The book describes step-wise management of clinical emergencies seen every day in Intensive care units (ICUs. As a practical guide, clinicians can refer to it on a day-to-day basis during their work hours, or while in transit to update their knowledge. Targeted readers are intensivists, critical care specialists, and residents involved in the care of patients admitted in ICUs. This handbook covers an array of specialities such as cardiology, pulmonology, gastroenterology, neurology, nephrology, traumatology, and toxicology. This monograph provides point-of-care treatment guidance and will serve as a ready-reckoner for physicians to quickly learn the management steps in a methodical manner.
The purpose of this book is to bring together the latest findings on metabolic disorders that are strongly implicated in various critically ill patients. Since the beginning of the 20th century, maintaining the “milieu intérieur” has been a major challenge for intensivists. In addition to considerable technological developments in intensive care units, important advances in our understanding of metabolic disorders observed in critically ill patients have been made during the 10 last years. Today, the intensivit can’t ignore these disorders when selecting the most appropriate treatment for an illness. Cellular metabolic abnormalities are responsible for systems and organ failures, so the modern approach of organ dysfunctions now includes prevention or treatment of such disorders. This book is a comprehensive tool, allowing the physician to understand, diagnose and treat these metabolic disorders. Water, electrolyte, acid-base, glycemic and endocrinologic problems, as well as metabolic abnormalities observed in renal, cerebral and hepatic failure are presented in different chapters. The last part of the book is devoted to modern nutritional concepts, the consequences of energy modifications, mitochondrial dysfunction, hypothermia, oxidative stress and ischemia reperfusion, which open the way for new therap
Dr Carole Ichai, MD and PhD, is Professor of Anesthesiology and Intensive Care Medicine at the University of Nice and is the head of the medico surgical Intensive Care Unit at the Saint Roch Hospital. She is a Past-member of the scientific and intensive care unit of the French Society of Anesthesiology and Intensive Care Unit (SFAR). She is the Director of the “Sud Méditerranée” European Courses in Anesthesiology and Intensive Care. Her main research interest is all metabolic disturbances and consequences (glycemia disturbances, acid-base water and electrolytes disorders, acute renal failure and hemofiltration) in critically ill patients. Dr Hervé Quintard is a specialist in Anesthesiology and Intensive Care Medicine at the University of Nice and is a full practician of the medico surgical Intensive Care Unit at the Saint Roch Hospital. He is the co-responsible with Pr Ichai of a University Diploma of “Metabolic Intensive Care”. His main research interest is in the management and metabolic disturbances of cerebral injury with an experimental research (affiliation in a CNRS laboratory) and a clinical one focused on severe head trauma and sub-arachnoid hemorrhage. Dr Jean-Christophe Orban, PhD, is a specialist in Anesthesiology and Intensive Care Medicine at the University of Nice and is a full practician of the medico surgical Intensive Care Unit at the Saint Roch Hospital. He is the co-responsible with Pr Ichai of a University Diploma of “ICU competences for nurses”. His main research interest is in the metabolic consequences of cardiac arrest, therapeutic hypothermia and mitochondrial dysfunction with an experimental research (affiliation in a INSERM laboratory) and a clinical one.
This book describes the pathophysiological significance of the hemodynamic monitoring parameters available to the clinician and their role in providing reliable and reproducible information on the cardiocirculatory status of a patient in shock. It is explained how measurements of these parameters enable the intensivist to understand the patient’s condition and to make more informed treatment decisions in order to optimize the hemodynamic status and improve the prognosis. Full guidance is provided on measurement of intravascular blood pressures, cardiac output, and derived variables. Methods of cardiac output determination based on the classical pulmonary thermodilution, transpulmonary thermodilution, echocardiography, and Doppler techniques are reviewed. Techniques based on calibrated and non-calibrated pulse contour analysis are discussed, with attention to their limitations. Furthermore, the dynamic indices of fluid responsiveness, their clinical applications, and issues related to their use are addressed. Care is also taken to explain the physiological concepts underlying various devices used by anesthesiologists and intensivists.
This book is the first to describe a practical evidence-based approach to the management of critically ill obese patients with various medical or postoperative respiratory problems in the intensive care unit. In brief, the book aims to identify the best strategy and present clinical recommendations for different circumstances, to establish indications for and contraindications to noninvasive and invasive mechanical ventilation, and to offer clear guidance on weaning from mechanical ventilation and on respiratory care. Causes of acute respiratory failure in the obese patient are discussed, and advice is offered on the prevention and management of complications during mechanical ventilation and on moving and feeding critically ill obese patients. Long-term outcomes, ethical issues, and health care costs are also addressed. The multidisciplinary approach, with contributions from international experts in different specialties, ensures that the book will be of interest to a range of health professionals involved in critical care, including intensivists, anesthesiologists, and pulmonologists.
