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November 1990

Neuroscience Critical Care: Pathophysiology and Patient Management

Author Affiliations

Boston, Mass

Arch Neurol. 1990;47(11):1166. doi:10.1001/archneur.1990.00530110018005

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This interesting book about neurologic intensive care is written by a very experienced intensive care unit nurse, a nurse educator, and two neurosurgeons. Although most chapters have sections highlighting "nursing focus" and, separately, "physician focus," the material is most appropriate for intensive care and neurology nurses. The first third of the book gives a broad overview of neuroanatomy, the physiology of coma, and neurodiagnostic procedures. Sections on intracranial pressure, head injury, stroke, seizures, and other specific, neurologic intensive care problems follow, all with a decidedly neurosurgical orientation. Medical problems of the critically ill neurological patient and the administration and organization of neurologic intensive care unit are addressed at the end of the book. Some of the technical material is treated from a nursing point of view, often a bit superficially for an intensivist. The references are somewhat selective and mainly neurosurgical, but the material is comprehensive enough to be very

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