Terapia intensiva e critical care

This official textbook of the Society of Neurocritical Care (SNCC) comprises a comprehensive review of all possible neurologic conditions that one may encounter in the practice of neuro-intensive care. It covers various topics, from the history and origin of neuro-intensive care to psychological and nursing care. Neurocritical care is the intensive care management of patients with life-threatening neurological and neurosurgical illnesses such as massive stroke, bleeding in or around the brain (subarachnoid hemorrhage, intracerebral hemorrhage, subdural hemorrhage, intraventricular hemorrhage), brain tumors, brain trauma, status epilepticus, nerve and muscle diseases (myasthenia gravis, Guillain-Barre Syndrome), spinal cord disorders and the cardiopulmonary complications of brain injury. Neurocritical care units specialize in managing the unique needs of such critically ill patients. The textbook is divided into many sections. Chapters discuss issues related to palliative care and describe some of the commonly performed procedures in the neuro-intensive care unit as well. It provides a straightforward and systematic approach to various clinical problems encountered during intensive care management of neurologic patients. It includes a separate section on special considerations in neurocritical care. The book includes ample figures, flowcharts and algorithms. The textbook is a valuable resource for residents, fellows and trainees in neuroanesthesia, neurointensive care, critical care, and anesthesia. It serves as a quick guide to all intensivists managing neurosurgical patients. It is also helpful for general intensivists who occasionally manages neurologic patients.

Neurocritical care is a multidisciplinary specialty that provides comprehensive management for all life-threatening disorders of the central nervous system and their complications. Increased understanding of the pathophysiology of acute central nervous system disorders and their impact on systemic organ systems, in association with advances in neuromonitoring and neuroimaging techniques, has led to the introduction of more effective and individualised treatment strategies that have translated into improved outcomes for critically ill neurological patients. As well as treatments targeted to the acute neurological disorder, critically ill neurological patients require meticulous general intensive care support to maintain systemic physiological stability and optimize neurological outcomes. The second edition of the Oxford Textbook of Neurocritical Care brings together international experts from various disciplines to provide a comprehensive global perspective on this field. In 33 updated or new chapters, the book discusses the pathophysiology of acute neurological conditions, advancements in monitoring and imaging techniques, evidenced-based treatment strategies, prognostication, patient outcomes, and ethics. Each chapter highlights advancements within specific areas and underscores the critical attention to detail that is the basis of neurocritical care practice. While primarily designed for those in the neurocritical care field, this textbook also serves as a valuable resource for other clinical professionals who encounter patients with acute neurological conditions in their practice. It is also a useful resource for trainees from many disciplines

The fully revised, fourth edition of this bestselling Oxford Handbook describes best practice of critical care in a succinct, concise and clinically-orientated way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols. Patient-centred and practical, it will serve the consultant, trainee, nurse, or other allied health professionals as both a reference and aide memoir. This is the indispensable Oxford Handbook for all those working within critical care.

Questo volume, parte della collana realizzata in collaborazione con la European Society of Intensive Care Medicine (ESICM), è

Great for Neurosurgery, Emergency Medicine, Neurology, and Medicaland Surgical Critical Care Board Review! The NeuroICU Board Review, Second Edition provides complete coverage of every topic found on the neurocritical care board exam. This high-yield resource delivers a thorough overview of neurological disease states, neurosurgical management, critical care medicine, as well as ethics and professionalism. More than 700 questions with detailed answer explanations strengthen your understanding of critical care topics and prepare you for practice in the NeuroICU. This second edition has been enhanced with valuable Clinical Pearls that follow each chapter and provide concise, practical insights for patient care. Essential for passing the neurocritical care boards, this is also an ideal resource for reviewing neurocritical care topics found on board exams in neurosurgery, emergency medicine, neurology, and medical and surgical critical care.

