Emergenze

Illustrating the differences between urgent interventions and interventions performed to manage chronic conditions the authors present the chapters in a consistent template for ease of use covering; background, indications, evidence review, device description, procedural techniques, follow-up care, and complications. * Shows the differences between interventions performed to manage chronic conditions and interventions that are truly urgent * Chapters follow a consistent structure from background through indications, evidence review, device description, procedural techniques to follow-up care and complications * More than 40 high definition videos, hosted on companion website www.wiley.com/go/kipshidze/interventionaltherapies, complete with tips and tricks, provide a visual learning tool

L'impiego dell'ecocardiografia ha rappresentato, negli ultimi anni, una delle innovazioni più interessanti nella medicina critica, sia per le ricadute nella gestione clinica dei pazienti, sia per aver portato a un ragionamento sempre più fisiopatologico nell'affrontare la problematica emodinamica. La diffusione di questo strumento tra ampie schiere di medici non tradizionalmente coinvolti nella diagnostica ultrasonora, quali intensivisti, anestesisti rianimatori, medici d'urgenza, chirurghi, genera una forte richiesta di formazione e di cultura specifica. Accanto a vantaggi innegabili, e talora straordinari, nella gestione clinica, devono essere infatti tenuti ben chiari i potenziali rischi derivanti da una diagnosi errata e dalle conseguenti terapie inappropriate. Questo volume offre una prospettiva completa dal punto di vista della metodica ecocardiografica nei diversi scenari di medicina critica, permettendo al medico di comprendere quale metodica sia più appropriata nello scenario in cui si trova a operare. Apporta il punto di vista di esperti internazionali di valore su temi difficili e talora controversi. Fornisce spunti di riflessione sulle moderne metodiche, quali l'ecocardiografia tridimensionale negli scenari critici. Presenta un'inedita trattazione del ruolo dell'ecocardiografia nei più moderni scenari interventistici, proponendosi come uno strumento utile nella pratica clinica multidisciplinare, dimostrando la trasversalità dell'ecocardiografia.

Il volume fa il punto sugli attuali standard di cura delle sindromi coronariche acute. Attraverso l'esame delle linee-guida internazionali, il lettore acquisisce una chiara visione d'insieme dell'argomento, anche grazie ad una puntuale e aggiornatissima bibliografia.

Managing patients with thrombotic vascular disease is complex and challenging: Ischemic vascular disease remains a complicated interplay of atherosclerosis and thrombosis--even with the evolution in our understanding of the pathobiology of thrombosis. There has been tremendous growth in therapeutic options which are quickly finding their place in daily practice, including a remarkable expansion in the number of intravenous and oral antithrombotic agents and new antiplatelet agents Now more than ever, all cardiologists, hematologists, and specialists in vascular medicine, as well as other professionals, such as hospital pharmacists, who deal with prognosis and intervention in preventing thrombosis, need a resource that distills current knowledge of this important subject. Written and edited by today's leading international, Therapeutic Advances in Thrombosis, 2e provides physicians with the very latest in medical and surgical advances in antithrombotic therapies. With this comprehensively updated edition you get: Coverage of virtually all aspects of venous and arterial thrombotic disease and the corresponding therapies Strategies to manage specific clinical conditions and how to tailor treatment to individual patient needs Updated chapters covering thrombolysis in ST-elevated myocardial infarctions; thrombosis in patients with diabetes, pregnancy, and renal dysfunction Special emphasis on the pharmacology of novel anticoagulants and their practical use in venous thromboembolism and atrial fibrillation. Plus, all chapters fully explore clinical trial designs and outcomes for particular treatment therapies, as well as contain the relevant ACC/AHA/ESC guidelines, so you can confidently apply what you learn.

This book is geared toward cardiologists, trainees, and housestaff - anyone who rotates or practices in the CCU - who must grasp the subtleties when treating patients in a cardiac care unit. It is organized in a way to help you understand the simplified pathophysiology of the disease, the diagnosis modalities, the initial critical care management in the CCU, the clinical care in a step down unit and plan for discharge therapy. Dr. Herzog has developed unified pathways for the management of patients presenting with acute chest pain or its equivalent, acute heart failure, atrial fibrillation and flutter, syncope, cardiac arrest, hypertension and hyperglycemia. Algorithms and pathways for management are provided in each chapter for easy implementation in any health care system. In addition, because specialized units are frightening to the patients and their families, there is a section in each chapter on what the patient and family need to know, that encompasses a capsulated explanation of the condition and treatment management. A companion website accompanies the text that includes fully searchable text and patient information.

Reflecting the 2010 Emergency Cardiovascular Care guidelines, "ACLS Study Guide, 4th Edition" offers a complete, full-color overview of advanced cardiovascular life support. An easy-to-read approach covers everything from airway management and rhythms and their management to electrical therapy, acute coronary syndromes, and acute stroke. In addition to the latest ACLS treatment algorithms, this edition includes new case studies, new photos and illustrations, a heart rate ruler, and a handy ACLS quick-reference card for use in the field. Written by Barbara Aehlert, "ACLS Study Guide" is the official textbook for the American Safety & Health Institute ACLS certification course.

