Download or read book Brain Failure and Resuscitation written by Ake Grenvik and published by . This book was released on 1981 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Advances in Brain Resuscitation written by H. Takeshita and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: Brain resuscitation is the therapeutic intervention for critically ill patients with severe brain damage, particularly the types caused by ischemia and hypoxia. The The objective of the International Symposium on Brain Resuscitation held in Ube, Yamaguchi Japan October 31 to November 2 1988, and sponsored by Yamaguchi University and the Japanese Ministry of Education, was to review our recent progress in brain resuscitation and to discuss controversies both basic and clinical. To my knowledge, this symposium was the first held in Japan. Our understanding of neuronal dysfunction due to ischemic/hypoxic insults at organ, cellular, and molecular levels has advanced significantly in the last two decades. We had therefore intended that this international symposium should broadly cover the topics which are of interest to both basic researchers and clinicians. Three hundred and twenty-five attendants, including twenty scientists from eight different countries, actively participated in discussion and exchange of new ideas and thoughts concerning brain resuscitation. This book comprises the re ports presented during the symposium which consisted of two main parts: basic and clinical. Although one single meeting can never be expected to solve any problems, meetings often highlight areas of ignorance and problems which are ripe for solving. It has been hard to review all the papers because of the multi plicity of the discussed topics, but the overview on brain resuscitation by Profes sor Bo K. Siesjo and the summary by Professor J.
Download or read book Brain Injury and Cardiac Arrest written by Romergry K. Geocadin, M. D. and published by W B Saunders Company. This book was released on 2006 with total page 179 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent medical advances in the management of hypoxic-ischemia brain injury, such as therapeutic hypothermia after resuscitation from cardiac arrest, have made the role of the neurologist during the immediate and long-term care of survivors increasingly important. Article topics in this issue include: mechanisms of brain injury after global cerebral ischemia; pre-hospitalization and emergent care; brain injury and post-resuscitative intensive care; therapeutic hypothermia after cardiac arrest; brain injury from cardiac arrest in children; clinical neurophysiologic monitoring and brain injury; neuroimaging and serological markers and neurologic injury; approaches to acute and long-term clinical problems such as seizures, movement disorders, cognitive dysfunction, and behavioral disorders; neuroprotective strategies; and the withdrawal of care and medical futility.
Download or read book Pyruvate Intervention for Brain Injury Inflicted by Cardiac Arrest resuscitation written by Anh Q. Nguyen and published by . This book was released on 2016 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fewer than 10% of the 360,000 people who suffer out-of-hospital cardiac arrest annually in the U.S. survive to hospital discharge. Many suffer brain injuries that greatly affect their daily activities and quality of life. Despite improvements in clinical outcomes from cardiac arrest as a result of therapeutic hypothermia, survival rates are still dismal. Additional interventions to be used alone or in combination with therapeutic hypothermia could potentially save many lives. The intermediate metabolite pyruvate has been proven to be neuroprotective when given acutely. The goal of this investigation is to examine the neuroprotective capabilities and mechanisms of pyruvate in a large animal model of cardiac arrest, closed-chest cardiopulmonary resuscitation (CPR) and countershock induced defibrillation. The central hypothesis is that pyruvate therapy suppresses matrix metalloproteinase (MMP) activity and thereby preserves blood-brain barrier (BBB) integrity, increases expression and content of the cytoprotective cytokine erythropoietin (EPO), and dampens inflammation following cardiac arrest, and, thus, improves neurobehavioral recovery from cardiac arrest. Experiments were conducted in Yorkshire swine, subjected to cardiac arrest, closed-chest cardiocerebral resuscitation (CCR), defibrillation by trans-thoracic countershock, and recovery. The project was divided into two studies with different durations of cardiac arrest, producing different intensities of brain damage. In the first study, swine were subjected to 6 min of untreated cardiac arrest and 4 min of CCR, following by defibrillation and recovery of spontaneous circulation (ROSC). In the second study, untreated cardiac arrest was extended to 10 min before 4 min CCR. Animals were euthanized at 1, 4, and 72 h ROSC, and the brain was biopsied for histological and biochemical analyses. For animals in 72 h ROSC groups, neurological assessment and testing were performed at 24, 48, and 72 h ROSC. At 3 d ROSC, the number of viable cerebellar Purkinje cells fell by 30% vs. Sham control, but pyruvate infusion during CCR and the first 60 min ROSC preserved these neurons. EPO mRNA abundance was sharply increased at 4 h ROSC and in the non-arrest Sham, indicating the surgical protocol, hyperoxic ventilation and anesthesia induced neuroprotective EPO, which may have limited brain injury. There were no differences in neurological scores among Sham, CPR, and CPR+Pyruvate, prompting study of more prolonged cardiac arrest to intensify brain injury. At 4 h ROSC in 10 min untreated cardiac arrest group, cardiac arrest unexpectedly decreased hippocampal and cerebellar MMP-2 activities and cerebellar EPO content, regardless of treatment. 72 h survival rate fell from 100% in study one (6 min pretreatment arrest) to only 2 of 6 pigs in study two (10 min pretreatment arrest), which wide disparity in neurological function among the 2 survivors. Collectively, these results indicate the prolonging pre-intervention arrest from 6 to 10 min sharply intensified brain injury, depleted cytoprotective EPO, and inactivated oxyradical-sensitive enzymes. Pyruvate treatment did not exert favorable effects on these variables, indicating that pyruvate may have had limited ability to traverse the blood brain barrier and protect the brain parenchyma in this large animal model of cardiac arrest and CCR.