La sepsi è una complicanza delle infezioni che aumenta il rischio di morbilità e mortalità del paziente. La sepsi addominale è un’importante causa di morbilità e mortalità ed è frequentemente associata ad una prognosi sfavorevole, particolarmente nei pazienti ad alto rischio. Il controllo chirurgico della fonte di infezione, la terapia antibiotica e il supporto rianimatorio, sono i veri punti chiave del trattamento delle infezioni intra-addominali. Negli ultimi 20 anni, l’incidenza di infezioni intra-addominali causate da microrganismi multiresistenti è aumentata significativamente, probabilmente anche a causa di elevati livelli di esposizione agli antibiotici e per la sempre maggiore complessità delle condizioni cliniche dei pazienti trattati. Gli obiettivi del trattamento si riassumono in un supporto intensivo per il ripristino e la stabilizzazione dell’emodinamica, un adeguato supporto nutrizionale, un’attenta selezione e somministrazione di antimicrobici ed infine un precoce ed aggressivo trattamento chirurgico al fine di controllare la fonte d’infezione, detergere il peritoneo dal pus e dai tessuti necrotici, decomprimere l’addome e infine prevenire e trattare l’infezione ricorrente. La gestione del paziente con sepsi addominale non può prescindere da un approccio multidisciplinare in cui il medico del pronto soccorso, il chirurgo, il radiologo, l’anestesista, il rianimatore, l’internista e il medico di laboratorio, devono agire in maniera sinergica allo scopo di iniziare il più rapidamente possibile il corretto trattamento. Ci auguriamo che la presente monografia si riveli una pubblicazione snella, di facile consultazione, aggiornate e ricca di suggerimenti pratici. Vogliamo infatti presentare un modello di trattamento multidisciplinare volto al trattamento dei pazienti con sepsi addominale, soprattutto quelli a maggior rischio di resistenze antibiotiche.

Quando spiego l'ECMO ai familiari dei pazienti, sono scettici

Selected as a Doody’s Core Title for 2025! NOTICE: A small number of books were mistakenly delivered to customers with missing eBook activation codes. This has been addressed and is no longer an issue. If you received a copy with a missing activation code, contact WK at the phone number or email address listed below the activation instructions. Dr. Paul L. Marino’s concise, engaging writing style is just one of many reasons that Marino’s The ICU Book is the best-selling reference in critical care. This highly regarded, full-color resource contains the essential information needed to care for patients in any ICU, regardless of the specialty designation of the unit. The newly revised Fifth Edition continues the focus on practical aspects of patient care and will appeal to anyone with an interest in the care of critically ill patients. The intended audience incudes medical students, interns and residents in medicine, surgery, and anesthesiology, critical care physicians and nurses, physician’s assistants, respiratory therapists, and paramedics.  Dr. Marino has been a practicing critical care specialist for 44 years, and the material in his book is a reflection of this vast experience. The text has been completely rewritten and incorporates the latest concepts and most recent clinical practice guidelines. Because this is a single-author text, the writing and style are consistent from chapter to chapter, and redundancies are held to a minimum. New chapters have been added on fluid management, approaches to clinical shock, acute pulmonary embolism, liver failure, and acute pancreatitis. As in prior editions, there are numerous illustrations and tables that highlight the material in the text, and each chapter ends with a section called “A Final Word” that presents a take-home message from the chapter. The text will be updated quarterly to include recently published guidelines and pertinent clinical studies. 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.

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.

