Terapia intensiva e critical care

Il volume soddisfa la peculiare esigenza d'essere di supporto al personale medico nella propria attività quotidiana di assiste

Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

In recent years, ultrasound has become an essential tool for clinicians who care for patients suffering from acute or chronic pain. Comprehensive Atlas of Ultrasound-Guided Pain Management Injection Techniques, 2nd Edition, depicts in clear, step-by-step detail how to prepare and perform injections under ultrasound guidance. Noted pain expert Dr. Steven D. Waldman’s succinct, easy-to-read writing style guides you through more than 180 useful techniques – all highlighted by hundreds of full-color, oversized images designed to demonstrate the ease and utility of ultrasound in contemporary pain management care.   Features short, highly templated chapters covering more than 180 techniques for head, neck, shoulder, elbow and forearm, wrist and hand, chest wall, trunk and abdomen, low back, hip and pelvis, knee and lower extremity, and foot and ankle. Helps you visualize patient anatomy and correlate it to ultrasound output with high-quality anatomical illustrations, photographs, and ultrasound images that show transducer positioning, proper needle angle, and more. Includes 18 new chapters on the newest ultrasound techniques, including a chapters on US-guided percutaneous tenotomy,  PECS I and II block, TAP block, TLIP block, and Fascia Iliaca Compartment block. Provides authoritative advice from Steven J. Waldman, MD, JD, that leads you to use ultrasound to obtain accurate diagnostic information, provide more beneficial treatment, and enhance the clinician-patient connection that is essential to effectual patient care. 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.

Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.

A popular, practical and easy-to-use guide, Oxford Desk Reference: Critical Care second edition distils evidence, therapeutics, and a growing knowledge base in to one single resource. Using their expertise, the Editors have devised an invaluable clinical guide reflecting best practice and training pathways ensuring all key information is covered. Each topic is laid out in a concise entry allowing rapid access to information. The second edition includes new chapters on tissue perfusion monitoring, paediatric and maternal critical care as well as expanded coverage of cardiovascular monitoring, myocardial infarction and respiratory therapy techniques. New self-assessment questions support FFICM and EDIC (European Diploma of Intensive Care) revision as well as CME reflection. Covering the entire discipline in an easy-to-read format, this is the definitive clinical reference for critical care, ideal for trainees, consultants, advanced care practitioners, and nurses. It is a definitive everyday reference for on the Intensive Care Units, High Dependency Units, acute medical or surgical wards, Accident and Emergency departments, and operating theatres.

Il volume è frutto della decennale esperienza sul campo dell'autrice, radiologo vascolare, prima come angiografista e poi come

This book provides a comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the advantages and limitations of each drug and device using clear flowcharts, diagrams and tables. Furthermore, it explores the new drugs and – above all – new sedation delivery systems, particularly those for administering volatile anesthetics on ICUs. This book is a valuable and practical resource for anesthesists, intensivists and emergency physicians interested in sedation.

Current, comprehensive, and focused, the bestselling Oxford Handbook of Acute Medicine returns for its fourth edition. Thoroughly revised and updated throughout, this trusted, quick-reference guide includes the latest evidence-based guidelines and recommended management of medical emergencies alongside new figures and clinical tips from experienced authors and a team of dedicated specialist reviewers. With a new chapter on acute medicine and the older patient, and even more distilled key points and practice tips, it is accessible to all members of the multidisciplinary team and practitioners across an even wider range of specialties. The Oxford Handbook of Acute Medicine remains the must-have resource for all those dealing with acute illness. Your practical guide to the presentation, causes, and management of the acutely ill patient, this Handbook will take you step-by-step through the management of the patient while awaiting specialist help, and beyond, with details of specialist treatments to help you make an informed decision about your patient's ongoing care. We have taken on board recent consumer feedback on the 4th edition and would like to clarify that the handbook has been kept to a portable and concise size whilst including the necessary information required by our readers. We have updated the Adult advanced life support algorithm in our latest reprint and online, and the other points raised by consumers are with the book authors for their review. Readers can get in touch with us directly using the contact details on the back of the book or at our online form via the address below with questions or comments. https://global.oup.com/academic/category/medicine-and-health

This book provides simple and practical instructions on how to perform safe and easy venous cannulation, and how to insert midlines and PICC lines using ultrasound. It aidsunderstanding of the relevant anatomy, shows how to use the ultrasound machine, and how to insert such lines using ultrasound guidance. Readers will feel confident and well prepared to deal with patients requiring difficult venous access, giving them simple solutions that can be learned very quickly. These skills will also be globally beneficial for patients and healthcare institutions alike. Follows the trends of the NHS and riding the wave of the midline/PICC line revolution Compact and affordable highly relevant to daily practice Useful for specialists and generalists alike, truly multi-disciplinary

A brand new series from Oxford University Press, the Oxford Clinical Imaging Guides are specifically designed to help doctors master imaging techniques. Each guide explains the principles and practice of using imaging in an easy-to-read, highly-illustrated, and authoritative manner. Focused Intensive Care Ultrasound is a practical manual designed to help you use ultrasound to assess and treat critically ill patients. Extensively illustrated, the book comes with online access to over 70 videos and 60 self-assessment questions. This is the first book comprehensively mapped to the syllabi of Focused Intensive Care Echocardiography (FICE), Core Ultrasound for Intensive Care (CUSIC), Resuscitation Council UK's Focused Echocardiography in Emergency Life support (FEEL), British Society of Echocardiography's Level 1 Accreditation, and Focused Acute Medical Ultrasound (FAMUS). It is also ideal for European Focused Cardiac Ultrasound (FoCUS) training. Providing a clear distinction between basic and advance skills, it introduces relevant aspects of advanced echocardiography for more experienced learners. With a focus on clinical issues, and supported by relevant physiological principles, this book teaches you exactly what you need to know to assimilate ultrasound into your everyday intensive care practice. Designed as an essential day-to-day reference and learning tool, this resource is ideal for trainees, consultants and critical care practitioners wishing to master ultrasound skills.

This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings. More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based onboth current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion. 

This text reviews the postoperative management of patients who have undergone cardiac surgical procedures, some of the most common and most complicated forms of surgery. These patients and their management are characterized by complex challenges, while among the factors determining ultimate clinical outcome, postoperative critical care is of major importance. This new and extensively updated edition of Postoperative Critical Care for Cardiac Surgical Patients maintains the general clinical approach in explaining and analyzing the course of clinical care in patients undergoing cardiac surgery, providing the reader with a practical "cookbook" of postoperative intensive care in adult cardiac patients. It has been extensively updated to include the developments in this field during the last few years, from new chapters on postoperative management of renal, gastrointestinal and respiratory systems, postoperative management of infectious and inflammatory complications, and postoperative care of transplant patients and postoperative safety. This book is of critical importance for cardiac surgeons, cardiac anesthesiologists and intensivists, and defines optimal daily practice for adult patients undergoing cardiac surgical procedures.

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.