Neurological and Neurosurgical Intensive Care, 4th Edition Authors: Allan H. Ropper, MD; Daryl R. Gress, MD; Michael N. Diringer, MD; Deborah M. Green, MD; Stephan A. Mayer, MD; Thomas P. Bleck, MD Bibliographic Data: Lippincott Williams & Wilkins, 2004. ISBN: 0-7817-3196-8, 391 pp, hard cover, $125.00.
Reviewer's Expert Opinion:
This is the 4th edition of a multiauthor textbook of critical care for the patient with acute neurological conditions.
An overview is provided on clinical management strategies for acute neurologic conditions including new therapies and insights derived from recent clinical trials.
Neurosurgeons, neurologists, and intensivists providing care for the medical and surgical neurologic patient are an appropriate audience for this work. Editors and authors represent leading centers for neurological and neurosurgical critical care in the United States.
The book begins with a review of general principles of critical care for the patient with neurologic conditions. Among topics discussed are pulmonary and cardiovascular management, fluid derangements, brain death, infection and electrophysiologic monitoring. A second group of chapters describe more specific problems including head injury, stroke, subarachnoid hemorrhage, Guillain-Barré Syndrome, status epilepticus and spinal cord injury. Chapters are clearly written and tables and line drawings are used well. Photographs, however, are of inconsistent quality. Each chapter contains a reference list of primary sources that date to within three years of publication. A brief table of contents lists only chapters by title while the index of approximately 15 pages includes separate citations for figures and tables.
This is a valuable update in an important area. I particularly enjoyed the discussion of head trauma, recognizing that neurologic dysfunction is the most important determinant of outcome following various forms of injury. This edition comes almost a decade after the previous edition of this work. It is long overdue.