Download or read book Pediatric Critical Care Study Guide written by Steven E. Lucking and published by Springer Science & Business Media. This book was released on 2012-04-10 with total page 971 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first comprehensive study guide covering all aspects of pediatric critical care medicine. It fills a void that exists in learning resources currently available to pediatric critical care practitioners. The major textbooks are excellent references, but do not allow concise reading on specific topics and are not intended to act as both text and study guide. There are also several handbooks available, but these are usually written for general pediatric residents and lack the advanced physiology and pathophysiology required for the higher level pediatric critical care practitioner
Download or read book A Resuscitation Room Guide written by Ashis Banerjee and published by Oxford University Press, USA. This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to be a portable, accessible, and practical guide to the various conditions that present in the resuscitation room this title covers their recognition, assessment and management and the equipment and investigative procedures used.
Download or read book Cerebral Ischemia and Resuscitation written by Avital Schurr and published by CRC Press. This book was released on 1990-09-24 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: This fascinating monograph is filled with information formerly found only in periodicals and symposia proceedings. Chapters discuss the different models of cerebral ischemia in use today, including their advantages and disadvantages. This one-of-a-kind resource also contains essential chapters on cellular mechanisms of ion and acid-base homeostases, and energy metabolism of the ischemic brain. It reviews the possible role of lipids, free fatty acids, and free radicals. Four chapters are devoted to neurotransmitters and neuroregulators in cerebral ischemia. This extraordinary work also covers aspects of protection against and resuscitation from cerebral ischemia. An extremely informative volume, this book is an absolute must for every student in the field of cerebral ischemia, as well as the clinician or scientist who is already involved with this worldwide problem.
Download or read book Brain Failure written by David Bihari and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book proves essential to understanding the problem of brain failure by emphasizing the various therapeutic approaches which have previously been somewhat neglected. The book summarizes the mechanisms involved in the pathogenesis of the various forms of brain failure, examining in detail structural and examining metabolic causes. Special consideration has been given to patients with severe head trauma, stroke, subarachnoid haemorrhage and to a variety of metabolic causes of coma. The relationship between cerebral blood flow and cerebral metabolic rate is explored, providing important conclusions with regard to therapy. New techniques of monitoring brain failure are described and their clinical usefulness defined, providing intensive care physicians, anaesthesiologists and neurologists a solid basis on which to build their knowledge of the brain-failure patient.
Download or read book Monitoring of Cerebral Blood Flow and Metabolism in Intensive Care written by Andreas Unterberg and published by Springer. This book was released on 2012-02-28 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until recently, monitoring of cerebral blood flow and metabolism was an unattained goal. Determination of cerebral blood flow was limited to intermittent measurements and particularly difficult to perform in critically ill patients. Meanwhile there are techniques available, however, to monitor cerebral blood flow and cerebral oxygenation, both globally and regionally. Therefore we thought it worthwhile to discuss these new continuous techniques and to compare them with well-known techniques which discontinuously measure CBF. For that purpose, an international workshop with some leading experts in the field was held in October 1992 in Berlin. The workshop consisted of about 20 lectures, either reviews on a special topic, or latest results. These contributions were given by invitation and were extensively discussed. Unfortunately it is impossible to reproduce the discussions. On the other hand, all speakers delivered a manuscript promptly after the meeting so that we were able to edit them within a short time. Since monitoring of cerebral blood flow in intensive care is a rapidly growing and changing topic, the written contributions should be quickly available. Authors, editors and publishers have tried to come close to this ideal. As editors we would like to thank the authors and the publishers who enabled us to come out with this volume of the proceedings as early as possible.
Download or read book Damage Control Resuscitation written by Philip C. Spinella and published by Springer. This book was released on 2019-08-12 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings. The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage. Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.
