Surviving critical illness is not always the happy ending we imagine for patients. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated. The Textbook of Post-ICU Medicine: The Legacy of Critical Care discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. The chapters are written by an interdisciplinary panel of leading clinicians and researchers working in the field. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine.

Concise yet comprehensive review of the Critical Care and Emergency Medicine. Most commonly encountered clinical scenarios and relevant topics are summarized in an easy to understand format. Can be used as quick reference guide during rounds, or during the patient encounter. Simplified version which can be used by physicians, pharmacists, nurses and allied health care staff. Author Biography: Dr. Asif Anwar graduated from Northeastern Illinois University, in Chicago IL, in 1997. Later he proceeded with his Internal Medicine residency training, at University of New Jersey (UMD-NJ) and Saint Louis University in Saint Louis Missouri. He also completed his fellowship training in Pulmonary, Critical Care and Sleep Medicine from SLUH in 2008. He has been affiliated with the US Air force, and currently holds the rank of a Major, and works with the Critical Care Air Transport Team (CCATT), and as a Flight Surgeon with the Air National Guard. He is board certified and a Fellow of American College of Chest Physicians. He is Clinical Assistant Professor, at University of Wisconsin-Madison, and Marquette University in Milwaukee, Wisconsin. Dr. Anwar has published original research in the peer-reviewed scientific journals.

This book covers several areas, such as immunology, infectious diseases, physiology, general nursing, and medicine as well as measurement accuracy and the history of our understanding of fever. This book employs an interdisciplinary approach to exploring our concept of body temperature and specifically fever. The present volume revolves around thermometry, taking the reader on a journey from the past to the present. Yet while the emphasis is on the clinical importance of obtaining accurate, quantitative measurements of body temperature, the reader is also introduced to the most recent clinical work on the subject. This book represents a truly cross-disciplinary collaboration, using evidence-based practice to integrate physiological and immunological knowledge. The authors' intention with this volume is to help readers gain better insight into the importance of using knowledge from different disciplines to develop an appreciation of the different aspects of body temperature. In addition, the reader will come to understand the concept of fever in a broader perspective than is traditionally adopted.

The Must-Have Guide for Navigating the ICU. The House Officer's Guide to ICU Care is an eminently practical handbook for junior house officers, medical students, PAs, and nurses that offers nuts-and-bolts guidelines for optimal management of medical and surgical patients in the ICU setting. Using clear, straightforward language, the authors methodically guide clinicians through the decision-making process, first by outlining the pathophysiology of abnormalities seen in the ICU and then by explaining the principles underlying today's therapeutic measures and describing how these agents and devices are used to ensure safe patient recovery. While the text focuses on the postoperative cardiothoracic surgery patient, the principles and therapies covered are broadly relevant to all medical and general surgery ICU patients. This third edition has been thoroughly updated to include the newest diagnostic and treatment technologies, procedures, and practices, and covers everything the house officer needs to know to deliver safe, effective, front-line care - especially during those times when senior staff are not there to rely on. Updated references, self-assessment tools, and an Emergency Response Sheet of essential paradigms, drugs, and doses will ensure confident decision-making when it counts the most. For the house officer, this book gives you everything you need to know, and not a word more. Especially useful for: house officers and medical students embarking on ICU responsibilities,intensive care nurses and nurses in training physicians' assistants,and respiratory therapists.

This book is a clinical guide in the practice of pediatric critical care and can serve as a roadmap for an introductory journey through this broad and challenging subspecialty. Key topics intrinsic to the practice of pediatric critical care are addressed from an organ-system and disease-specific perspective, and tailored to the needs of new learners. Comprehensive, practical and up-to-date information is provided in a user-friendly format that facilitates both learning and care implications. Each topic is analyzed and discussed in a custom-built section to provide both an overview and the necessary detail to help the reader participate in and contribute to patient care. Definitions, etiologies, physical findings, laboratory and radiologic data, differential diagnoses, management, suggested consultations and prognosis are condensed using easy-to-find boxes, bulleted lists, decision trees, tables and illustrations.

This book provides a comprehensive framework for treatment and management of bronchopulmonary dysplasia. In recent years great strides have been made toward understanding the pathogenesis and clinical aspects of BPD, which is the most common chronic lung disease affecting infants. This one-stop resource is written by leading scientists and clinicians in the field, and chapters discuss the most recent developments in the basic scientific, translational, and clinical characteristics of the disease. Topics such as hyperoxia, pre- and post-natal inflammation, and genetics and biomarkers of BPD are included, as well as non-invasive ventilation techniques, nutrition, and radiology applications from pre-term birth to adulthood. The book closes with an in-depth look at emerging therapeutic options for prevention of BPD. Bronchopulmonary Dysplasia is an essential volume for all neonatologists, pediatric pulmonologists, and scientists interested in developmental disorders of the lung.

