Treaty on Neurointensivism and Advanced Neuromonitoring | Advanced Medical Library

Intensive Medicine · Clinical Specialties

How it begins

Un compendio exhaustivo y riguroso sobre el manejo del paciente neurocrítico. Desde los mecanismos intrínsecos de autorregulación del flujo sanguíneo cerebral y la dinámica de Monro-Kellie, hasta las fronteras del monitoreo metabólico por microdiálisis, el estado epiléptico refractario, el control de temperatura post-paro, las terapias dirigidas en el trauma craneal grave y la fisiopatología sistémica de la muerte…

What it covers

1. Neurointensivism and Neurological Support
2. Applied Brain Physiology and Regulation of Cerebral Blood Flow (CBF)
3. · 1.1 · Flow-Metabolism Coupling and Oxygen Consumption
4. · 1.2 · Cerebral Autoregulation: Curves, Limits and Transducer Mechanisms
5. · 1.3 · The Blood-Brain Barrier (BBB): Ultrastructure and Transport Dynamics
6. Pathophysiology of Intracranial Hypertension (ICH)
7. · 2.1 · Extended Monro-Kellie Dynamics and Compliance Curve
8. · 2.2 · Types of Cerebral Edema: Vasogenic, Cytotoxic, Interstitial and Osmotic
9. · 2.3 · Cerebral Herniation Syndromes and Tissue Displacement Dynamics
10. Monitoring of Intracranial Pressure (ICP) and Cerebral Perfusion Pressure (CPP)
11. · 3.1 · Registration Methods: Intraventricular Catheter vs. Intraparenchymal Sensors
12. · 3.2 · ICP Wave Analysis: Components and Meaning
13. · 3.3 · Pathological Lundberg Waves (A, B and C)
14. · 3.4 · Optimal Cerebral Perfusion Pressure (PPCopt) and the Concept of Dynamic Autoregulation
15. Advanced Neurophysiological and Metabolic Monitoring
16. · 4.1 · Oxygen Saturation in the Jugular Bulb (SjvO₂)
17. · 4.2 · Tissue Oxygen Pressure (PtiO₂)
18. · 4.3 · Markers of Brain Microdialysis
19. · 4.4 · Continuous Electroencephalogram (cEEG) in the ICU
20. · 4.5 · Transcranial Doppler (TCD) and its Hemodynamic Indices
21. Severe Traumatic Brain Injury (gTBI) and BTF Guidelines
22. · 5.1 · Pathophysiology: Primary Damage vs. Secondary Damage
23. · 5.2 · Brain Trauma Foundation (BTF) Guidelines - 4th Edition
24. · 5.3 · Intracranial Hypertension Treatment Algorithm
25. Acute Ischemic Cerebrovascular Attack (CVA)
26. · 6.1 · Pathophysiology of the Core of Ischemic Infarction
27. · 6.2 · Reperfusion Therapy: Systemic Thrombolysis and Mechanical Thrombectomy
28. · 6.3 · Blood Pressure Management in Acute Ischemic Stroke
29. · 6.4 · Malignant Cerebral Infarction of the MCA and Decompressive Craniectomy
30. Aneurysmal Subarachnoid Hemorrhage (aSAH)
31. · 7.1 · Clinical and Imaging Stratification (Hunt-Hess and Modified Fisher)
32. · 7.2 · Definitive Exclusion of Aneurysm: Surgical Clipping vs. Endovascular Coiling
33. · 7.3 · Critical Complications and Their Pathophysiological Management
34. Spontaneous Intracerebral Hemorrhage (ICH)
35. · 8.1 · Pathophysiology: Hematoma Expansion and Perihematomal Edema (PHE)
36. · 8.2 · Blood Pressure Control: INTERACT2 and ATACH-II Trials
37. · 8.3 · Immediate Reversal of Specific Coagulopathies
38. · 8.4 · Surgery in ICH: STICH, STICH II and MISTIE III trials
39. Convulsive and Nonconvulsive Status Epilepticus (SE)
40. · 9.1 · Pathophysiology of GABA-A Receptor Refractoriness
41. · 9.2 · Stepped Pharmacological Treatment Protocol in the ICU
42. · 9.3 · Super-Refractory Status Epilepticus (SESR)
43. Anoxic and Hypoxic Encephalopathy Post-Cardiac Arrest
44. · 10.1 · Pathophysiology of Global Ischemia and Reperfusion Cascade
45. · 10.2 · Target Temperature Management (TTM)
46. · 10.3 · Multimodal Neuroprognostic Algorithm
47. Serious Central Nervous System Infections in the ICU
48. · 11.1 · Pharmacokinetic Barriers of the Inflamed BBB
49. · 11.2 · Etiology and Empirical Antibiotic Schemes in the UCIQ
50. Neuromuscular Crises in the ICU, Dysautonomia and Acquired Weakness
51. · 12.1 · Intubation and Mechanical Ventilation Criteria: The "20-30-40" Rule
52. · 12.2 · Autonomic Storm / Cerebral Sympathetic Paroxysm
53. · 12.3 · Acquired Weakness in the Intensive Care Unit (ICUAW)
54. Brain Death and Management of Solid Organ Donors
55. · 13.1 · Clinical Criteria for Diagnosis and Apnea Testing
56. · 13.2 · Confirmatory Instrumental Tests
57. · 13.3 · Systemic Pathophysiology of Brain Death
58. Non-Invasive Neuromonitoring Based on Ultrasonography
59. · 14.1 · Ultrasound Measurement of the DVNO: Technique and Clinical Thresholds
60. Systemic Complications of the Neurocritical Patient
61. · 15.1 · Pathophysiology of Neurogenic Pulmonary Edema (NPE)
62. · 15.2 · Pathophysiology of Sodium Disorders: CSWS vs. SIADH
63. Sedoanalgesia, Humanization and Ventilatory Weaning in the Neurocritical Patient
64. · 16.1 · Propofol, Dexmedetomidine and the Problem of Benzodiazepine Use
65. · 16.2 · Ventilatory Weaning Algorithm in the Patient with Compromised Airway Reflexes
66. · 16.3 · Key Principles in the Clinical Practice of Neurointensivism