With a new editor, William L. Young, and twenty-three new authors, seven new chapters, three chapters with all new authors, and eleven chapters with one or more new authors, the fifth edition of Cottrell and Young's Neuroanesthesia is both track-tested and up-to-date. There was, of course, no option. Ours is a fast-moving field. As the Red Queen said to Alice in Wonderland, “Now, here, you see, it takes all the running you can do, to keep in the same place.” In this case, “here” is neurosurgical anesthesiology, and “the same place” is state-of-the-art knowledge.
Medicine advances through a sort of trickle-down process. Information flows from basic scientists to laboratory animal researchers to clinical investigators to scientific journals to clinical textbooks, and, finally, to clinicians. The closer the connections between the first four way stations and the textbook, the better clinicians are served. We have kept those connections tight by gathering authors who are, in various combinations, basic scientists, laboratory researchers, clinical investigators, journal authors, journal editors, and, of course, clinicians.
The emphasis of this book has always been clinical application, and that focus has only been sharpened in this fifth edition. This book will serve its readers by helping them serve their patients.
Key Features
- New co-editor William L. Young, MD joins James E. Cottrell, MD, FRCA at the book's editorial helm, providing additional, complementary expertise and further enhancing the book's authority.
- New chapters keep you current on interventional neuroradiology, anesthetic management of patients with arteriovenous malformations and aneurysms, awake craniotomy, epilepsy, minimally invasive and robotic surgery, and pregnancy and neurologic disease.
- Comprehensive updates reflect all of the latest developments in neurosurgical anesthesia, and contributions from many new experts provide fresh insights into overcoming tough clinical challenges.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
New to this edition
- Comprehensive and broad coverage of all important aspects of neuroanesthesia, including special patient populations, enables you to find reliable answers to any clinical question.
- Chapters written by neurointensivists, neurosurgeons, and radiologists provide well-rounded perspectives on each topic.
- A consistent, logical organization to every chapter makes answers easy to find quickly.
- Clear conceptual illustrations make complex concepts easier to understand at a glance.
Contents
Chapter 1 - Brain metabolism, the Pathophysiology of Brian Injury, and Potential Beneficial Agents and Techniques
- Brain Metabolism
- Cellular Processes That Require Energy
- Pathophysiology
- Potential Treatments For Cerebral Ischemia
- Epileptogenic Damage
- Trauma
- Summary
- References
Chapter 2 - Cerebral and Spinal Cord Blood Flow
- Physiology Of The Cerebral Circulation
- Autoregulatory Failure
- Therapy For Enhancing Perfusion
- Measurement Of Cerebral Blood Flow
- Spinal Cord Blood Flow
- Appendix I Transit Time
Chapter 3 - Cerebrospinal Fluid
- Anatomy Of CSF Spaces And Properties Of CSF
- Composition Of CSF
- CSF Formation
- Movement Of Protein
- Circulation Of CSF
- Reabsorption Of CSF
- Function Of CSF
- Effects Of Anesthetics And Other Influences On Formation And Reabsorption Of Csf
- CSF Dynamics And Intracranial Pressure
- Conditions In Which Altered CSF Dynamics Change Intracranial Pressure
Chapter 4 - Intracranial Pressure Monitoring
- Normal And Pathologic Determinants Of Intracranial Pressure
- Techniques Of Intracranial Pressure Monitoring
- Clinical Indications For Intracranial Pressure Monitoring
- The Future Of Intracranial Pressure Monitoring
Chapter 5 - Effects Of Anesthetic Agents And Other Drugs On Cerebral Blood Flow, Metabolism, And Intracranial Pressure
- Physiologic And Pharmacologic Considerations In Relation To Neurosurgical Anesthesia
- Effects Of Specific Anesthetic Drugs And Other Drugs
- Anesthetic Interactions
Chapter 6 - Modern Neuroradiology Relevant To Anesthetic And Perioperative Management
- Imaging Modalities
- Intracranial Disorders
Chapter 7 - Evoked Potentials
- Basics Of Evoked Potentials
- Somatosensory Evoked Potentials
- Auditory Brainstem Responses
- Visual Evoked Potentials
- Basic Electromyographic Monitoring
- Motor Evoked Potentials
