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Détails
| Format : | Livre |
|---|---|
| Tous les auteurs / collaborateurs : |
N Jollyon Smith; Mark van Gils; Pamela Prior |
| ISBN : | 072343381X 9780723433811 |
| Numéro OCLC : | 70788595 |
| Description : | xvii, 390 p. : ill. (some col.) ; 28 cm. |
| Contenu : | Contributors, v; Foreword, vii; Preface, ix; Dedication, x; Acknowledgements, x; Abbreviations, xi; 1 The why and the how of neurophysiological monitoring in the ICU and surgery, 1; Introduction, 1; Applications of clinical neurophysiology in the ICU, 1; Monitoring during surgical operations, 3; Assessment of results, 7; Statistical significance of changes, 7; Clinical significance of changes, 8; Confidence intervals, 10; Determining the optimal cut-off point, 11; Comparing two methods of monitoring, 11; The effect of corrective action, 12; Is the risk eliminated by monitoring?, 13; References, 14; 2 Neurophysiological instrumentation, connection with patients and recording methods, 17; Introduction, 17; Recording the electrical activities of the nervous system, 18; Electrodes for neurophysiological recording, 18; Electrode placement systems, 24; Connecting electrodes to amplifiers and the recording convention, 29; Amplifiers, 32; Signal bandwidth and filters, 35; Digital systems, 37; EEG recording equipment, 38; General features of EEG machines, 38; Input circuits for EEG recording, 39; Amplifiers for EEG recording, 39; Filters for EEG recording, 40; Analogue EEG systems, 40; Digital EEG systems, 42; Evoked potential recording systems, 48; Electrodes for EP recording, 48; Amplifiers for EP recording, 48; Filters for EP recording, 48; Averaging, 48; EP display, 49; Calibration of EP recorders, 49; EP stimulators, 49; EMG and nerve conduction studies, 53; Electrodes for EMG and nerve conduction studies, 53; Amplifiers for EMG and nerve conduction, 54; Displaying EMG and nerve conduction data, 55; Stimulation for nerve conduction studies, 55; Practical aspects of intraoperative and ICU neurophysiological recording, 55; Safety during neurophysiological recording in the ICU and operating theatres, 55; Intraoperative and ICU EEG recording, 59; Intraoperative and ICU EP recording, 65; EMG and nerve conduction studies, 68; References, 68; 3 Introduction to methods for continuous EEG and evoked potential monitoring, 73; Introduction, 73; EEG monitoring, 73; Historical development of EEG monitors, 73; Technical requirements for EEG monitoring in the ICU and during surgical operations, 85; Evoked potential monitoring, 94; Technical requirements for EP monitoring, 94; Comparisons between currently used methods, 100; Conclusions, 102; References, 103. 4 Normal and pathological phenomena in EEG, evoked potential, EMG and nerve conduction studies, 109; General introduction, 109; EEG WAVEFORMS AND INTERPRETATION, 109; Introduction, 109; Describing EEG phenomena, 109; Wave shape (morphology), 110; Rhythmicity, 110; Frequency of repetition, 110; Amplitude, 110; Transients, 112; Spatial distribution, 113; Spatiotemporal patterns, 113; Symmetry and synchrony, 113; Inherent variability of the EEG and other biological rhythms, 113; Reactivity, 114; General categories of abnormality in the EEG of importance for ICU and intraoperative monitoring, 114; Change in frequency content, 114; Amplitude reduction, 115; Localized and lateralized abnormalities, 116; Rhythms at a distance (projected rhythms), 117; Altered reactivity, 118; Epileptiform activity, 119; Periodicity, 120; Burst suppression pattern, 123; Electrocerebral inactivity - electrocerebral silence (ECS) - the isoelectric EEG, 124; EVOKED POTENTIAL WAVEFORMS AND INTERPRETATION, 125; General definition - limitations - clinical utility of evoked potentials, 125; Responses and EP components, 126; The electroretinogram and electrocochleogram, 126; Relation between neuronal responses and surface evoked potentials, 127; Action potentials, 127; Postsynaptic potentials, 128; Near-field versus far-field evoked potentials, 128; How to localize evoked potential sources from surface recordings, 130; Normal findings by modality, 131; Flash VEPs, 131; Auditory evoked potentials: BAEPs and MLAEPs, 132; Somatosensory evoked potentials, 134; EMG FINDINGS AND INTERPRETATION, 145; Features of motor units recorded by needle electrodes, 145; Other normal EEG phenomena, 145; Insertion activity, 145; End-plate noise, 145; Fibrillations at single sites, 146; Fasciculations, 146; Nerve conduction, 147; Effects of limb temperature on nerve conduction, 147; References, 148; 5 Neurophysiological monitoring during sedation and