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2012 the NeuroICU book 1st edition

Aung Kyaw Oo


NeuroICU
T HE

BOOK

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NeuroICU
THE

BOOK

Editor

Kiwon Lee, MD, FACP, FAHA, FCCM

Assistant Professor of Neurology and Neurological Surgery
Columbia University College of Physicians and Surgeons
Department of Neurology, Division of Critical Care
Neurological Intensive Care Unit
New York Presbyterian Hospital
Columbia University Medical Center
New York, New York

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whether such claim or cause arises in contract, tort or otherwise.


With love, this book is dedicated to my father, Duckhee Lee, who has taught me
diligence and hard working; to my mother, Younghee Lee, who has taught me how
to lead and trained me to become tough; to my one and only sister, Katelyn Jongmee
Lee; to my dearest daughters, Sophia Koen and Charin Lee, who constantly bring
me happiness; and to my wife without whose support I would not be at where I am.
Kiwon Lee, MD


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Contents
Contributors
Foreword
Preface

xiii

xxv

xxvii

Acknowledgments
Section 1

xxix

neurocritical care Diseases

1

ection editor: Neera Bad atia, MD, M c, FCCM

ubarachnoid hemorrhage

1

Kiwon Lee, MD, FACP, FAHA, FCCM

ntracerebral hemorrhage

35

Moussa F. Yazbeck, MD, Fred Rincon, MD, MSc, FACP, and
Stephan A. Mayer, MD, FCCM

tatus epilepticus

52

Santiago Ortega-Gutierrez, MD, Naman Desai, BA,
and Jan Claassen, MD, PhD

Neurotrauma

77

Neeraj Badjatia, MD, MSc, FCCM

acute schemic troke

91

Joshua Z. Willey, MD, MS

Neuromuscular Diseases

123

Jennifer Frontera, MD

Bacterial Meningitis

142

Mithil Gajera, MD, Quinn A. Czosnowski, PharmD, BCPS,
and Fred Rincon, MD, MSc, FACP

ntensive Care nit ( C ) Management of Brain tumors

155

Simon Hanft, MD and Michael B. Sisti, MD

9

nflammatory and Demyelinating Central Nervous ystem Diseases
H. Alex Choi, MD, Sang-Bae Ko, MD, PhD,
and Kiwon Lee, MD, FACP, FAHA, FCCM
vii

178


viii

n en

Cardiac arrest and anoxic Brain n ury

188

Rishi Malhotra, MD and Kiwon Lee, MD, FACP, FAHA, FCCM

Fulminant hepatic Failure

204

H. Alex Choi, MD, Rebecca Bauer, MD,
and Kiwon Lee, MD, FACP, FAHA, FCCM

Section 2

neurocritical care Monitoring

213

ection editor: an Claassen, MD, phD

Management of ncreased ntracranial pressure

213

Kiwon Lee, MD and Stephan A. Mayer, MD

Continuous electroencephalogram Monitoring in the
ntensive Care nit

226

Santiago Ortega-Gutierrez, MD, Emily Gilmore, MD, and Jan Claassen, MD, PhD

Multimodality Neuromonitoring

253

Raimund Helbok, MD, Pedro Kurtz, MD, and Jan Claassen, MD, PhD

advanced hemodynamic Monitoring

288

Pedro Kurtz, MD and Kiwon Lee, MD

evoked potentials in the Operating room and C

300

Errol Gordon, MD and Jan Claassen, MD

Neurophysiologic Decision upport ystems

314

Michael J. Schmidt, PhD

Section 3

neurocritical care Intervention

325

ection editor: tephan a Mayer, MD, FCCM

edation

325

Amy L. Dzierba, PharmD, BCPS, Vivek K. Moitra, MD, and
Robert N. Sladen, MBChB, MRCP(UK), FRCP(C), FCCM

9 Fever and temperature Modulation

342

Neeraj Badjatia, MD, MSc, FCCM

endovascular urgical Neuroradiology
Raqeeb Haque, MD, Celina Crisman, BS, Brian Hwang, MD,
E. Sander Connolly, MD, and Philip M. Meyers, MD