Download or read book Hypothermia for Acute Brain Damage written by N. Hayashi and published by Springer Science & Business Media. This book was released on 2004-09-28 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: The International Brain Hypothermia Symposium 2004, held in Tokyo, was a forum for many of the world’s leading researchers and clinicians to present and discuss developments on the cutting edge of this most promising of neurological therapies. With a view to sharing this knowledge and encouraging the spread of new techniques, the editors have compiled these proceedings covering the latest technology and methods. Topics include brain thermo-pooling, hemoglobin-dysfunction-associated neuronal hypoxia, intensive care management of brain hypothermia for severely brain-injured patients, new findings not yet recorded in animal models, and control of hypothermia-associated immune crises. Also included are advanced clinical results from trauma, stroke, and cardiac arrest patients. The result is a volume that will be a valuable resource for professionals in the fields of emergency treatment, critical medicine, and neurosurgery.
Download or read book Cardiopulmonary Cerebral Resuscitation written by Peter Safar and published by W.B. Saunders Company. This book was released on 1988 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: An introduction to basic and advanced cardiac and trauma life support. This text embodies the principles and practices advocated by the World Federation of Societies of Anaesthesiologists' Committee on Cardiopulmonary Cerebral Resusitation and Critical Care and incorporates American Heart Association Conference guidelines on CPR and emergency care. Includes complete coverage of resuscitation medicine--basic, advanced and prolonged cardiac and traumatic life support. Approved by the WFSA.
Download or read book Therapeutic Hypothermia in Brain Injury written by Farid Sadaka and published by BoD – Books on Demand. This book was released on 2013-01-30 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the evidence behind the application of Therapeutic Hypothermia on patients with injury to the brain and spinal cord, that includes ischemia reperfusion after cardiac arrest or asphyxiation, traumatic brain injury, acute ischemic stroke, hemorrhagic stroke, refractory intracranial hypertension, cerebral edema in acute liver failure, subarachnoid hemorrhage, as well as spinal cord injury. This book discusses the mechanisms by which therapeutic hypothermia can mitigate the pathophysiologies responsible for secondary brain injury, and provides information to help guide this treatment with regard to timing, depth, duration, and management of side-effects. The book also discusses the methods and technologies used to induce and maintain therapeutic hypothermia. It also describes how hypothermia can influence the ability to prognosticate these injured patients and provides grounds for future directions in the application of and research with therapeutic hypothermia.
Download or read book Neurohospitalist Medicine written by S. Andrew Josephson and published by Cambridge University Press. This book was released on 2011-09-29 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past decade, the hospitalist model has become a dominant system for the delivery of inpatient care. Forces such as national mandates to improve safety and quality, and intense pressure to safely reduce length of hospital stays, are now exerting pressure on neurologists. To meet these challenges, a new neurohospitalist model is emerging. This is the first authoritative text to detail the advances and strategies for treating neurologic disease in a hospital setting. It includes chapters on specific acute neurologic diseases including stroke, epilepsy, neuromuscular disease and traumatic brain injury and also addresses common reasons for neurologic consultation in the hospital including encephalopathy, electrolyte disturbances and neurologic complications of pregnancy. Ethical and structural issues commonly encountered in neurologic inpatients are also addressed. This will be a key resource for any clinician or trainee caring for neurologic patients in the hospital including practising neurologists, internists and trainees across multiple subspecialities.
Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-29 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Download or read book Mechanisms of Secondary Brain Damage written by Alexander Baethmann and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: Great progress has been made in the understanding and prevention of secondary brain damage from acute cerebral disorders, such as trauma and ischemia. Advances may be concerned in particular with better organization and logistics of preclinical emergency care, including rapid arrival of well-trained medical staff on the scene of an accident and of transportation to a competent hospital. Nevertheless, it is a safe assumption that development of secondary brain damage from both intra- and extracranial causes still represents a major factor for the final outcome in severe head injury. Thus, exchanges of experiences and information between various disciplines involved with this important clinical problem - trauma still assumes the number one position as a cause of morbidity and mortality up to an age of 45 years - may provide a basis for in-depth analysis of remaining problems as well as of methods of their solution. This exactly is the purpose of the present publication on concepts and findings pertinent for the general subject of secondary brain damage from various experimental as well as clinical viewpoints. An internationally high-ranking group of experts has been contributing to this collection of reviews on cerebral trauma and ischemia and its adverse sequelae, including cerebral exploration by most modern technologies, such as NMR spectroscopy or PET scanning, among others.
Download or read book Brain Neurotrauma written by Firas H. Kobeissy and published by CRC Press. This book was released on 2015-02-25 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.
