Emergenze

La funzione delle UTIC è evoluta rapidamente da presidio di singola patologia a presidio di super-specializzazione in grado di gestire pazienti molto complessi a elevato rischio di mortalità nel corso dell’evento acuto. Ciò ha richiesto una modifica radicale delle competenze del cardiologo: da medico dedicato alla cura dell’infarto a vero e proprio intensivista, con pazienti sempre più anziani, complessi e polipatologici. A distanza di sei anni dalla precedente edizione, questo manuale, profondamente rinnovato nei testi e nell’apparato iconografico, offre un importante aggiornamento sull’approccio multidisciplinare all’emergenza cardiovascolare.Frutto dell’esperienza dei cardiologi intensivisti dell’Ospedale Alessandro Manzoni di Lecco, il volume delinea l’insieme delle competenze del moderno cardiologo intensivista e le strategie terapeutiche necessarie al trattamento di pazienti a complessità crescente. Si rivolge a tutte le figure professionali interessate alla terapia intensiva cardiologica: il cardiologo che lavora prevalentemente in UTIC di ogni livello di complessità e quello con la responsabilità durante i turni di guardia troveranno un aggiornamento sull’intero spettro delle cure intensive per i pazienti complessi tipici delle UTIC contemporanee; il medico di Pronto soccorso ricaverà indicazioni sulle attuali possibilità di trattamento in pazienti cardiovascolari complessi e sulla gestione locale o centralizzata, in base alle caratteristiche del proprio ospedale; il medico con funzioni direttive a livello delle Aziende sanitarie e delle Direzioni regionali della sanità rintraccerà i riferimenti alle indicazioni delle Società scientifiche sugli standard di trattamento e di dotazione di personale e attrezzature nella terapia intensiva cardiovascolare; gli infermieri che lavorano nelle UTIC troveranno descritte in modo chiaro e sintetico le indicazioni e le attuali strategie di trattamento delle varie sindromi cliniche.

The Oxford Specialist Handbook in Cardiothoracic Critical Care summarises current knowledge and provides an evidence-based approach to all aspects of patient care. It is written by leading experts in the field and provides a guide to clinical decision making in a user-friendly format. Written in the Oxford Handbook format, each section is comprised of short topics ideal for quick reference. Portable, accessible, and reliable, the book equips the clinician with the basic scientific and clinical knowledge to safely assist in formulating management plans, based on current best practice. It is intuitively divided in to four sections, concisely covering; postoperative management, organ dysfunction, specific patient groups and treatments and procedures. This allows confidence in the management of all patients in the cardiothoracic critical care unit, including patients immediately following cardiac surgery, those with acute cardiovascular disorders, those with pre-existing cardiac disease and many others. It will provide knowledge and instil confidence for the procedures regularly performed such as pacing, central venous cannulation and echocardiography. This concise and practical handbook would be useful to the general intensivist and is an indispensable pocket reference for intensive care nurses, advanced critical care practitioners and trainees & consultants in cardiothoracic surgery and critical care. This edition has been updated to cover all recent advances in the management of this critically unwell patient group.

With its focus on the advanced topics and procedures employed in this specialized field, Massachusetts General Hospital Manual of Cardiovascular Critical Care provides practical, must-know information to all practitioners caring for the increasing population of critical care patients with severely compromised cardiovascular function. Drs. Aranya Bagchi, David M. Dudzinski, Jonathan Ludmir, Ivana Nikolic, and Kenneth T. Shelton lead a multidisciplinary team of authors who expertly cover cardiology, cardiac surgery, anesthesia, and mechanical circulatory support topics for all ICU clinicians who focus on cardiovascular care. Shares knowledge and experience gained in the relatively recent field of cardiovascular critical care—from experts in anesthesiology, cardiology, cardiac surgery, emergency medicine, and pulmonary/critical care medicine Provides a real-world, practical balance of , cardiac surgery and cardiac  anesthesia content, including an outstanding section on mechanical circulatory support—all with a focus on advanced, specialized coverage of this complex field Covers the topics that are uniquely within the scope of cardiovascular critical care: management of patients on ECMO and ventricular assist devices, the physiology of heart failure and ventricular support, management of postcardiotomy shock, and many other common clinical issues Inspired by the collective experiences at Massachusetts General Hospital’s Heart Center Intensive Care Unit (HCICU), to answer the question often asked by new colleagues: “Is there a resource that puts together everything in one place?” Enrich your eBook reading experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