358


n en

Section 4

Perioperative Surgical care

ix

385

ection editor: e ander Connolly, MD

Brain aneurysm and arteriovenous Malformation urgery

385

Raqeeb Haque, MD, Ivan S. Kotchetkov, BA, Brian Y. Hwang, MD, and
E. Sander Connolly, MD

external entricular Drain Management and
entriculoperitoneal hunt

411

Paul R. Gigante, MD, Brian Y. Hwang, MD, and E. Sander Connolly, MD

Carotid revascularization and eC- C Bypass

427

Christopher Kellner, MD, Matthew Piazza, BA, Geoffrey Appelboom, MD,
and E. Sander Connolly, MD

postcraniotomy Complication Management

438

Raqeeb Haque, MD, Teresa J. Wojtasiewicz, BA, Brian Y. Hwang, MD, and
E. Sander Connolly, MD

Section 5

trauma and Surgical Intensive care

ection editors: oseph Meltzer, MD and ivek

455

Moitra, MD

thoracic trauma and Cardiothoracic ntensive Care nit Management

455

Steven Miller, MD and Vivek K. Moitra, MD

abdominal trauma

468

Brian Woods, MD

traumatic ascular n uries

482

Shahzad Shaefi, MD and Joseph Meltzer, MD

abdominal emergencies

492

Carlee Clark, MD

9

enitourinary emergencies

515

Francis Macchio, MD

Critical Care ltrasound

528

Oliver Panzer, MD

Section 6

cardiovascular Problems

543

ection editor: oseph e parrillo, MD, FCCp

acute Coronary yndrome
Joanne Mazzarelli, MD and Steven Werns, MD

543


x

n en

arrhythmias: rhythm Disturbances in Critically ll patients

587

Tracy Walker, MD and Andrea M. Russo, MD

Congestive heart Failure

619

Fredric Ginsberg, MD and Joseph E. Parrillo, MD

Cardiogenic hock and ntra-aortic Balloon pump

638

Simon K. Topalian, MD and Joseph E. Parrillo, MD

Section

Pulmonary Diseases

655

ection editor: r phillip Dellinger, MD, FCCp

the Neurocritical Care air ay

655

Laura McPhee, DO and David B. Seder, MD

Mechanical entilation

672

Brian M. Fuller, MD

acute respiratory Distress yndrome

701

Maher Dahdel, MD and R. Phillip Dellinger, MD

Deep enous thrombosis and pulmonary embolism

712

Ramya Lotano, MD and Hiren Shingala, MD

9 percutaneous tracheostomy

723

David B. Seder, MD and Jason A. Yahwak, MD

Bronchoscopy in the C

734

Yousef Shweihat, MD, Wissam Abouzgheib, MD, Melvin R. Pratter, MD, and
Thaddeus Bartter, MD

Section

Renal and Electrolyte Disorders

ection editor: La rence

751

eisberg, MD

acute renal Failure

751

Jean-Sebastien Rachoin, MD and Lawrence S. Weisberg, MD

renal replacement therapies

766

Andrew Davenport, MD

Disorders of ater homeostasis: hypo- and hypernatremia

777

Lawrence S. Weisberg, MD

Management of ystemic Blood pressure in the Neuro C
Samia Mian, MD, Thilagavathi Venkatachalam, MD, and
Christopher B. McFadden, MD

