Terapia intensiva e critical care

"Irwin and Rippe's Intensive Care Medicine" is a comprehensive textbook covering both the theoretical and practical aspects of medical and surgical critical care. The Seventh Edition will again be presented as a single volume, and will retain the organizational structure established in the Fifth Edition - a major overhaul from its two - volume predecessors. The text is generally organized on an organ-systems approach, but has popular sections such as procedures, overdoses and poisonings, trauma, and surgical problems in the ICU. Thoroughly updated for its Seventh Edition, this classic reference remains an unsurpassed source of definitive, practical guidance on adult patient care in the ICU. It provides encyclopedic, multidisciplinary coverage of both medical and surgical intensive care and includes a "how-to" atlas of procedures and a new section on noninvasive monitoring. Each chapter, completely revised, identifies advances in management based on randomized controlled clinical trials. The cardiology section has been completely rewritten to reflect advances in management of acute coronary syndromes. Also included are extensive updates on management of COPD, diabetes, oncologic emergencies, and overdoses and poisonings. A companion website will provide instant access to the complete and fully searchable text.

This softcover manual covers all procedures and techniques necessary for certification in critical care from the internal medicine, anesthesiology, and surgical critical care certification exam. Each procedure or monitoring technique discusses indications/contraindications, equipment, anatomy, techniques, postprocedure care, and complications. Specific nursing indications are indicated where appropriate.

Respiratory disease is the most common reason for admission to intensive care, and advanced respiratory support is one of the most frequently used interventions in critically ill patients. A clear understanding of respiratory disease is the cornerstone of high quality intensive care. Although a plethora of literature is available, both in print and online, finding the necessary relevant information can be difficult and time consuming. This handbook provides comprehensive clinical detail in an easily readable format. It is written by practising clinicians and has both in-depth theoretical discussion and practical management advice. The book is divided into sections: Section 1 deals with the approach to the patient with respiratory failure - including pathophysiology, investigation and diagnosis Sections 2 covers non invasive treatment modalities Sections 3 and 4 examine invasive ventilation in detail. Section 3 considers the principles of mechanical ventilation while section 4 deals with individual ventilator modes Section 5 discusses the management of the ventilated patient including sedation, monitoring, asynchrony, heart - lung interaction, hypercapnia and hypoxia, complications, weaning and extubation. It also has chapters on areas less frequently covered such as humidification, suction, tracheal tubes and principles of physiotherapy Section 6 is a comprehensive breakdown of each respiratory condition seen in ICU. This book is designed to bridge the gap between Intensive Care starter texts and all-encompassing reference textbooks. It is aimed at consultants and senior trainees in Intensive Care Medicine, senior ICU nursing staff, consultants in other specialties and allied healthcare professionals who have an interest in advanced respiratory critical care.

Ongoing improvement in the quality of patient care is essential to all anesthesia practices. This issue of "Anesthesiology Clinics" provides solid foundation and guidance in how to improve outcomes, as it covers the following topics. An overview of QI structures and initiatives is presented, focusing on the relevance to anesthesiology. A practical guide on how to implement a QI program is provided. Quality measurement approaches and issues, including the use of databases and risk adjustment are also examined. How to use simulation and other cutting-edge technology to improve quality in the OR is provided. Issues in multidisciplinary education and enhanced communication are explored. Recommendations for fostering a culture of safety are provided. How real-time support and decision-making can improve performance on quality process measures are examined. Clinical topics including bariatrics, geriatrics and decreasing perioperative delirium, and pain management are covered, as well as issues about end-of-life care.

In recent years capnography has gained a foothold in the medical field and is fast becoming a standard of care in anaesthesiology and critical care medicine. In addition, newer applications have emerged which have expanded the utility of capnographs in a number of medical disciplines. This new edition of the definitive text on capnography reviews every aspect of this valuable diagnostic technique. An introductory section summarises the basic physiology of carbon dioxide generation and transport in the body. A technical section describes how the instruments work, and a comprehensive clinical section reviews the use of capnography to diagnose a wide range of clinical disorders. Edited by the world experts in the technique, and with over 40 specialist contributors, Capnography, second edition, is the most comprehensive review available on the application of capnography in health care.

