Summary of Readings in Neurosurgery: Brain

Summary of Readings in Neurosurgery: BrainSummary of Readings in Neurosurgery: Brain


Product Description

If you are looking for a straightforward and readable summary of neurosurgical cases, this book is the best for you. This book can provide you with convenient means of reference especially for medical practitioners, and can be a good guide for everyone that has interest in the neurosurgery field.

Summary of Readings in Neurosurgery: Brain is the book for readers who needs to know about neurosugery for brain. It is presented in clear, subject by subject briefings with examples and pictures to illustrate the application of the neurosurgery and to help readers understand various topics and cases related to neurosurgery and brain which have been discussed based on the researches and current practices up to 2011. This book is written by experienced authors in the Malaysian neuroscience field in a short form, to ease and give a relaxing reading experience to all readers. Therefore, we hope that all readers will very much enjoy this work as well as find it immensely educative.

Product Details

  • Released on: 2014-11-26
  • Format: Kindle eBook

Top read article: External Ventricular Drain Placement in the Intensive Care Unit versus Operating Room: Evaluation of Complications and Accuracy

External ventricular catheter placement is a common neurosurgical procedure performed in both the intensive care unit (ICU) and operating room(OR). The optimal setting for EVD placement in regards to safety and accuracy of placement is poorly defined.

Patients who underwent ventriculostomy placement in the ICU differed in important ways (i.e. indication for placement and the administration of pre-procedure prophylactic antibiotics) from patients treated in the OR. However, the available data suggests that complications of hemorrhage, infection, and non-functional drains may be mitigated by ventriculostomy placement in the OR 1).

Moderate elevations in international normalized ratio should not lead to delays in neurosurgical intervention in patients with traumatic brain injury

Intracranial procedures are often deferred until an international normalized ratio (INR) of less than 1.4 is achieved. There is no evidence that a moderately elevated INR is associated with increased risk of bleeding in neurosurgical intervention (NI). Thromboelastography (TEG) provides a functional assessment of clotting and has been shown to better predict clinically relevant coagulopathy compared with INR.

Traumatic brain injury (TBI) patients with an admission INR of greater than 1.4 had a longer time to NI. The use of plasma transfusion to decrease the INR may have contributed to this delay. A moderately elevated INR was not associated with coagulopathy based on TEG. Routine plasma transfusion to correct a moderately elevated INR before NI should be reexamined

Rowell SE, Barbosa RR, Lennox TC, Fair KA, Rao AJ, Underwood SJ, Schreiber MA. Moderate elevations in international normalized ratio should not lead to delays in neurosurgical intervention in patients with traumatic brain injury. J Trauma Acute Care Surg. 2014 Dec;77(6):846-851. PubMed PMID: 25423533.