796


n en

Section 9

Hematology

xi

807

ection editor: Louis aledort, MD

Disseminated ntravascular Coagulation

807

Caroline Cromwell, MD and Louis M. Aledort, MD, MACP

Bleeding Disorders and Coagulopathy reversal

812

Caroline Cromwell, MD and Louis M. Aledort, MD, MACP

Section 1

Infectious Disease

825

ection editor: Fred rincon, MD, M c, FaCp

evere epsis and eptic hock

825

Sergio L. Zanotti-Cavazoni, MD, FCCM

antimicrobial therapies in the C

844

Quinn A. Czosnowski, PharmD, BCPS and Jomy M. George, PharmD, BCPS

9 Catheter-related Bloodstream nfections

863

Rose Kim, MD, Daniel K. Meyer, MD, and Annette C. Reboli, MD

Common nfections in the C

877

Constantine Tsigrelis, MD and Annette C. Reboli, MD

Section 11

nutrition and Endocrinology

897

ection editor: Neera Bad atia, MD, M c, FCCM

Nutrition and Metabolic upport

897

Dongwook Kim, MD and David S. Seres, MD

endocrine Disorders in Critical llness

908

Kiwon Lee, MD, FACP, FAHA, FCCM

Section 12

Ethics and End-of-Life Issues

915

ection editor: i on Lee, MD, FaCp, Faha, FCCM

Brain Death and Organ Donation
Guillermo Linares, MD, Mireia Anglada, MD, and
Kiwon Lee, MD, FACP, FAHA, FCCM

Index

931

915


This page intentionally left blank


Contributors
Wissam Abouzgheib, MD, FccP
Pulmonary, Critical Care and
Interventional Pulmonary
Sparks Health System
Fort Smith, Arkansas
Chapter 40

thaddeus artter, MD
Professor of Medicine
Director, Interventional Pulmonary
Division of Pulmonary and Critical
Care Medicine
University of Arkansas for the Medical
Sciences
Little Rock, Arkansas
Chapter 40

Louis M. Aledort, MD, MAcP
The Mary Weinfeld Professor of
Clinical Research in Hemophilia
Division of Hematology and
Medical Oncology
Department of Medicine
The Mount Sinai School of Medicine
New York, New York
Chapters 45, 46

Rebecca auer, MD
Fellow, Division of Anesthesia and
Critical Care
Department of Anesthesiology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 11

Mireia Anglada, MD
Germans Trias i Pujol Hospital
Intensive Care Unit
Barcelona, Spain
Chapter 53

H. Alex choi, MD
Fellow, Division of Critical Care
Department of Neurology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 9, 11

neeraj adjatia, MD, MSc, FccM
Assistant Professor of Neurology and
Neurological Surgery
Columbia University College of
Physicians and Surgeons
Medical Director, Neurological
Intensive Care Unit
Director, Neurocritical Care
Training Program
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 4, 19, 50
xiii


xiv

n

an claassen, MD, PhD
Assistant Professor of Neurology and
Neurological Surgery
Columbia University College of
Physicians and Surgeons
Department of Neurology, Division of
Critical Care
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 3, 13, 14, 16
carlee clark, MD
Assistant Professor of Anesthesia and
Perioperative Medicine
Medical University of South Carolina
Charleston, South Carolina
Chapter 28
E. Sander connolly, r, MD, FAcS
Bennett M. Stein Professor of
Neurological Surgery
Vice Chairman of Neurosurgery
Director, Cerebrovascular Research
Laboratory
Surgical Director, Neuro-Intensive
Care Unit
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 20 to 24
celina crisman, S
College of Physicians and Surgeons
Columbia University
New York, New York
Chapter 20

caroline cromwell, MD
Assistant Professor of Medicine
Division of Hematology and
Medical Oncology
Department of Medicine
The Mount Sinai School of Medicine
New York, New York
Chapters 45, 46
uinn A. czosnowski, PharmD,
cPS
Assistant Professor of Clinical
Pharmacy
Department of Pharmacy Practice &
Pharmacy Administration
Philadelphia College of Pharmacy
University of the Sciences
Philadelphia, Pennsylvania
Chapters 7, 48
Andrew Davenport, MD
University College London Center for
Nephrology
University College London Medical
School, Royal Free Campus
London, England
Chapter 42
naman Desai, A
Weill Medical College of Cornell
University
New York, New York
Chapter 3


n

xv

R. Phillip Dellinger, MD, FccP
Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and
Dentistry of New Jersey
Head, Division of Critical Care
Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 37