The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.

This issue of "Critical Care Clinics" by Dr. Anand Kumar will feature articles on: Optimizing Antimicrobial Therapy in Life-threatening infection, sepsis and septic shock; General principles of antimicrobial dosing and PK/PD; Pharmacokinetic and pharmacodynamic issues in the critically ill with severe sepsis and septic shock; Understanding antimicrobial resistance; Combination vs monotherapy in critical illness; and, Antifungal therapy.

La respirazione meccanica è una procedura con cui ogni medico di medicina intensiva e ogni specializzando nelle discipline sia

Approvato dall'American Association of Critical-Care Nurses, questo praticissimo manuale contiene tabelle e figure che racchiudono tutte le informazioni necessarie per fornire cure efficaci e sicure al paziente critico.

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.

The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anaesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them. This highly practical book is the only guide needed to the procedures and techniques commonly used in anaesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use. This book will be used by all junior trainees in anaesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anaesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

Every anaesthetist reaches the end of their career with a collection of difficult airway experiences. Managing airway challenges relies on a combination of good clinical practice, knowledge of relevant basic sciences and critical evaluation of every aspect of airway care. This new edition of Core Topics in Airway Management provides any trainee or consultant involved in airway techniques with practical, clinically relevant coverage of the core skills and knowledge required to manage airways in a wide variety of patients and clinical settings. All new procedures and equipment are reviewed, and detailed chapters advise on airway issues in a range of surgical procedures. This edition also contains a series of practical questions and answers, enabling the reader to evaluate their knowledge. Written by leading airway experts with decades of experience managing difficult airways, Core Topics in Airway Management, 2nd edition is an invaluable tool for anaesthetists, intensivists, and emergency physicians.

The "AACN Procedure Manual for Critical Care, 6th Edition" presents procedures for the critical care environment in an illustrated, consistent, and step-by-step format. The Procedures and Patient Monitoring sections are presented in a tabular format that includes special considerations and rationales for each intervention. References have been meticulously reviewed to ensure that the most authoritative and timely standards of practice are used. Additionally, the references supporting care recommendations are identified according to the latest AACN Evidence Leveling System to ensure that you have a complete understanding of the strength of the evidence base.

Bedside Procedures for the Intensivist delivers practical tips and clear, step-by-step instruction on the most common procedures in the ICU. The convenient and portable handbook focuses on ultrasound-guided techniques, including an introduction to ultrasound physics and principles, while individual chapters provide concise "how-to" text supplemented with numerous full-color figures and tables that summarize key content. Residents, fellows, and trainees in critical care will benefit from the detailing of indications and contraindications for performing core procedures, while more experienced intensivists will find the book a reliable source of review material. Key procedures described include: * Ultrasound-guided vascular access * Ultrasound-guided drainage * Focused echocardiography * Airway management * Dialysis and apheresis * Pericardiocentesis * Insertion of vena cava filters * Percutaneous dilational tracheostomy * Open tracheostomy * Transbronchial biopsy * Percutaneous endoscopic gastrostomy * Intracranial monitoring

This volume in the successful "Made Easy" series is aimed at all doctors working in accident and emergency departments to help remind them of the common nerve block techniques. These techniques can be difficult to master and require great precision. Each procedure is described in step-by-step detail along with accompanying colour illustrations.

