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Chapter 24 - Postoperative Management in the Neurocritical Care Unit

Published online by Cambridge University Press:  24 July 2019

By
Ryan A. Grant ,
Andy J. Redmond  and
Veronica L. Chiang
Edited by
Michel T. Torbey
Michel T. Torbey
Affiliation:
Ohio State University
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Summary

Advances in neurosurgery and anesthesia have dramatically reduced intraoperative morbidity and mortality rates over the past several years. A significant part of the care of the neurosurgical patient, however, occurs postoperatively in the neuro-intensive care unit (NICU). The goal of care in a monitored environment during this time is to prevent and treat, in a timely fashion, potential early and often fatal complications of both surgery and anesthesia. This requires a team of highly trained specialists that include neurosurgeons, anesthesiologists, neurointensivists, consultants, nurses, and key roles played by family members. In this chapter we will discuss general concepts that pertain to the neurosurgical patient, as well as particular postoperative intensive care unit (ICU) guidelines for subarachnoid hemorrhage, carotid endarterectomy, craniotomy for tumor, craniotomy for arteriovenous malformation (AVM), epilepsy surgery, and deep brain stimulation.

Type
Chapter
Information
Neurocritical Care , pp. 299 - 313
Publisher: Cambridge University Press
Print publication year: 2019

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