Maher Dahdel, MD
Post-Doctoral Fellow
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Division of Pulmonary & Critical Care
Medicine
Cooper University Hospital
Camden, NJ
Chapter 37

Amy L. Dzierba, PharmD, cPS
Clinical Pharmacist, Medical
Intensive Care Unit
Department of Pharmacy
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 18

Mithil Gajera, MD
Postdoctoral Fellow, Critical Care
Medicine
Department of Medicine
Division of Critical Care Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 7

ennifer Frontera, MD
Assistant Professor of Neurosurgery
and Neurology
The Mount Sinai School of Medicine
Division of Neuro-Critical Care
Mount Sinai Hospital
New York, New York
Chapter 6

omy M. George, PharmD, cPS
Assistant Professor of Clinical
Pharmacy
Department of Pharmacy Practice &
Pharmacy Administration
Philadelphia College of Pharmacy
University of the Sciences
Philadelphia, Pennsylvania
Chapter 48

rian M. Fuller, MD
Assistant Professor of Anesthesiology
and Emergency Medicine
Department of Anesthesiology
Division of Critical Care
Division of Emergency Medicine
Washington University School of
Medicine
St. Louis, Missouri
Chapter 36

Paul Gigante, MD
House staff, Department of
Neurological Surgery
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 22


xvi

n

Emily Gilmore, MD
Fellow, Division of Critical Care
Department of Neurology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 13

Ra eeb Ha ue, MD
House staff, Department of
Neurological Surgery
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 20, 21, and 24

Fredric Ginsberg, MD
Assistant Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and
Dentistry of New Jersey
Director, Nuclear Cardiology
Director, Heart Failure Program
Cooper University Hospital
Camden, New Jersey
Chapter 33

Raimund Helbok, MD
Department of Neurology,
Neurocritical Care Unit
Innsbruck Medical University
Innsbruck, Austria
Chapter 14

Errol Gordon, MD
Assistant Professor of Neurosurgery
and Neurology
The Mount Sinai School of Medicine
Division of Neuro-Critical Care
Mount Sinai Hospital
New York, New York
Chapter 16
Simon Hanft, MD, M Phil
House staff, Department of
Neurological Surgery
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 8

rian . Hwang, MD
Neurosurgical Resident
Department of Neurosurgery
Johns Hopkins University Hospital
Baltimore, MD

Chapters 20, 21, 22, 24

christopher ellner, MD
House staff, Department of
Neurological Surgery
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 23


n

Sang- ae o, MD, PhD
Postdoctoral Research Fellow
Division of Critical Care
Department of Neurology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 9
Ivan S. otchetkov, A
College of Physicians and Surgeons
Columbia University
New York, New York
Chapter 21
Rose im, MD
Assistant Professor of Medicine
Cooper Medical School of Rowan
University
Division of Infectious Diseases
Cooper University Hospital
Camden, New Jersey
Chapter 49
Dongwook im, MD
Clinical Nutrition and Obesity Fellow
Endocrinology, Diabetes & Nutrition
Boston University School of Medicine
Boston Medical Center
Boston, Massachusetts
Chapter 51
Pedro urtz, MD, MSc
Department of Intensive Care
Medicine
Casa de Saúde São José
Rio de Janeiro, Brasil
Chapters 14 and 15

xvii

iwon Lee, MD, FAcP, FAHA,
FccM
Assistant Professor of Neurology and
Neurological Surgery
Columbia University College of
Physicians and Surgeons
Department of Neurology, Division of
Critical Care
New York-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 1, 9, 10, 11, 12, 15, 52, and 53
Guillermo Linares, MD
Fellow, Division of Critical Care
Department of Neurology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 53
Ramya Lotano, MD
Assistant Professor of Medicine
Director, Pulmonary & Critical Care
fellowship
Robert Wood Johnson Medical School
University of Medicine and
Dentistry of New Jersey
Division of Pulmonary & Critical Care
Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 38