Using a quick-reference, bulleted format, Manual of Neonatal Surgical Intensive Care, Fourth Edition, edited by Drs. Anne R. Hansen and Mark Puder, provides complete coverage of this challenging and multifaceted field in a concise, easy-to-digest manner. Written for both medical and surgical clinicians, this practical manual is a collaboration of the medical and surgical staff at Boston Children’s Hospital, Beth Israel Deaconess Medical Center, Brigham and Women’s Hospital, and other institutions that addresses the perioperative management of newborns with surgical conditions. Features a highly formatted, bulleted text and numbered lists for quick reference Contains fully revised content as well as new chapters on Parenteral Nutrition, Vein of Galen Malformation, and more For each surgical condition content coverages includes embryology, prenatal diagnosis, postnatal presentation, postnatal diagnosis, differential diagnosis, preoperative management, implications for anesthesia, surgical management, postoperative management, complications, and other outcomes Includes guidelines for the nonoperative management of newborns with surgical conditions An ideal resource for neonatal intensivists, pediatric surgeons, neonatologists, pediatricians, neonatal nurse practitioners, neonatal nurses, transport clinicians, and other healthcare providers who render pre- or postoperative care for neonates 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.

Una risorsa essenziale in formato tascabile per una rapida consultazione, anche in situazioni di emergenza. Un punto di riferimento indispensabile per chiunque desideri approfondire le proprie conoscenze e migliorare la pratica clinica quotidiana.Contenuti Aggiornati: Include le ultime ricerche, linee guida e pratiche cliniche che garantiscono un accesso alle informazioni più recenti e rilevanti nel campo dell’anestesiologia.Strumento di Riferimento Clinico: fornisce risposte immediate alle tue domande cliniche, aiutandoti a prendere decisioni informate e sicure.Per Tutti i Professionisti della Salute: una risorsa pensata per supportare gli anestesisti in ogni fase della loro carriera.Organizzazione Chiara e Intuitiva: strutturato in modo logico, con sezioni ben definite. Strumenti Pratici: comprende Protocolli Clinici, Nuove Quick Reference, Schemi e Algoritmi. Formato Tascabile: informazioni Indispensabili, Sempre a Portata di Mano!

Part of the popular Washington Manual® handbook series, The Washington Manual® of Critical Care provides concise, high-yield content that reflects today’s fast-changing advances in the field. Edited by Drs. Marin H. Kollef, Vladimir N. Despotovic, Bryan D. Kraft, Rachel K. McDonald, and Nguyet Nguyen, and written by teams of Washington University residents and faculty, the fourth edition focuses on the essential information you need to know, using a brief, bulleted format, along with numerous figures, tables, algorithms, and images throughout. In one convenient, portable resource, you’ll find complete coverage of bedside diagnosis and management of the most frequently encountered illnesses and problems seen in the ICU—all at your fingertips for quick review and reference. Covers the treatment and management of shock, sepsis, acute episodes of COPD and asthma, myocardial infarctions, organ failure, and other conditions and disorders Provides quick-reference overviews of intubation and catheterization procedures, as well as of common drug side effects and drug-drug interactions Includes new chapters on Emergency Department as the Gateway to the ICU, Post-Cardiac Arrest Management, High Altitude Illness, COVID-19 and Other Viral Pneumonias, Informatics in the Intensive Care Unit, and more, as well as thorough updates throughout Features a wealth of comprehensive, up-to-date tables and algorithms that help guide efficient decision-making Shares the experience and knowledge of Washington University faculty physicians and experts in their fields from the Departments of Medicine, Neurology, Surgery, Obstetrics and Gynecology, and Anesthesiology An ideal reference to meet the daily needs of practicing intensivists, residents, fellows, and critical care nurses The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by Wolters Kluwer Health under license from Washington University.   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.

Patterned after the renowned Walls Manual of Emergency Airway Management, Manual of Airway Management in Critical Care is a concise, focused reference on this challenging topic specifically for ICU providers. Drs. Jarrod M. Mosier, Calvin A. Brown III, Matteo Parotto, and Raquel R. Bartz bring their extensive expertise in critical care airway management to this all-new volume, as well as Dr. Mosier’s experience as director of the nationally recognized The Difficult Airway Course: Critical Care™. An excellent resource for intensivists, advanced practice providers, critical care nurses, and respiratory therapists, this first-of-its-kind text reflects ICU airway management from cover to cover: its unique standards of care, its unique risks, and its unique body of literature that set it apart from other medical disciplines. Uses a hands-on approach to provide the concrete guidance needed to effectively manage both adult and pediatric airway emergencies in the ICU Emphasizes practicality with step-by-step instructions, mnemonics, easy-to-follow algorithms, and rich illustrations Covers key topics such as transitions between the intubated to spontaneously breathing states (both intubation and extubation), noninvasive respiratory support strategies for preoxygenation, examples of pulmonary pathologies which affect the decision to intubate or extubate, advanced hemodynamic assessment and management, and patient positioning and related airway strategies. Includes over 20 videos that demonstrate case examples and various procedures 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.

