While the focus is of course heavily on the militaristic aspects of society, as befits a Battletech novel, it's far more than that.

All rights reserved.Where to start with A Question Of Survival? This really is a special novel in the grand scheme of the Battletech universe.įocusing masterfully both on the wider picture of ilClan era, where so much of the universe has suddenly changed (for the better or worse, who knows), Young has also brought the story down to far more human levels. The incidence of nonconvulsive seizures in the CSRU remains to be elucidated with prospective monitoring studies, as does their effect on outcome.Ĭrown Copyright © 2011. Special concerns regarding the side effect profile of phenytoin in this setting have led to valproate and levetiracetam becoming useful alternatives, which are effective and well tolerated. A targeted approach based on recognizing focal versus generalized seizures, a careful review of history and medications, and a focused workup will lead the clinician to choosing the most effective therapy when one is required. Although the incidence of seizures remains low, the causes and management are relatively unique in this setting, including a probable 'toxic syndrome' related to certain antibiotics or other perioperative drugs such as tranexamic acid. Therefore, it is of critical importance that the attending physician has an accurate and efficient approach to the differential diagnosis, investigations, and management of these patients, who represent a unique group requiring specific investigations and management.Ī review and discussion of experience with seizures in the CSRU.Ĭardiac surgery poses a significant threat to the nervous system through various mechanisms although newer technologies and surgical techniques have led to improved outcomes in recent years. Seizures in the cardiac surgery recovery unit (CSRU) always cause great concern to the attending physicians and families of the patient. The most commonly encountered central nervous system injury associated with cardiac surgery continues to be stroke, with seizures occurring less commonly but with significant consequences. Cardiac surgery, mainly in the form of coronary artery bypass graft surgery, is known to be associated with a risk of injury to the central and peripheral nervous systems.

Operation by Bryan Young