Learningwithoutthinkingisuseless. Thinkingwithoutlearningis dangerous -Confucius Sincethepublicationofthe?rsteditionofTheHandbookofEvidence- BasedCriticalCarein2001,thelandscapeofcriticalcaremedicinehas changed enormously. Numerous randomized controlled studies (RCTs) thathavechangedthedailypracticeofcriticalcaremedicinehavebeen published. Furthermore, our understanding of the complex pathophy- ologyofthecriticallyillandinjuredhasadvanced,newtherapieshave emerged (and some have fallen by the wayside), and we have re?ned howwemonitorandmanageourpatients. Wehavealsorecognizedour limitationsandimprovedend-of-lifecare. Inall,wearewiserandmore attuned to the challenges of providing care to the sickest of the sick. However,thebasicguidingprinciplesofcriticalcaremedicinehavenot changed;compassionate,dedicatedandthoughtfulclinicians,whoeva- atethefunctioningofthe"whole"patient,pondertheirdiseaseprocesses and pathophysiology and provide the highest level of evidence-based interventions with the goal of restoring the patient to a quality of life whichhe/shevalues. ThesecondeditionofTheHandbookofEvidence- BasedCriticalCarechroniclestheremarkableprogressmadeinthelast decadeandsetsthestageforwhatisyettocome! Thefocusofthishandbookisonissuesthatpertainspeci?callytothe ICU. Assuchthereaderisreferredtostandardmedicalandsurgicaltexts aswellasonlineresourcesformorecompleteinformationonthewide spectrumofconditionsanddiseasesfromwhichICUpatientsmaysuffer. PaulEllisMarik Norfolk,Virginia ix Contents Part I. Introduction to Critical Care Medicine 1. Evidence-BasedCriticalCare 3 2. ClassicCriticalCarePapers 7 3. CriticalCareMedicine101 13 4. HouseOf?cers'Guideline1:Housekeeping 17 5. Admission-DischargeCriteria 23 6. HouseOf?cers'Guidelines2:Procedures 31 7. ChronicCriticalIllness 43 8. FluidResuscitationandVolumeAssessment 55 9. SedationandAnalgesia 79 10. Sepsis 95 11. Catheter-RelatedBloodstreamInfection 117 12. Antibiotics 123 13. Fever 133 Part II. Respiratory 14. MechanicalVentilation101 153 15. Non-invasivePositive-PressureVentilation 175 16. Weaning(Liberation) 183 17. Ventilator-AssociatedPneumonia 193 18. Community-AcquiredPneumonia 205 19. ARDS 215 xi xii Contents 20. AspirationPneumoniaandPneumonitis 233 21. DeepVenousThrombosis-PulmonaryEmbolism 245 22. COPDExacerbation 253 23. AcuteSevereAsthma 261 24. PleuralEffusionsandAtelectasis 271 Part III. Cardiac 25. HypertensiveCrises 281 26. AcuteCoronarySyndromes 295 27. STSegmentElevationMyocardialInfarction 301 28. Arrhythmias 311 29. AcuteDecompensatedCardiacFailure 323 30. TakotsuboCardiomyopathy 343 Part IV. Gastrointestinal 31. Nutrition 351 32. StressUlcerProphylaxis 361 33. ChronicLiverFailure 371 34. AlcoholicHepatitis 381 35. FulminantHepaticFailure 385 36. GIBleeding 393 37. Pancreatitis 403 38. DiarrheaandConstipation 411 Part V. Metabolic 39. StressHyperglycemiaandGlycemicControl 421 40. AdrenalInsuf?ciencyandCIRCI 427 41. Hypo-andHypercalcemia 435 42. ElectrolyteDisturbances 443 43. Acid-BaseDisturbances 453 44.

The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.

Core Topics in Endocrinology in Anesthesia and Critical Care provides a comprehensive, practical overview of the perioperative management of patients with endocrine disorders, giving clear diagnostic advice and management guidelines. This book considers the management of patients with endocrine disorders of the pituitary, thyroid, parathyroid and adrenal glands, including rarer disorders such as MEN syndrome. It then considers all aspects of the perioperative management of diabetic patients, including paediatric, obstetric and ambulatory patients. Finally it discusses endocrine disorders in the critically ill patient, covering such issues as the topical conundrum of glucose control and the management of diabetic metabolic acidosis, thyroid storm and myxoedema coma. Every chapter reviews the relevant anatomy and pathophysiology and the latest developments in defining the genetic causes are also considered where appropriate. Core Topics in Endocrinology in Anesthesia and Critical Care is an invaluable tool for all anaesthetists and intensivists in their daily clinical practice.