xviii

n

Frank Macchio, MD
Fellow, Division of Anesthesia and
Critical Care
Department of Anesthesiology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 29
Rishi Malhotra, MD
Neurointensivist
Department of Neurosurgery, North
Shore University Hospital and
Long Island Jewish Medical Center
Cushing Neuroscience Institute
Manhasset, New York
Chapter 10
Stephan A. Mayer, MD, FccM
Professor of Neurology and
Neurological Surgery
Columbia University College of
Physicians & Surgeons
Director, Division of Critical Care,
Department of Neurology
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 2 and 12
oanne Mazzarelli, MD
Postdoctoral Fellow, Cardiology
Robert Wood Johnson Medical School
University of Medicine and
Dentistry of New Jersey
Department of Medicine
Division of Cardiovascular Diseases
Cooper University Hospital
Camden, New Jersey
Chapter 31

christopher . McFadden, MD
Assistant Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry of
New Jersey
Division of Nephrology
Cooper University Hospital
Camden, New Jersey
Chapter 44
Laura McPhee, Do
Postdoctoral fellow in Pulmonary and
Critical Care Medicine
Maine Medical Center
Portland, Maine
Chapter 35
oseph Meltzer, MD
Clinical Associate Professor
Department of Anesthesiology
Director, Cardiothoracic Intensive
Care Unit
David Geffen Medical School
Ronald Reagan UCLA Medical Center
Los Angeles, California
Chapter 27
Daniel . Meyer, MD
Assistant Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and
Dentistry of New Jersey
Division of Infectious Diseases
Cooper University Hospital
Camden, New Jersey
Chapter 49


n

Philip M. Meyers, MD, FAHA
Associate Professor of Radiology and
Neurological Surgery
Clinical Co-Director,
Neuroendovascular Services
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 20
Samia Mian, MD
Postdoctoral Fellow, Nephrology
Robert Wood Johnson Medical School
University of Medicine and
Dentistry of New Jersey
Division of Nephrology
Cooper University Hospital
Camden, New Jersey
Chapter 44

xix

oliver Panzer, MD
Assistant Professor of Anesthesiology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 30
Santiago ortega-Gutierrez, MD
Fellow, Division of Critical Care
Department of Neurology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapters 3 and 13

Steven Miller, MD
Assistant Professor of Anesthesiology
Department of Anesthesiology
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 25

oseph E. Parrillo, MD, FccP
Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and
Dentistry of New Jersey
Chief, Department of Medicine
Edward D. Viner MD Chair,
Department of Medicine
Director, Cooper Heart Institute
Cooper University Hospital
Camden, New Jersey
Chapters 33 and 34

ivek . Moitra, MD
Assistant Professor of Anesthesiology
Assistant Medical Director, Surgical
Intensive Care Unit
Columbia University College of
Physicians and Surgeons
NewYork-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 18 and 25

Melvin R. Pratter, MD
Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Head, Division of Pulmonary Diseases
and Critical Care Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 40


xx

n

ean-Sebastien Rachoin, MD, FASn
Assistant Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Department of Medicine, Division of
Hospital Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 41
Annette c. Reboli, MD, FAcP, FIDSA
Vice Dean
Cooper Medical School of Rowan
University
Professor of Medicine
Division of Infectious Diseases
Cooper University Hospital
Camden, New Jersey
Chapters 49 and 50
Fred Rincon, MD, MSc, FAcP
Assistant Professor of Neurology and
Neurological Surgery
Department of Neurological Surgery
Thomas Jefferson University Jefferson
Medical College
Division of Critical Care and
Neurotrauma
Jefferson Hospital for Neurosciences
Philadelphia, Pennsylvania
Chapters 2 and 7
Andrea M. Russo, MD, FAcc, FHRS
Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Department of Medicine
Division of Cardiovascular Diseases
Director of Cardiac Electrophysiology
Cooper University Hospital
Camden, New Jersey
Chapter 32