La terza edizione del volume “Anestesia & Terapia Intensiva”, curata da Lothar Ullrich e Dietmar Stolecki, rappresenta un importante aggiornamento nel campo dell’anestesia e della medicina intensiva. Il testo mira a migliorare la competenza infermieristica attraverso l’aggiornamento continuo e offre le più recenti indicazioni per operare in sicurezza. Oltre a trattare la strutturazione delle cure intensive e delle unità di anestesia, introduce temi attuali come le potenzialità e i limiti della medicina intensiva. Particolare attenzione è dedicata alle competenze comunicative nel nursing intensivo, alla prevenzione delle infezioni nosocomiali e alla terapia del dolore. Il volume, arricchito da una grafica accattivante e supporto iconografico, è una risorsa chiave non solo per professionisti esperti, ma anche per chi si avvicina a questi ambiti o per scopi didattici e formativi.

Le infezioni gravi rappresentano una delle principali cause di morbilità e mortalità nelle unità di Terapia Intensiva di tutto il mondo. Interessano frequentemente i pazienti critici e la loro gestione è sempre più complessa per la presenza di nuovi agenti patogeni, per la crescente resistenza agli antibiotici, per la necessità di ottimizzazione farmacocinetica e farmacodinamica nonché per l’introduzione di nuove opzioni terapeutiche in pazienti sempre più vulnerabili. A questo si aggiunge che, seppure la pandemia COVID-19 ha aumentato l’attenzione e la sensibilità sul problema, e notevoli miglioramenti sono stati fatti e si stanno facendo in ambito sia diagnostico che terapeutico, l’approccio mirato alla gestione delle infezioni batteriche e fungine continua a rappresentare una sfida costante per il clinico. E solo attraverso un percorso multidisciplinare le professionalità combinate di intensivista, infettivologo, microbiologo, farmacista possono integrarsi e completarsi. Il manuale che abbiamo realizzato deriva proprio dalla collaborazione di alcuni dei maggiori esperti sul tema, in vari ambiti e discipline, ed affronta, nella sua prima parte, la tematica delle infezioni di difficile trattamento in Terapia Intensiva a partire dagli aspetti più generali, quali i fattori di rischio, le misure di infection-control e di isolamento in ambito intensivo, le tecniche di approccio diagnostico e le basi per un approccio ragionato all’antibiogramma. La seconda parte, basata su un approccio sindromico, affronta gli aspetti più specifici della gestione clinica del paziente settico ed immunodepresso, delle infezioni respiratorie ed intra-addominali di difficile trattamento. Chiudono il manuale una serie di capitoli in cui vengono trattate le caratteristiche fisiopatologiche, cliniche e diagnostiche delle infezioni causate da Enterobacterales, Acinetobacter baumannii, Pseudomonas aeruginosa, Staphylococcus aureus meticillino-resistente, Enterococcus spp e fungine di crescente interesse e rilevanza clinica. Speriamo con questo testo di contribuire ad aumentare l’interesse in questo ambito, e a fornire ai lettori informazioni utili ad inquadrare l’epidemiologia e le tendenze dei patogeni di difficile trattamento in Terapia Intensiva, al fine di realizzare strategie condivise di ottimizzazione della terapia antimicrobica in un contesto in continua crescita ed evoluzione.