Full Description
Fluid management is the basis of all clinical management in neurosurgical patients. This is a complete book on transfusion practice in clinical neurosciences. It covers in detail the fluids and blood transfusion practice, also discussing the role of total parenteral nutrition in relation to neurologic patients. The importance of fluid management clinically can be seen as on one hand it plays a significant role in maintaining the hydration of the patient and on the other provides sufficient relaxation to the brain to facilitate surgery. The use of hyperosmolar therapy is unique to the practice of clinical neurosciences. Certain fluid types such as those containing glucose are detrimental to the brain. Likewise, large fluid shifts and blood loss are often observed during neurosurgical procedures. It is relevant to understand the physiology of blood and blood transfusion. This book covers all of these topics in their true relevance. It also provides an evidence-based practice offluid administration for all neurologic patients including, pediatric and geriatric. The proposed book will be useful for trainees and clinicians in any field of clinical neurosciences. It would be very useful for residents and fellows pursuing their courses in neuroanesthesia, neurocritical care, neurosurgery, emergency medicine, anesthesia, and critical care. Fellows, Resident doctors, postgraduates, and even undergraduates would be benefited from this book. The book would be a ready-reckoner and useful during the clinical practice of physicians from varied specialties.
Contents
Part 1 Fluids: Basic consideration.- 1 Body and brain fluid and volume kinetics.- 2 Basics of perioperative fluid requirements in neurosurgical patients.- Part 2 Fluids: Types of fluids.- 3 Crystalloids.- 4 Colloids.- 5 Hyperosmolar fluids.- 6 Balanced fluids.- Part 3 Fluids: Monitoring fluids.- 7 Invasive versus non-invasive haemodynamic monitoring.- 8 Goal-Directed Fluid Therapy.- Part 4 Fluids: Special considerations.- 9 Perioperative Fluid Management for the Neurocritically Ill Patient.- 10 Fluid Management in Pediatric Neurosurgery.- 11 Fluid management in geriatric neurosurgery.- 12 Fluid management in pituitary surgery.- 13 Fluid management in aneurysmal Subarachnoid hemorrhage.- 14 Fluid Management in Traumatic Brain Injury.- 15 Fluid management in spine surgery.- 16 Fluid management in neurosurgical patients with coexisting cardiac diseases.- 17 Fluid management in neurosurgical patients with coexisting pulmonary problems.- 18 Fluid Management In Neurosurgical Patients With Coexisting Renal Problems.- 19 Fluid management in neurointensive care.- 20 Fluid management in sepsis.- Part 5 Fluids: Complications.- 21 Acid-base imbalance.- 22 Coagulation abnormalities.- 23 Adverse effects of fluid administration.- Part 6 Blood and blood products: Basic consideration.- 24 Composition of Blood.- 25 The Coagulation Cascade.- Part 7 Blood and blood products: Blood and components.- 26 Whole blood and Packed RBCs.- 27 Fresh Frozen Plasma.- 28 Platelet rich concentrates.- 29 Cryoprecipitate.- 30 Clotting factor concentrates.- 31 The Use of Activated Recombinant Factor VII in Neurosurgery.- Part 8 Blood and blood products: Anticoagulants.- 32 Anticoagulants in Use.- 33 Other Antithrombotics: Antiplatelets and Fibrinolytics.- 34 Antithrombotic reversal agents.- Part 9 Blood and blood products: General considerations.- 35 Perioperative assessment of hemorrhagic risk.- 36 Blood Salvage Techniques.- 37 Blood loss estimation techniques.- 38 Monitoring Anticoagulation.- 39 Adjunct therapies to minimize blood loss.- Part 10 Blood and blood products: Special considerations.- 40 Management of Patients on Anticoagulants and Antiplatelets in Neurosurgery.- 41 Massive blood loss in neurosurgery.- 42 Blood Transfusion in Patients with Acute Traumatic Brain Injury.- 43 Transfusion Practice in a Jehovah Witness.- 44 Transfusion practice in patients with hereditary and acquired coagulation disorders.- 45 Blood Transfusion practices in Sepsis.- Part 11 Blood and blood products: Complications.- 46 Neurological complications of the anticoagulation.- 47 Complications related to blood products.- Part 12 Total parenteral nutrition.- 48 Basics of Total Parenteral Nutrition.- 49 Monitoring and complications of total parenteral nutrition.- 50 Special neurologic patient population and TPN.
