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Evidence-Based Neurosurgery: An Introduction will teach the practitioner to employ evidence-based approaches to common problems in neurosurgery. The book begins with a review of the concepts and techniques involved in the practice of evidence-based medicine, including the basics of critical analysis using methodologically rigorous evidence-synthesis techniques. The second part of the text provides useful examples of the use of this critical analysis for common clinical situations, such as stent placement, managing infection, metastases, craniocerebral trauma, cervical spine trauma, and more. This book covers all phases of clinical practice, from patient assessment, to diagnosis, to prognosis, and treatment, helping you address such questions as: How do you reliably determine the characteristics of the individual patient's condition? What is the likely course of the disease? How do you determine what interventions are likely to have a positive impact? Does the intervention work under certain specified circumstances? Evidence-Based Neurosurgery is an invitation to apply the rigorous methods of evidence-based medicine to improve your practice of neurosurgery.
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.
Volume 51 of Clinical Neurosurgery is the official compendium of the platform presentations at the 53rd Annual Meeting of the Congress of Neurological Surgeons held in October, 2003.
Every time surgeons operate, they're betting their skills are better than the brain tumor, the faulty heart valve, the fractured femur. Sometimes, they're wrong. At Chelsea General, surgeons answer for bad outcomes at the Morbidity and Mortality conference, known as M & M. This extraordinary peek behind the curtain into what is considered the most secretive meeting in all of medicine is the back drop for the entire book. Monday Mornings, by Dr. Sanjay Gupta, follows the lives of five surgeons at Chelsea General as they push the limits of their abilities and confront their personal and professional failings, often in front of their peers at M & M. It is on Monday mornings that reflection and introspection occurs, usually in private. It is Monday Mornings that provides a unique look at the real method in which surgeons learn - through their mistakes. It is Monday Mornings when, if you're lucky, you have a chance at redemption.
Cerebral hemorrhage is a common and often fatal subtype of stroke. while in the past it has received relatively little attention compared to ischemic stroke, there have been major advances in our understanding of this devastating form of stroke. The papers by world experts cover the field from molecular biology to clinical trials.
More than 60 papers written by internationally recognized experts cover the broad spectrum of brain edema. The main topics treated are: ischemia & hemorrhage, trauma (experimental and clinical), cerebral hemorrhage, tumor, hydrocephlaus & intracranial pressure (ICP), neuromonitoring & neuroimaging, treatments, blood brain barrier, and miscellaneous.