- Anesthetic Considerations During Monitoring
Chapter 8 - Transcranial Doppler Ultrasonography In Anesthesia And Neurosurgery
- Principles Of TCD Ultrasonography
- Measurements Using Transcranial Doppler Ultrasonography
- Regulation Of Cerebral Blood Flow: Testing And Monitoring
- Noninvasive Asssessment Of Brain Pressures And Multimodal Monitoring
- Transcranial Doppler Ultrasonography In Clinical Practice
Chapter 9 - Fluid Management During Craniotomy
- Osmolality, Oncotic Pressure, And Intravascular Volume
- Solutions For Intravenous Use
- Fluid Administration During Craniotomy
- Specific Neurosurgical Challenges
Chapter 10 - Care Of The Acutely Unstable Patient
- Brain Injury
- Spinal Cord Injury
Chapter 11 - Supratentorial Masses: Anesthetic Considerations
- Anesthesia For Supratentorial Tumors
- Anesthesia For Intracranial Hematomas
Chapter 12 - Anesthetic Management For Posterior Fossa Surgery
- Preoperative Evaluation And Preparation
- General Monitoring Issues
- Choice Of Patient Position
- Anesthetic Considerations
- Venous Air Embolism
Chapter 13 - Anesthetic Management Of Cerebral Aneurysm Surgery
- Preoperative Considerations
- Intraoperative Considerations And Induction Of Anesthesia
- Postoperative Considerations
- Subarachnod Hemorrhage And Pregnancy
- Giant Aneurysms
Chapter 14 - Interventional Neuroradiology: Anesthetic Management
- Preoperative Planning And Patient Preparation
- Deliberate Hypertension
- Deliberate Hypotension
- Management Of Neurologic And Procedural Crises
- Specific Procedures
- Postoperative Management
- Future Directions
Chapter 15 - Anesthetic Considerations For Surgical Resection Of Brain Arteriovenous Malformations
- Clinical Behavior
- Etiology And Pathogenesis
- Cerebral Circulatory Changes In Patients With Arteriovenous Malformations
- Perioperative Anesthetic Management
- Operative Considerations For Avoiding Complications
Chapter 16 - Occlusive Cerebrovascular Disease: Anesthetic Considerations
- Physiologic Considerations
- Preoperative Considerations
- Anesthetic Management
Chapter 17 - Awake Caniotomy, Epilepsy, Minimally Invasive, And Robotic Surgery
Chapter 18 - Perioperative Management Of Adult Patients With Severe Head Injury
- Epidemiology Of Head Injury
- Head Injury Guidelines
- Classification Of Head Injury
- Emergency Therapy
- Critical Care
Chapter 19 - Pediatric Neuroanesthesia And Critical Care
- Developmental Considerations
- Preoperative Evaluation And Preparation
- Intraoperative Management
- Special Issues
- Postoperative Care
Chapter 20 - Neurosurgical Diseases And Trauma Of The Spine And Spinal Cord: Anesthetic Considerations
- Anatomy
- Physiology
- Radiologic Considerations
- Surgical Disorders Of The Spine
- Trauma Of The Spine And Spinal Cord
- Anesthetic Considerations In Spinal Surgery
Chapter 21 - Neurologic Disease And Anesthesia
- Neurodegenerative Diseases
- Demyelinating Diseases
Chapter 22 - Postoperative And Intensive Care Including Head Injury And Multisystem Sequelae
- Airway Obstruction
- Respiratory Dysfunction
- Cardiovascular Dysfunction
- Fat Embolism Syndrome
- Neuromuscular Dysfunction
- Hematologic Abnormalities
- Metabolic Abnormalities
- Electrolyte Imbalances
- Gastrointestinal Abnormalities And Nutrition
- Immunologic Abnormalities
- Endocrine Abnormalities
- Infectious Complications
- Secondary Brain Injury
- Cerebral Hyperperfusion Syndrome
Chapter 23 - Anesthesia For Neurosurgery In The Pregnant Patient
- Maternal Physiologic Alterations During Pregnancy
- Effects Of Anesthetic Interventions On Uterine Blood Flow
- Uteroplacental Drug Transfer And Teratogenesis
- Epidemiology Of Intracranial Disease In Pregnancy And The Effect Of Pregnancy On Intracranial Disease
- Management Of Anesthesia For Craniotomy During Pregnancy
- Spontaneous Spinal Epidural Hematoma
- Interventional Neuroradiology In Pregnancy
Chapter 24 - Ethical Considerations In The Care Of Patients With Neurosurgical Disease
- An Introduction To The History And Theory Of Medical Ethics
- Issues Of Clinical Decision Making
Chapter 25 - Future Advances In Neuroanesthesia
- Genomics
- Technology
- Pharmacology
About the Authors
- James E. Cottrell, MD, FRCA, Distinguished Service Professor and Chairman, Department of Anesthesiology, State University of New York Downstate College of Medicine, Brooklyn, New York.