anaesthesia, 155; Introduction, 155; Sedation: assessment with EEG and evoked potentials, 155; Effects of sedative drugs on the EEG, 155; Effects of sedative drugs on EPs, 157; Assessment of sedation, 159; Anaesthesia: assessment with EEG and evoked potentials, 161; Effect of anaesthetic agents on the EEG, 161; Effect of anaesthetic agents on EPs, 172; Combined EEG and evoked potential measures, 176; Awareness during anaesthesia, 176; Neurophysiological features useful in prediction of possible awareness during anaesthesia, 177; Medico-legal aspects of awareness during anaesthesia, 180; References, 182; 6 Neurophysiological work in the ICU, 189; Introduction, 189; Neurophysiological parameters to be monitored and procedures, 189; Sleep in the ICU, 189; CLINICAL CONDITIONS AFFECTING THE CENTRAL NERVOUS SYSTEM ENCOUNTERED IN ICU, 189; Coma and related states, 189; EEG recording and interpretation in coma and related states, 189; EPs in comatose patients, 199; EPs combined with other variables, 215; Cardiac arrest and hypoxic - ischaemic encephalopathies, 216; Other metabolic and toxic encephalopathies and multiple organ failure, 218; Encephalitis, 218; Epileptiform discharges and status epilepticus, 218; Head injury and other neurosurgical applications, 221. Vegetative states and brainstem death (brain death), 225; Vegetative states, 225; Brainstem death (brain death), 228; CLINICAL CONDITIONS AFFECTING THE PERIPHERAL NERVOUS SYSTEM AND MUSCLES ENCOUNTERED IN THE ICU, 231; Neuromuscular syndromes of critical illness (critical illness neuropathy), 231; Acute onset neuropathies, 234; Guillain - Barre syndrome (GBS), 234; Acute intermittent porphyria, 237; Other causes of acute or subacute peripheral neuropathy, 242; Acute weakness due to disorders of neuromuscular transmission, 242; Botulism, 242; Myasthenia gravis, 242; Familial periodic paralysis and the channelopathies, 242; Non-peripheral causes of acute onset generalized weakness, 243; References, 243; 7 Neurophysiological monitoring during surgical operations, 253; Introduction, 253; Intracranial surgery, 253; EEG monitoring in intracranial surgery, 253; Visual evoked potential monitoring, 256; SEP monitoring in intracranial surgery, 257; Posterior fossa surgery, 260; Spinal cord function monitoring, 268; Experimental studies and mechanisms of spinal cord damage, 268; Methods of monitoring cord function, 269; Practical aspects of spinal cord monitoring, 272; Clinical applications of spinal cord monitoring, 274; Spinal root surgery and peripheral nerve surgery, 278; Cerebral ischaemia during non-intracranial surgery, 279; Cardiac surgery, 279; Carotid endarterectomy, 285; References, 292; 8 Further signal analysis, 309; Introduction, 309; Data acquisition, 311; Technology, 311; Safety issues, 315; Improving signal quality, 317; Filtering methods, 318; Artefact detection and rejection methods, 327; Signal processing and interpretation, 327; Common processing tasks, 329; Processing methods, 332; Integration of features into the clinical context - pattern classification, 346; Statistical process control, 354; Use of the tools, 358; Decision assistance, 358; Development and uptake of methods, 359; Performance assessment, 359; Display of results, 360; Use of IT facilities, 363; References, 365; 9 Legal implications of neurophysiological monitoring, 371; Safety of patients and staff, 371; Electromedical equipment, 372; Infection control, 373; Drugs, 373; Identification of patients and consent to procedures, 373; Inherent risk of procedures, 374; Responsibilities in training and supervising staff, 374; Responsibilities in respect of reports on investigations, 375; References, 375; Index, 377. |
| Responsabilité : | edited by N. Jollyon Smith, Mark van Gils, Pamela Prior ; foreword by Arvi Yli-Hankala. |
Critiques
Critiques éditoriales
Synopsis de l’éditeur
This book should find a place in libraries of intensive care medicine, neurology, neurological surgery, neurophysiology, anesthesia and biomedicine.
Clinical Neurophysiology
When the reader is left 'wanting more' it is a reflection of a stimulating, well written article, and this lovely book is informative, easy-to-use, modestly priced and will make a welcome contribution to department libraries.
The Journal of Electrophysiological Technology 2006
This text is extremely well organized, referenced, and illustrated. It will serve anyone well that needs an introduction or overview to the field of neurophysiological monitoring.
Paul King, Vanderbilt University
IEEE ENGINEERING IN MEDICINE AND BIOLOGY MAGAZINE 2007
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