Terapia intensiva e critical care

This book provides an up-to-date and comprehensive overview on percutaneous tracheostomy (PT) in critically ill patients. The various PT techniques that may be employed in the intensive care unit are fully described, with discussion of the available tracheostomy tubes and selection criteria and with clear evaluation of the risks and benefits of each procedure. A further individual chapter is devoted to the methods of airway management that may be used during PT. Detailed attention is also paid to medical and nursing management inside and outside hospital, to quality of life issues in tracheostomized patients, and to the problem of informed consent. The book concludes by addressing the need for standard guidelines. Percutaneous Tracheostomy in Critically Ill Patients will be an excellent source of information and guidance for novice and more experienced physicians working in intensive care units, operating rooms, and emergency departments as well as for those responsible for patient aftercare.

Anesthesia Emergencies contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.

This practical guide provides the reader with answers to important clinically relevant questions regarding the evaluation and management of acute kidney injury (AKI). All aspects of critical care nephrology are covered, from pathophysiology and diagnosis to prevention and treatment. The questions considered relate to a wide range of issues, such as: How do I diagnose AKI? How can I protect the kidney in clinical practice? How do I manage patients with AKI? When should I initiate and how do I perform renal replacement therapy (RTT)? Which type of RTT is most appropriate for my patient? Should I give specific nutrients? In addition to providing practical guidelines and treatment algorithms, the book includes calculators for continuous RRT and anticoagulant dosing. The authors are internationally renowned experts in the fields of Intensive Care Medicine and Nephrology and all contributions are written in a clear and concise style and have been peer reviewed. Acute Nephrology for the Critical Care Physician will serve as a very useful source for intensivist internists, anesthesiologists and nephrologists involved in the management and treatment of critically ill patients at risk of or affected by AKI.

Il monitoraggio è probabilmente l'attività che impegna maggiormente l'infermiere qualunque sia l'area intensiva in cui opera

Trauma patients present a unique challenge to anesthesiologists, since they require resource-intensive care, often complicated by pre-existing medical conditions. This fully revised new edition focuses on a broad spectrum of traumatic injuries and the procedures anesthesiologists perform to care for trauma patients perioperatively, surgically, and post-operatively. Special emphasis is given to assessment and treatment of co-existing disease, including surgical management of trauma patients with head, spine, orthopedic, cardiac, and burn injuries. Topics such as training for trauma (including use of simulation) and hypothermia in trauma are also covered. Six brand new chapters address pre-hospital and ED trauma management, imaging in trauma, surgical issues in head trauma and in abdominal trauma, anesthesia for oral and maxillofacial trauma, and prevention of injuries. The text is enhanced with numerous tables and 300 illustrations showcasing techniques of airway management, shock resuscitation, echocardiography and use of ultrasound for the performance of regional anesthesia in trauma.

Overcome the toughest airway challenges with Master Techniques in Upper and Lower Airway Management! Under the preeminent editorial guidance of William Rosenblatt, MD and Wanda Popescu, MD, a multitude of expert anesthesiologists guide you through all the ins and outs of managing difficult airways. This anesthesiology reference's case-based approach demonstrates the clinical applications of important principles and a large collection of online videos shows you how to perform key techniques successfully. "Two master clinician educators, Drs. William Rosenblatt and Wanda Popescu, calling on their expertise in airway management and thoracic anesthesia, respectively, have developed a unique book which explores the pathway of the airway from lips (nares) to the terminal bronchi to develop a highly focused volume with accompanying e-media to highlight clinical management. Although the organization of the book may seem obvious or intuitive, this is the first time a textbook has been developed in this manner. For the reader, these individuals have assembled the 'go to faculty' for both pre-operative consultation, as well as, intra-operative airway related events in their specialties." (from the Foreword by Paul G. Barash MD Key). Features: be prepared to tackle a complete range of upper airway problems with comprehensive coverage of everything from evaluation and basic management of the difficult upper airway patient, through pre-existing conditions; otolaryngology and maxillofacial procedures; nasal intubation, tracheostomy, and foreign bodies; pediatric patients; the at-risk cervical spine; extubation, and more, as well as lower airway issues including interventional pulmonology; lung isolation devices and techniques; airway surgery; surgeries requiring lung isolation; congenital abnormalities of the lower airway; lung transplantation; lower airway emergencies; and more. Apply principles in practice by reviewing case histories that show concrete applications in the context of managing real patients. Then challenge your decision making with case-based questions and answers that delve into the details that lead to optimal outcomes. Master vital nuances of technique by watching a large collection of online videos derived from more than 700 actual patients. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: complete content with enhanced navigation; a powerful search that pulls results from content in the book, your notes, and even the web; cross-linked pages, references, and more for easy navigation; highlighting tool for easier reference of key content throughout the text; ability to take and share notes with friends and colleagues; quick reference tabbing to save your favorite content for future use.

