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Handbook of Critical and Intensive Care Medicine

:	Joseph Varon, Pilar Acosta
:	Handbook of Critical and Intensive Care Medicine
:	Springer-Verlag
:	9780387928517
:	2
:	CHF 50.60
:

:	Klinische Fächer
:	English

:	422
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

Why write a book on the management of critically ill patients? Over the past few decades we have seen an enormous growth in the number of intensive care units (ICU) across the world. Indeed, it is estimated that a large proportion of health care expenses are devoted to patients in these specialized units. Medical students, r- idents, fellows, attending physicians, critical care nurses, pharmacists, respiratory therapists, and other health-care providers (irrespective of their ultimate ?eld of pr- tice) will spend several months or years of their professional lives taking care of critically ill or severely injured patients. These clinicians must have special tra- ing, experience, and competence in managing complex problems in their patients. Moreover, these clinicians must interpret data obtained by many kinds of monitoring devices, and they must integrate this information with their knowledge of the pat- physiology of disease. Even more important is the fact that anyone working in an ICU or with a critically ill patient must approach patients with a multidisciplinary team. The phrase there is no I in TEAM comes to mind.

	Preface	6
	Contents	7
	1 Approach to the Intensive Care Unit (ICU)	8
	I Welcome To The ICU	8
	What Is an ICU?	8
	Historical Development of the ICU	8
	Economical Impact of the ICU	9
	Organization of the ICU	9
	II Team Work	9
	III The Flowsheet	9
	IV The Critically ILL Patient	10
	V System-Oriented Rounds	10
	Identification	12
	Major Events over the Last 24 h	12
	Systems Review	12
	Neurologic	12
	Cardiovascular	13
	Respiratory	13
	Renal/Metabolic	14
	Gastrointestinal	14
	Infectious Diseases	14
	Hematology	15
	Nutrition	15
	Endocrine	15
	Psychosocial	16
	Other	16
	VI Do Not Resuscitate (DNR) and Ethical Issues	16
	2 The Basics of Critical Care	18
	I Cardiac Arrest and Resuscitation	18
	II The Aveolar Air Equation	21
	III Oxygen Transport	31
	IV Mechanical Ventilation	34
	V Hemodynamics	44
	VI The Cardiopulmonary Interaction	49
	VII Integrated Cardiopulmonary Management Principles	51
	3 Cardiovascular Disorders	53
	I Ischemic Heart Disease	53
	4 Endocrinologic Disorders	91
	I Adrenal Insufficiency	91
	II DIABETES INSIPIDUS	93
	III SYNDROME OF INAPPROPRIATE ANTIDIURETIC HORMONE SECRETION (SIADH)	96
	IV DIABETIC KETOACIDOSIS AND HYPEROSMOLAR NONKETOTIC COMA	98
	V TIGHT GLYCEMIC CONTROL IN THE ICU	102
	VI Myxedema	103
	VII Thyrotoxic Cisis	107
	VIII Sick Ethyroid Syndrome	110
	IX Hypoglycemia	112
	X Pheochromocytoma	115
	5 Environmental Disorders	118
	I Burns	118
	II Decompression Illness and Air Embolism	120
	III Near-Drowning	122
	IV Electrical Injuries	124
	V Heat Exhaustion and Heat Stroke	125
	VI Hypothermia	127
	VII Smoke Inhalation and Carbon Monoxide Poisoning	130
	VIII Scorpion Envenomation	132
	IX Snakebite	133
	X Spider Bite	136
	XI Useful Facts and Formulas	138
	6 Gastrointestinal Disorders	142
	I Gastrointestinal Bleeding	142
	II Acute Mesenteric Ischemia	145
	III Fulminant Hepatic Failure and Encephalopathy	147
	IV Pancreatitis	150
	V USEFUL FACTS AND FORMULAS	153
	7 Hematologic Disorders	154
	I Anemia	154
	II Leukopenia	156
	III Thrombocytopenia	158
	IV Anticoagulation and Fibrinolysis	160
	V Blood and Blood Products Transfusion	164
	VI Disseminated Intravascular Coagulation	166
	VII Hemolytic Syndromes	167
	VIII Useful Facts and Formulas	171
	8 Infectious Diseases	175
	I Pneumonia (Nosocomial)	175
	II Community-Acquired Pneumonia	177
	III Severe Adult Respiratory Syndrome (Sars)	179
	IV Sepsis	179
	V Toxic Shock Syndrome	181
	VI Meningitis	182
	VII Infections in Patients with Aids	185
	VIII Infections In The Immunocompromised Host	188
	IX ANTIMICROBIALS (S ee T able 8.8 )	189
	X Infectious Diseases Pearls for ICU Care	189
	XI Useful Facts and Formulas	193
	9 Neurologic Disorders	195
	I Brain Death	195
	II Coma	197
	III Intracranial Hypertension	199
	IV Cerebrovascular Disease	201
	V Status Epilepticus	204
	VI Neuromuscular Disorders	205
	VII Delirium in the ICU	207
	VIII Useful Facts and Formulas	208
	10 Nutrition	212
	I Aims of Nutritional Support	212
	II Timing of Nutritional Support	212
	III Route of Nutritional Support	213
	IV Gastrointestinal Function During Critical Illness	214
	V Nutrient Requirements (Quantity)	215
	VI Role of Specific Nutrients (Quality)	218
	VII Monitoring Responses to Nutritional Support	219
	VIII Nutrition for Specific Disease Processes	220
	IX Nasoduodenal Feeding Tube Placement	220
	X Recommendations for TPN Use	222
	XI Approach to Enteral Feeding	222
	XII Useful Facts and Formulas	225
	11 Critical Care Oncology	231
	I Central Nervous System	231
	II Pulmonary	235
	III Cardiovascular	238
	IV Gastroenterology	241
	V Renal/Metabolic	242
	VI Hematology	246
	VII Chemotherapy-Induced Hypersensitivity Reactions	246
	VIII Immune Compromise	247