Le urgenze ed emergenze cardiologiche rappresentano le cause principali di accesso in pronto soccorso, sono condizioni ad elev

Il manuale è stato scritto per colmare una importante lacuna nell'ambito delle discipline della medicina di emergenza, della m

Il volume è una guida fondamentale nella gestione dell'emergenza cardiorespiratoria, aggiornata alle più recenti linee guida,

Now in brilliant full color and reflecting recent significant changes in the field, Critical Heart Disease in Infants and Children, 3rd Edition, keeps you abreast of the skills and knowledge required to safely care for children with congenital and acquired heart disease in the ICU. Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from leading centers around the world provide a well-rounded perspective on basic scientific principles, medical and pharmacologic treatments, surgical techniques, and equipment. Features comprehensive updates throughout the text, including indications, techniques, potential complications in perioperative management of patients, and surgical techniques for congenital heart disease. Covers recent advances in the treatment of pulmonary hypertension, developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Features an all-new, full-color format that speeds navigation and helps clarify complex concepts. Contains 27 new chapters with an emphasis on the team approach to patient care in the ICU including creating multidisciplinary teams, quality and performance improvement, training , and challenges and solutions to developing a cohesive team environment. Includes a detailed chapter on bedside ultrasound, walking you through the techniques you’re most likely to encounter in the ICU. Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access, and more than two dozen video clips provide a more complete understanding of echocardiography, imaging modalities, pulmonary hypertension, and more. Describes the basic pharmacology and clinical applications of new pharmacologic agents. Examines issues affecting adults with congenital heart disease. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation. Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents. Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications. Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Examines issues affecting adults with congenital heart disease.

Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more. Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.

Most patients with critical cardiac or thoracic conditions will at some stage pass through the cardiothoracic critical care unit. Critical care presents more complex clinical data than any other area of medicine. The new edition of Core Topics in Cardiothoracic Critical Care focuses on the latest practise in the management of patients in cardiothoracic intensive care. The practice of cardiothoracic critical care medicine is constantly evolving, and this new edition reflects the modernized learning styles for trainees. Each chapter includes key learning points as well as sample multiple choice questions and answers to assist in exam preparation. This edition also features updated chapters on ECMO, perioperative management of patients undergoing emergency cardiothoracic surgery, and advanced modes of organ support for patients. This text provides key knowledge in a concise and accessible manner for trainees, clinicians and consultants from specialities and disciplines such as cardiology and anaesthesia, and nursing and physiotherapy.

Fundamentals of Congenital Minimally Invasive Cardiac Surgery is a first of its kind, fully-illustrated guide that is solely dedicated to the most diffused congenital minimally invasive cardiac surgery procedures. It provides detailed, step-by-step descriptions of surgical maneuvers to underline each aspect of the procedures along with full color drawings and operative pictures to enhance understanding. Each chapter fully describes the preoperative setting, the needed materials and the required technical skills that make specific congenital heart defects amenable to minimally invasive surgical treatment. This is the perfect go-to reference for pediatric and congenital cardiac surgeons, and is also a must-have guide for residents in cardiac surgery who are looking to review the technical aspects and outcomes of utilizing a minimally invasive approach for cardiac surgery.

Nell'era dell'informazione digitale, ove tutto è divenuto consultabile con il semplice tocco di due dita su schermi di pochi p

Pianificazione anticipata delle cure, adeguato controllo dei sintomi, discussione circa le scelte di fine vita devono far parte del bagaglio di chi si occupa dei malati con scompenso cardiaco, dai cardiologi ai palliativisti, dagli internisti ai medici di medicina generale e agli infermieri. Il libro, prima opera italiana sull'argomento, frutto della collaborazione multidisciplinare di un gran numero di esperti nel campo della cardiologia e delle cure palliative, affronta tutti gli aspetti della cura dei malati, proponendosi come uno strumento importante aggiornarla e migliorarla.

Coronarie, colesterolo, elettrocardiogramma, stent: cosa indicano questi termini? Conoscere l'infarto significa avere qualche speranza in più di evitarlo o di sopravvivergli più consapevoli, e forse più sorridenti. E trattarlo con ironia significa spogliarlo del suo alone minaccioso. Dai sintomi al primo soccorso, dai fattori di rischio ai farmaci, alla prevenzione, passando per le ansie e gli interrogativi dei familiari, le prassi delle visite di controllo: un vademecum cardiologico utile anche a sostenere lo spirito di chi sa di aver corso un pericolo.