The fully updated second edition of this popular handbook concisely summarises all current knowledge about delirium in critically ill patients and describes simple tools the bedside clinician can use to prevent, diagnose and manage delirium. Chapters discuss new developments in assessing risk and diagnosis, crucial discoveries regarding delirium and long-term cognitive outcomes, and dangers of sedation and death. Updated management advice reflects new evidence about antipsychotics and delirium. This book explains how to minimise the risks of delirium, drugs to avoid, drugs to use and when to use them, as well as current theories regarding pathophysiology, different motoric subtypes leading to missed diagnosis, and the adverse impact of delirium on patient outcomes. While there are still unanswered questions, this edition contains all the available answers. Illustrated with real-life case reports, Delirium in Critical Care is essential reading for trainees, consultants and nurses in the ICU and emergency department.

The Yearbook compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

In anesthesiology, pain medicine, and critical care, practitioners at all levels need help to stay current with the continually evolving drug knowledge-base and trainees need tools to prepare for in-training and board exams that increasingly test their knowledge of pharmacology. This practical book is aimed at both readerships. It features a unique and practical chapter on the United States Food and Drug Administration (FDA) "black box" warnings that describe what safety precautions should be taken with commonly used drugs. The editors and contributors are pharmacology experts representing a cross-section of clinical specialties and institutions in the United States and include pharmacologists, pharmacists, as well as physicians.

The fourth edition of this market-leading anaesthetic book has been fully updated to include novel oral anticoagulants and neuromuscular reversal agents. Numerous other sections have been expanded or updated to reflect new research and current best practice, and the antibiotics chapter now includes information about commonly encountered pathogens and the drugs used to target them. Basic pharmacological principles, vital to understanding the effects of individual drugs, are dealt with methodically, and the essential physiology is described alongside the relevant pharmacology. This has become the core pharmacology book for the FRCA, covering all the relevant kinetics and dynamics in a compact and easy to navigate format, including clear diagrams and tables. This is an ideal aid to study and practice for junior and trainee anaesthetists. Theatre practitioners, ICU nurses and physicians working in areas that demand a solid foundation of pharmacological knowledge will also find this an invaluable resource.

Issues of thrombosis, bleeding, and transfusion are extremely common, and often complex, in critically ill patients. Haematology in Critical Care: A Practical Handbookprovidesa dependable source of expert guidance on how to handle common haematological problems seen in the critical care setting, as well as the acute care of patients with a primary haematological disorder. Full-time clinical haematologists, regularly attending on intensive care, the Editors begin with an approach to abnormal laboratory tests, following with a disease-orientated approach to topics such as coagulation and haematological malignancy. Other key topics include paediatric and neonatal care, transfusion, point of care testing and the emergency presentation of haematological disease. This title brings together two of the most highly scientific specialties in clinical practice, delivering a practical approach to these problems, and guiding the clinician through the diagnosis and management of common scenarios encountered in the ICU.

With the in-depth coverage you need, this text helps you provide quality treatment for neonates, infants and pediatric patients. It discusses the principles of neonatal and pediatric respiratory care while emphasizing clinical application. Not only is this edition updated with the latest advances in perinatal and pediatric medicine, but it adds a new chapter on pediatric thoracic trauma plus new user-friendly features to simplify learning.