Cardiology Emergencies covers the presentation, investigation, and management of acute cardiac problems that require speedy diagnosis and management. Created as a resource for residents and students, as well as an easy reference guide for physicians, this handbook is organized for quick access and learning. It is divided into three sections: the first provides acute presentations for quick diagnosis, the second addresses specific conditions, and the third offers clear descriptions of how to perform common practical cardiac procedures. Packed with concisely written summaries and bullet-point information, it is the ideal guide to the practical management of cardiac emergencies.

Le aritmie sono una delle tante urgenze o emergenze con cui un medico di urgenza deve quotidianamente confrontarsi. Ma prima ancora di analizzare ECG e terapia va sempre ricordato che non esiste un'aritmia senza un paziente e quindi risulta sempre necessario saper valutare il problema aritmico nel contesto clinico complessivo, nella storia clinica (l'anamnesi), nell'esame obiettivo e quindi l'obiettivo primario sarà sempre quello di curare il paziente e non trattare l'aritmia solo in quanto tale. Chiaramente situazioni critiche andranno affrontate con celerità ed abilità ma, in situazioni di stabilità clinica, il saper valutare con la massima attenzione l'ampio spettro dei problemi che sottendono l'aritmia, la capacità di comunicare al paziente come si intende procedere, le buone pratiche cliniche e le possibili scelte terapeutiche devono far parte integrante del bagaglio di conoscenze del medico d'urgenza. In questo manuale, che ha come obiettivo principale il fornire pochi e sintetici elementi conoscitivi, abbiamo pensato di limitarci ad alcune scelte e strategie terapeutiche, sempre pensando che lo specialista in medicina di urgenza non debba essere un conoscitore di tutto...

Acute cardiology problems often need quick, appropriate, diagnosis and treatment. With the increasing complexity and rapidly-changing nature of available therapies, knowing which to use and in what situation can be difficult. The freshly updated Emergencies in Cardiology, Second Edition, provides an easily-accessible guide to diagnosing and managing acute cardiovascular problems, incorporating both symptom-based and disease-based sections. Cross-referenced to the Oxford Handbook of Cardiology, this handbook allows rapid access to accurate, up-to-date information. There are specific sections on the management of cardiovascular problems in pregnancy and adult congenital heart disease, in addition to more practical sections on how to perform emergency cardiology procedures and ECG recognition. The book is designed for busy medical and cardiology teams, with bullet-point information for speed and clarity combined with the integral cross-referencing system, enabling quick access to the necessary information.

* A comprehensive source of information on the management of cardiogenic shock * Part of the AHA Clinical Series published in conjunction with the American Heart Association * Focuses on high-interest and emerging topics in cardiovascular disease targeted to cardiologists and other interested healthcare providers * A useful tool for investigating, evaluating and treating one of the most important lingering challenges in acute cardiovascular care

Cardiac Surgery Essentials for Critical Care Nursing is a comprehensive reference that provides a foundation for all cardiac nurses. It is designed to prepare the nurse who is first learning to care for patients undergoing cardiac surgery. It addresses significant changes in cardiac surgery and the nursing responsibilities to meet the needs of these acutely ill patients. Second, the book provides advanced knowledge and a scientific basis for nurses who have mastered the essential knowledge and skills necessary to care for this patient population who now seek more in-depth knowledge base about advances in this dynamic field and strategies to optimize patient outcomes. The emphasis throughout the book is providing an evidence-based foundation for care of the patient during the vulnerable period immediately following cardiac surgery. It also serves as a study aid for those readers preparing for the AACN's Cardiac Surgery Certification. The book features critical thinking questions, multiple choice self assessment questions, web resources, clinical inquiry boxes, and case studies. The Perfect Study Tool for the AACN Cardiac Surgery Certification!

Acute Coronary Syndrome covers the spectrum of clinical conditions ranging from unstable angina to non-ST elevation myocardial infarction and ST elevation myocardial infarction. These life-threatening disorders are a major cause of emergency medical care, hospitalization and mortality. Management of Acute Coronary Syndromes is designed to provide busy clinicians with a comprehensive guide to the investigation, diagnosis and treatment of these syndromes. It encompasses the latest technologies, including the use of biomarkers and non-invasive imaging procedures. For each condition, the reader is taken through all of the therapeutic options available; in each case the indications and contraindications are evaluated in the light of the latest clinical trials. Potential complications are dealt with in a similar fashion, permitting the reader to anticipate and manage problems as they arise. The authors also present evidence-based recommendations for long-term care of at-risk patients, encompassing pharmacologic therapies and lifestyle management. The book concludes with a comprehensive collection of appendices that include treatment algorithms, risk scores and a summary of the latest management guidelines. Management of Acute Coronary Syndromes is the most up to date and comprehensive evidence-based guide to managing acute coronary syndromes, in a compact and usable format. It will be of interest to busy specialist physicians in cardiovascular medicine, cardiac and vascular surgery, and critical care, as well as primary care physicians and hospitalists who care for patients with these syndromes.

Echocardiography is still relatively underused in the management of critically ill and hemodynamically unstable patients. There is a definite trend for favoring echocardiography over invasive assessment in intensive care units, however, clear guidelines are lacking. The author's experience over the last few years reinforced the importance of a book covering this topic. The basis for the creation this book was the fruit of teaching sessions and ward rounds during which the interest and receptiveness for this topic were obvious.

Il volume presenta, in modo pratico e sintetico, l'essenziale dell'ecocardiografia generale, con un approfondimento delle tema