Antonio M. Esquinas, MD, PhD, is a member of staff on the Intensive Care Unit and Non-invasive Ventilatory Unit at Hospital General Universitario Morales Meseguer, Murcia, Spain. Prior to taking up this position in January 2013, he worked in the Departments of Anesthesiology, Critical Care, and Pain Medicine at Sapienza University of Rome, Italy. Dr. Esquinas is a Fellow of the College of Chest Physicians and an International Fellow of the American Association of Respiratory Care. He is Director of the International School of Non-invasive Mechanical Ventilation and President of the International Association of NIV and the Ibero-American Association of Bioethics in NIV. He is the author of well over 700 scientific publications, including almost 400 articles and 32 books.
Malcolm Lemzye, MD, is a Specialist in Respiratory and Critical Care Medicine in the Department of Respiratory and Critical Care Medicine, Schaffner Hospital, Lens, France. He had previously held a similar position at Broussais Hospital, Saint Malo (2008–9) and was a Clinical Fellow in Critical Care Medicine and Hyperbaric Medicine at Calmette Hospital, Lille (2006–8). Dr. Lemzye obtained his medical degree from 2 University Medical School, Lille in 2001 and subsequently completed his board certification in Critical Care in Pneumonology in 2006 and in Critical Care in 2008. He is the author of more than 40 articles in international peer-reviewed journals.
Comprehensive Critical Care: Adult is the most complete critical care textbook for any learner in adult practice. Developed by leading experts in critical care, this comprehensive textbook covers 10 topic areas, including -Neurologic Critical Care – Cardiovascular Critical Care -Respiratory Critical Care -Critical Care Infectious Disease -Hepatic, Gastrointestinal, and Hematologic/Oncologic Disease in the ICU -Renal and Metabolic Disorders in the ICU -Environmental and Toxicologic Injury – Pharmacologic Issues in the ICU -Surgical and Obstetrical Critical Care -Administrative and Ethical Issues in the Critically Ill This new resource includes up-to-date information on the full gamut of critical care topics, with dozens of charts and tables to aid study and copious references to guide further reading.
This book provides the most up to date information on every aspect of clinical care relating to patients with advanced heart failure who require mechanical circulatory support as a treatment strategy. The book begins with an extensive description of the preoperative patient selection process as well as preoperative medical optimization, including bridge to bridge strategies with short-term devices. The book then transitions into a description of a variety of surgical implantation techniques with special considerations for reoperative surgery. A chapter on intraoperative anesthesia management is specifically focused on intraoperative issues relating to MCS patients. Subsequent chapters focus on perioperative management as well as long-term management of patients on MCS, including optimization of a patient’s LVAD speed. A dedicated chapter on the diagnosis of device thrombosis as well as surgical techniques and outcomes associated with device exchanges is also included. The book also summarizes the national and international outcomes data for using MCS as a bridge to transplant and destination therapy. There is also a chapter on the utility of stem cells as an adjunct technique for inducing myocardial recovery. Finally, the book has chapters on complications of MCS, management of right ventricular failure, and the future of MCS.
The sighth edition of Self-Assessment in Adult Multiprofessional Critical Care offers hundreds of multiple-choice study questions designed to help you pass your subspecialty board exam. Developed by leading experts in critical care, this self-assessment covers the top critical care focus areas. Questions are based on real- world case studies, and an answer key helps you measure your progress.
This book provides learners with a unique opportunity by virtue of the format outlined above. Each case presentation has a case vignette, which leads up to an important clinical question, and is followed by additional discussion which resolves the question posed. This is a new way to present knowledge in a medical book and should help critical care practitioners, fellows, residents, allied health professionals and students expand their critical care knowledge in an efficient and effective manner. This approach should also benefit those preparing for board examinations.
The book is a useful guide to the management of the most-debated hot topics of practical interest in anesthesia and intensive care. It reviews the state of the art of issues related to both intensive care medicine and anesthesia, such as assisted ventilation, ultrasound assessment of renal function, sedation during non-invasive ventilation, subarachnoid hemorrhage, coagulation disorders in septic shock, difficult airways management and hemodynamic monitoring during anesthesia.
Written by leading experts and including updated references, it provides a comprehensive, easy-to-understand update on anesthesia and intensive care. The book clearly explains complex topics offering practicing clinicians insights into the latest recommendations and evidence in the field while, at the same time, making it a valuable resource for students new to the study of anesthesia and intensive care.
Professor Davide Chiumello, MD, is the Chief of the Department of Anesthesia and Intensive care medicine at ASST Santi Paolo e Carlo Hospital, Milan, Italy. Prof. Chiumello’s research has largely focused on understanding the pathological and clinical aspects of acute respiratory distress syndrome, with a particular focus on respiratory physiology, esophageal pressure, lung recruitment, lung imaging, ventilator-induced lung injury, the prone position, controlled and assisted mechanical ventilation, and non-invasive ventilation. He was the Editor-in-Chief of Minerva Anestesiologica (the official journal of the Società Italiana di Analgesia, Anestesia e Terapia Intensiva) until 2015. He is currently a member of the editorial board of Critical Care Medicine (the official journal of the Society of Critical Care Medicine). He is also a reviewer for a number of international journals and Editor of the Respiratory Failure section for PACT (Patient-Centred Acute Care Training) for the European Society of Intensive Care Medicine. Prof. Chiumello is also the author of more than 140 scientific articles and several chapters in medical textbooks.