable resource and practical guide for professionals in the fields of neurosurgery and emergency and critical care medicine.

Spis treści

Mechanism of brain damage and management of severe brain injury based on experimental animal study History of clinical trial of hypothermia to the severe brain injury New finding of secondary brain injury mechanism by hypothalamus-pituitary-adrenal axis neuro-hormonal activation in severe brain injured patient. Clinical issue of previous hypothermia management The difference of brain injury mechanism in experimental animal models and clinical patient The regulation mechanism of brain tissue temperature and brain thermo-pooling The target of treatment of severe brain injury in acute stage The new concept of brain hypothermia treatment The indication of brain hypothermia treatment Starting time of brain hypothermia The outline of brain hypothermia treatment. The unsuitable management and pitfall of brain hypothermia treatment How to take care the brain tissue temperature (BTT)? The technique of management of brain tissue temperature Bed making Designs of ICU for brain hypothermia treatment The prepare for management of brain hypothermia treatment Noninvasive monitor of brain damage The neuron-protection of injured brain tissue during surgery Prolonged anesthesia for brain hypothermia treatment in ICU The examination and monitor for the management of brain hypothermia Induction of brain hypothermia treatment Management at cooling stage The timing of rewarming Preconditioning at rewarming Management of rewarming Consideration for prevent of memory disturvances and vegetation Critical path of brain hypothermia treatment The brain hypothermia for after resuscitation of CPA Brain hypothermia to occlusive cerebral stroke Special consideration of brain hypothermia treatment for subarachnoid hemorrhage (SAH) Clinical results of brain hypothermia treatment Closing remark Appendix : Critical path of brain hypothermia treatment