The field of interventional bronchoscopy is rapidly expanding and has emerged as a new and exciting subspecialty in pulmonary medicine. To date, the impact of interventional bronchoscopy procedures has been felt in diagnosis, staging, and management of lung cancer, the most lethal cancer worldwide. Interventional Bronchoscopy: A Clinical Guide provides a state-of-the art description of interventional bronchoscopy procedures, addressing the scientific basis, indications, techniques, results, complications, and cost issues. Chapters address the current status, the advantages of new techniques and, most importantly, when to choose new techniques over the existing techniques. Each chapter will discuss the future of these procedures. Interventional Bronchoscopy: A Clinical Guide is an essential resource for a successful interventional pulmonology service and will be useful for the bronchoscopist, anesthesiologist, radiologist, thoracic surgeon and oncologist as well as practicing pulmonologists who do not perform these procedures but have to make decisions regarding appropriate referral of their patients to advanced airway centers.

Enormous advances in information technology have permeated essentially all facets of life in the past two decades. Formidable challenges remain in fostering tools that enhance productivity but are sensitive to work practices. Cognitive Informatics (CI) is the multidisciplinary study of cognition, information and computational sciences that investigates all facets of human computing including design and computer-mediated intelligent action, thus is strongly grounded in methods and theories from cognitive science. As an applied discipline, it has a close affiliation with human factors and human-computer interaction, and provides a framework for the analysis and modeling of complex human performance in technology-mediated settings and contributes to the design and development of better information systems. In recent years, CI has emerged as a distinct area with special relevance to biomedicine and health care. In addition, it has become a foundation for education and training of health informaticians, the Office of the National Coordinator for Health Information Technology initiating a program including CI as one of its critical elements to support health IT curriculum development. This book represents a first textbook on cognitive informatics and will focus on key examples drawn from the application of methods and theories from CI to challenges pertaining to the practice of critical-care medicine (CCM). Technology is transforming critical care workflows and re-organizing patient care management processes. CCM has proven to be a fertile test bed for theories and methods of cognitive informatics. CI, in turn, has contributed much to our understanding of the factors that result in complexity and patient errors. The topic is strongly interdisciplinary and will be important for individuals from a range of academic and professional backgrounds, including critical care specialists, psychologists, computer scientists, medical informaticians, and anthropologists.

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.