- William L. Young, MD, James P. Livingston Professor and Vice-Chair, Department of Anesthesia and Perioperative Care, Professor of Neurological Surgery and Neurology, University of California, San Francisco School of Medicine, Director, UCSF Center for Cerebrovascular Research, San Francisco, California.
Book Review
"There have been many textbooks concerning the anesthetic care of neurosurgical patients. Most appeared in one or two versions and then disappeared. But this one has returned, edition after edition, since its inception in 1980, evolving and improving with each version. I have got all four previous editions lined up in my bookcase. For this fifth edition, Dr. Cottrell is joined as co-editor by Dr. William Young, Professor of Anesthesia at UCSF. Like Dr. Cottrell, Dr. Young has been involved in neurosurgical anesthesia for a very, very long time. In fact, on the basis of the dates of their initial publications, these two editors have 60 years of clinical and scientific experience with this specialty between them.
In my foreword to the previous edition, I made the comment, “This is not a book for educating technicians, it's a book for educating professionals.” This remains true. There are some new chapters and authors, some old chapters have disappeared, others have been rearranged. But the focus on the underlying medicine and science of neuroanesthesia remains.
Why is this important? I realize that I'm repeating myself. There are lots of “handbooks” on the market that provide recipes for all sorts of clinical scenarios—along with lots of “board questions.” If your only interest in neuroanesthesia is in passing your boards, or if neurosurgical patients are a rare part of your practice, these are OK. But if you think of yourself as a neuroanesthesiologist and deal with such patients daily, you must understand the underpinnings of your work. You need to know the surgical diseases (and what to expect of patients with such diseases), you need to understand the surgery itself, you need to know the anatomy and physiology of the brain and spinal cord, you need to know the science behind the practice. No “handbook” can cover every situation that you encounter. Doing anesthesia by recipe is an invitation to disaster—What happens when the recipe wasn't in your book? Nearly every time I'm in the operating room, I encounter a patient who “isn't in the book”: the severely retarded and uncooperative adult with hydrocephalus who has undergone a previous occiput-C1 fusion; the pregnant woman with a subarachnoid hemorrhage; the patient with a swollen, bleeding AVM; the patient in whom the interventional radiologist has just perforated an aneurysm; the patient undergoing an awake temporal lobectomy who convulses; the patient undergoing endoscopic transsphenoidal hypophysectomy complicated by an inadvertent biopsy of the basilar artery—or in whom florid diabetes insipidus develops on the table; the postop aneurysm patient with severe vasospasm returning to the OR for an acute abdomen; the tumor patient who herniates in front of my eyes; the quadriparetic patient undergoing both an anterior cervical spine decompression and posterior fusion—or the C-spine patient who awakens with an unexpected major deficit.
To develop an intelligent plan of action, to avoid or manage these situations requires that you understand what you need to do—not just depend on experience and do what you've been told by your teachers. This is the definition of a medical professional.
This is a book for professionals. It is as up-to-date and as comprehensive as it can be, in terms of both its science and its practice. This is a book for anesthesiologists who truly see themselves as real doctors, not just technicians."
-- Michael Todd, MD, Professor and Chairman, Department of Anesthesia, University of Iowa, Iowa City, Iowa
Product Details
- Hardcover: 480 pages
- Publisher: Mosby; 5 edition (2011)
- Language: English
- ISBN-10: 0323059082
- ISBN-13: 978-0323059084
- Product Dimensions: 11.1 x 8.7 x 0.9 inches
List Price: $218.00