TAILIEUCHUNG - Ebook Neurocritical care - A guide to practical management: Part 2

(BQ) Part 2 book "Neurocritical care - A guide to practical management" presentation of content: Seizures on the adult intensive care unit, acute weakness in intensive care, coma, confusion, and agitation in intensive care, imaging the brain injured patient, ethical dilemmas within intensive care,. | 8 Seizures on the Adult Intensive Care Unit Morgan Feely and Nicola Cooper Key Points 1. Seizures are commonly encountered in the ICU. They can be provoked by acute illness, medicines, or alcohol 2. The causes of seizures tend to differ in different age groups 3. Tonic-clonic status epilepticus carries a significant mortality 4. Early and effective treatment is essential 5. EEG can distinguish between tonic-clonic status and non-epileptic attack disorder (NEAD) and diagnose nonconvulsive status 6. Long-term treatment of epilepsy depends on the type of seizures and the characteristics of the patient – involve an expert Introduction Seizures are commonly encountered in the critical care setting, either as a primary event in epilepsy or as a symptom of acute illness, for example, brain injury. This chapter discusses the recognition and management of the different types of seizure disorders encountered in the intensive care unit (ICU), which are: · Status epilepticus · Seizures occurring as part of an acute illness or following neurosurgery · Incidental seizures in a patient with epilepsy · Non-epileptic attack disorder (NEAD) (“pseudostatus”) A brief overview of seizures is essential before discussing specific disorders. Viewed as a single condition, epilepsy is the most common serious neurological condition, affecting 1:130 people in the United Kingdom. Epilepsy refers to a tendency to have recurring, unprovoked seizures. Types of Seizure Seizures (as opposed to epilepsy) are far more common in the general population and can be provoked by prescribed medication, benzodiazepine or alcohol withdrawal, metabolic disturbances, and brain injury. Figure outlines the different types of common seizures that occur. When a physician sees a patient who has had a seizure, three questions must be considered: 1. Was this episode a seizure? As many as 25% of patients diagnosed as having epilepsy in the United Kingdom do not have the condition at all. Seizures are diagnosed

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• Neurocritical care
• The adult intensive care unit
• Acute weakness in intensive care
• Agitation in intensive care
• The brain injured patient
• Ethical dilemmas within intensive care
• The neuro ICU book
• Neurocritical care diseases
• Neurocritical care monitoring
• Neurocritical care intervention
• Perioperative surgical care
• Trauma and surgical intensive care
• The NeuroICU book
• Surgical intensive care
• Neuromuscular medicine
• Neurocritical care board review
• Demyelinating diseases
• Clinical syndromes
• Perioperative neurosurgical care
• Cerebral autoregulation
• Clinical utilization
• Multimodal monitoring
• Brain injury
• The critical role of primary management
• The injured brain
• The secondary management
• Traumatic brain injury
• Subarachnoid hemorrhage
• Cervical spine injuries
• Cerebral microdialysis
• Continuous EEG monitoring
• Cerebral oxygenation
• Brain tissue perfusion monitoring
• Mechanical ventilation
• Cardiovascular physiology
• Cardiovascular diseases
• Pulmonary physiology
• Fast facts
• Myasthenia gravis
• Isolated seizures
• Status epilepticus
• Organ donation
• The neurological examination
• Neurological examination
• Intracranial hypertension
• Ischemic stroke
• Hemorrhagic stroke
• Paediatric intensive care
• Specific specialties
• Cardiac disorders
• Postoperative care
• Respiratory disease
• Trauma and burns
• Textbook of neurointensive care
• Neurointensive care
• Quality improvement
• The neurologically injured patient
• The neurocritical care unit
• Intracranial pressure monitoring
• Nutrition in neuro
• Ebook Critical care in neurology
• Critical care in neurology
• Basic hemodynamic monitoring
• Neurocritical monitoring
• Near infrared spectroscopy
• Inhaled pulmonary vasodilators
• Decision support
• Respiratory care
• Nitric oxide
• Postoperative visual loss
• Critical care anesthesiology
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• Intracranial pressure
• Brain monitoring technology
• Neurocritical care informatics
• Comparing models
• Spontaneous variations
• Brain tissue oxygenation probes