Fluid management is the basis of all clinical management in neurosurgical patients. This is a complete book on transfusion practice in clinical neurosciences. It covers in detail the fluids and blood transfusion practice, also discussing the role of total parenteral nutrition in relation to neurologic patients. The importance of fluid management clinically can be seen as on one hand it plays a significant role in maintaining the hydration of the patient and on the other provides sufficient relaxation to the brain to facilitate surgery. The use of hyperosmolar therapy is unique to the practice of clinical neurosciences. Certain fluid types such as those containing glucose are detrimental to the brain. Likewise, large fluid shifts and blood loss are often observed during neurosurgical procedures. It is relevant to understand the physiology of blood and blood transfusion. This book covers all of these topics in their true relevance. It also provides an evidence-based practice of fluid administration for all neurologic patients including, pediatric and geriatric. The proposed book will be useful for trainees and clinicians in any field of clinical neurosciences. It would be very useful for residents and fellows pursuing their courses in neuroanesthesia, neurocritical care, neurosurgery, emergency medicine, anesthesia, and critical care. Fellows, Resident doctors, postgraduates, and even undergraduates would be benefited from this book. The book would be a ready-reckoner and useful during the clinical practice of physicians from varied specialties.
Part 1 Fluids: Basic consideration
Chapter 1 Body and brain fluid and volume kinetics
Chapter 2 Basics of perioperative fluid requirements in neurosurgical patients
Part 2 Fluids: Types of fluids
Chapter 3 Crystalloids
Chapter 4 Colloids
Chapter 5 Hyperosmolar fluids
Chapter 6 Balanced fluids
Part 3 Fluids: Monitoring fluids
Chapter 7 Invasive versus non-invasive haemodynamic monitoring
Chapter 8 Goal-Directed Fluid Therapy
Part 4 Fluids: Special considerations
Chapter 9 Perioperative Fluid Management for the Neurocritically Ill Patient
Chapter 10 Fluid Management in Pediatric Neurosurgery
Chapter 11 Fluid management in geriatric neurosurgery
Chapter 12 Fluid management in pituitary surgery
Chapter 13 Fluid management in aneurysmal Subarachnoid hemorrhage
Chapter 14 Fluid Management in Traumatic Brain Injury
Chapter 15 Fluid management in spine surgery
Chapter 16 Fluid management in neurosurgical patients with coexisting cardiac diseases
Chapter 17 Fluid management in neurosurgical patients with coexisting pulmonary problems
Chapter 18 Fluid Management In Neurosurgical Patients With Coexisting Renal Problems
Chapter 19 Fluid management in neurointensive care
Chapter 20 Fluid management in sepsis
Part 5 Fluids: Complications
Chapter 21 Acid-base imbalance
Chapter 22 Coagulation abnormalities
Chapter 23 Adverse effects of fluid administration
Part 6 Blood and blood products: Basic consideration
Chapter 24 Composition of Blood
Chapter 25 The Coagulation Cascade
Part 7 Blood and blood products: Blood and components
Chapter 26 Whole blood and Packed RBCs
Chapter 27 Fresh Frozen Plasma
Chapter 28 Platelet rich concentrates
Chapter 29 Cryoprecipitate
Chapter 30 Clotting factor concentrates
Chapter 31 The Use of Activated Recombinant Factor VII in Neurosurgery
Part 8 Blood and blood products: Anticoagulants
Chapter 32 Anticoagulants in Use
Chapter 33 Other Antithrombotics: Antiplatelets and Fibrinolytics
Chapter 34 Antithrombotic reversal agents
Part 9 Blood and blood products: General considerations
Chapter 35 Perioperative assessment of hemorrhagic risk
Chapter 36 Blood Salvage Techniques
Chapter 37 Blood loss estimation techniques
Chapter 38 Monitoring Anticoagulation
Chapter 39 Adjunct therapies to minimize blood loss
Part 10 Blood and blood products: Special considerations
Chapter 40 Management of Patients on Anticoagulants and Antiplatelets in Neurosurgery
Chapter 41 Massive blood loss in neurosurgery
Chapter 42 Blood Transfusion in Patients with Acute Traumatic Brain Injury
Chapter 43 Transfusion Practice in a Jehovah Witness
Chapter 44 Transfusion practice in patients with hereditary and acquired coagulation disorders
Chapter 45 Blood Transfusion practices in Sepsis
Part 11 Blood and blood products: Complications
Chapter 46 Neurological complications of the anticoagulation
Chapter 47 Complications related to blood products
Part 12 Total parenteral nutrition
Chapter 48 Basics of Total Parenteral Nutrition
Chapter 49 Monitoring and complications of total parenteral nutrition
Chapter 50 Special neurologic patient population and TPN.