David Seder, MD
Assistant Professor of Medicine
Tufts University School of Medicine
Director of Neurocritical Care
Maine Medical Center
Portland, Maine
Chapters 35 and 39
David S. Seres, MD, ScM, PnS
Director of Medical Nutrition
Assistant Professor of Clinical Medicine
Department of Medicine
Columbia University College of
Physicians and Surgeons
New York-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 51
Michael . Schmidt, PhD
Assistant Professor of Clinical
Neuropsychology in Neurology
Director of Clinical Neuromonitoring
and Informatics
Neurological Intensive Care Unit
Columbia University College of
Physicians and Surgeons
New York, New York
Chapter 17
Shahzad Shaefi, MD
Fellow, Division of Anesthesia and
Critical Care
Department of Anesthesiology
Columbia University College of
Physicians and Surgeons
New York-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 27


n

Hiren Shingala, MD
Postdoctoral Fellow
Robert Wood Johnson Medical
School
University of Medicine and Dentistry
of New Jersey
Division of Pulmonary & Critical Care
Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 38
ousef Shweihat, MD
Instructor of Medicine
Pulmonary and Critical Care
Medicine
Department of Internal Medicine
University of Arkansas for Medical
Sciences
Little Rock, Arkansas
Chapter 40
Michael Sisti, MD, FAcS
James G. McMurtry
Associate Professor of Clinical
Neurosurgery, Radiation Oncology
& Otolaryngology
Co-Director, The Center for
Radiosurgery
Department of Neurological Surgery
Columbia University College of
Physicians and Surgeons
New York-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 8

xxi

Robert n. Sladen, M ch (cape
town), MRcP ( ), FRcP
(c),FccM
Professor and Executive Vice-Chair of
Anesthesiology
Chief, Division of Critical Care
Department of Anesthesiology
Columbia University College of
Physicians and Surgeons
New York-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 18
Simon . topalian, MD, FAcc
Assistant Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Cooper University Hospital
Camden, New Jersey
Chapter 34
constantine tsigrelis, MD
Assistant Professor of Medicine
Cooper Medical School of Rowan
University
Division of Infectious Diseases
Cooper University Hospital
Camden, New Jersey
Chapter 50
thilagavathi enkatachalam, MD
Postdoctoral Fellow, Nephrology
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Division of Nephrology
Cooper University Hospital
Camden, New Jersey
Chapter 44


xxii

n

tracy Walker, MD
Postdoctoral Fellow, Cardiology
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Department of Medicine
Division of Cardiovascular Diseases
Cooper University Hospital
Camden, New Jersey
Chapter 32

oshua . Willey, MD, MS
Assistant Professor of Neurology
Columbia University College of
Physicians and Surgeons
Department of Neurology, Division of
Stroke
New York-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 5

Steven Werns, MD
Professor of Medicine
Cooper Medical School of Rowan
University
Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Director, Invasive Cardiovascular
Services
Cooper University Hospital
Camden, New Jersey
Chapter 31

teresa . Wojtasiewicz, A
College of Physicians and Surgeons
Columbia University
New York, New York
Chapter 24

Lawrence S. Weisberg, MD
Professor of Medicine
Cooper Medical School of Rowan
University
Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Head, Division of Nephrology
Deputy Chief, Department of
Medicine
Cooper University Hospital
Camden, New Jersey
Chapters 41 and 43

rian Woods, MD
Assistant Professor of Anesthesiology
Department of Anesthesiology
Columbia University College of
Physicians and Surgeons
New York-Presbyterian/Columbia
University Medical Center
New York, New York
Chapter 26
ason A. ahwak, MD
Clinical Instructor in Medicine
Tufts University School of Medicine
Division of Pulmonary and Critical
Care Medicine
Maine Medical Center
Portland, Maine
Chapter 39


n

Moussa F. azbeck, MD
Postdoctoral Fellow
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Division of Critical Care Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 2

xxiii

Sergio L. anotti-cavazzoni, MD
Assistant Professor of Medicine
Robert Wood Johnson Medical School
University of Medicine and Dentistry
of New Jersey
Department of Medicine
Division of Critical Care Medicine
Cooper University Hospital
Camden, New Jersey
Chapter 47


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