1 Methoden.- 1.1 Elektroenzephalographie (EEG).- 1.1.1 Einfuhrung.- 1.1.2 Entstehungsmechanismen des EEG.- 1.1.3 Methodik der EEG-Ableitung.- 1.1.4 Das normale EEG.- 1.1.5 Pathologische EEG-Veranderungen.- 1.1.6 Diagnostisch relevante EEG-Befunde.- 1.1.7 EEG-Indikationen im Intensivbereich.- 1.2 Ultraschalldiagnostik.- 1.2.1 Physikalische und apparative Voraussetzungen.- 1.2.2 Anatomische und physiologische Voraussetzungen.- 1.2.3 Untersuchungsgang.- 1.2.4 Indikationen der Ultraschalldiagnostik in der Intensivmedizin.- 1.3 Somatosensibel evozierte Potentiale (SEP).- 1.3.1 Einfuhrung.- 1.3.2 Methodik.- 1.3.3 Ursprungsorte der SEP-Komponenten.- 1.3.4 Auswertung und Normwerte.- 1.3.5 Ausfallsmuster bei typischen Schadigungsorten.- 1.3.6 Indikationen zur Ableitung von SEP.- 1.4 Fruhe akustisch evozierte Potentiale (FAEP).- 1.4.1 Einfuhrung.- 1.4.2 Methodik.- 1.4.3 Generatoren des FAEP.- 1.4.4 Auswertung und Normwerte.- 1.4.5 Lokalisationsdiagnostische Bedeutung der FAEP.- 1.4.6 Indikationen zur Ableitung von FAEP.- 1.5 Motorisch evozierte Potentiale (MEP).- 1.5.1 Einfuhrung.- 1.5.2 Wirkungsweise der Magnetstimulation.- 1.5.3 Methodik.- 1.5.4 Auswertung.- 1.5.5 Kontraindikationen.- 1.5.6 Besonderheiten der MEP-Untersuchung auf der Intensivstation.- 1.5.7 Einsatz der MEP auf der neurologischen Intensivstation und im Neuromonitoring.- 1.6 Visuell evozierte Potentiale (VEP).- 1.6.1 Einfuhrung.- 1.6.2 Anatomische und physiologische Grundlagen.- 1.6.3 Technische Durchfuhrung.- 1.6.4 Auswertung.- 1.6.5 Beeinflussung der VEP.- 1.6.6 Indikationen fur VEP-Ableitung in der Intensivmedizin.- 1.7 Elektromyographie (EMG) und Neurographie.- 1.7.1 Einfuhrung.- 1.7.2 Elektromyographie.- 1.7.3 Motorische Neurographie.- 1.7.4 Sensible Neurographie.- 1.7.5 Prufung der neuromuskularen UEberleitung.- 1.7.6 F-Antworten.- 1.7.7 Reflexmessungen.- 1.8 Untersuchung des autonomen Nervensystems.- 1.8.1 Anatomie.- 1.8.2 Physiologie.- 1.8.3 Methodik: Grundlagen.- 1.8.4 Pathophysiologie.- 1.8.5 Methodik: Analyse der Herzfrequenzvariabilitat.- 1.8.6 Allgemeine Befunde.- 1.8.7 Blutdruckmonitoring.- 1.8.8 Methodik: Sympathische Hautreaktion.- 1.9 Exogene und endogene Einflusse auf neurophysiologische Parameter.- 1.9.1 Einfuhrung.- 1.9.2 Exogene Einflusse.- 1.9.3 Endogene Einflusse.- 2 Neuromonitoring bei Intensivtherapiepflichtigen Erkrankungen.- 2.1 Schadel-Hirn-Trauma.- 2.1.1 Einfuhrung.- 2.1.2 Pathophysiologie.- 2.1.3 Klinische Diagnostik.- 2.1.4 Radiologische Diagnostik.- 2.1.5 Neurophysiologische Diagnostik.- 2.2 Hypoxisch-ischamische Hirnschadigung.- 2.2.1 Einfuhrung.- 2.2.2 Ursachen und Pathophysiologie.- 2.2.3 Klinisches Erscheinungsbild.- 2.2.4 Prognose aufgrund der klinischen Untersuchung.- 2.2.5 Bedeutung neurophysiologischer Methoden fur Diagnostik, Verlauf und Prognose.- 2.2.6 Andere Untersuchungen.- 2.3 Intrakranielle Blutungen.- 2.3.1 Einfuhrung.- 2.3.2 Infratentorielle intrazerebrale Blutungen.- 2.3.3 Supratentorielle intrazerebrale Blutungen.- 2.3.4 Subarachnoidalblutungen.- 2.4 Hirninfarkt.- 2.4.1 Einfuhrung.- 2.4.2 Klinische und radiologische Klassifikation der Hirninfarkte.- 2.4.3 Ultraschalldiagnostik.- 2.4.4 Elektroenzephalographie (EEG).- 2.4.5 Fruhe akustisch evozierte Potentiale (FAEP).- 2.4.6 Motorisch evozierte Potentiale (MEP).- 2.4.7 Somatosensibel evozierte Potentiale (SEP).- 2.5 Meningoenzephalitis.- 2.5.1 Einfuhrung.- 2.5.2 Bedeutung neurophysiologischer Methoden fur Verlauf und Prognose.- 2.6 Metabolische und septische Enzephalopathien.- 2.6.1 Einfuhrung.- 2.6.2 Hepatische Enzephalopathie.- 2.6.3 Uramische Enzephalopathie und Dysequilibrium-Syndrom.- 2.6.4 Hypoglykamie.- 2.6.5 Hyperglykamie und hyperosmolares Koma.- 2.6.6 Elektrolytstoerungen.- 2.6.7 Schilddrusenfunktionsstoerungen.- 2.6.8 Weitere metabolische Enzephalopathien.- 2.6.9 Septische Enzephalopathie.- 2.7 Toxische Enzephalopathien.- 2.7.1 Einfuhrung.- 2.7.2 Intoxikation mit Barbituraten und Benzodiazepinen.- 2.7.3 Intoxikation mit Neurol

Every year, numerous articles on critical care topics are published, and it is increasingly difficult for the busy practitioner to keep abreast of the latest developments. This book provides a detailed review of state of the art knowledge as well as the latest research findings. It covers the core aspects in excellent detail, but is not so comprehensive as to make its daily se unfeasible. For each condition considered, discussion of the pathophysiology is integrated with observations on diagnosis and treatment in order to allow a deeper understanding. The book is scientifically based, with extensive references to published research. This will allow readers to investigate their individual interests further and will enable physicians to base their approach upon evidence rather than upon traditions or routines. Accordingly, clinicians will be able to justify measures by providing a coherent, evidence-based strategy and relevant citations where needed. Core Knowledge in Critical Care Medicine will appeal to experienced practitioners as an aide-m moire, but will also be of great value to a wide range of more junior staff wishing to complement their background knowledge with important facts applicable to everyday practice.

Family doctors, pediatricians and other professionals who deal with children are regularly consulted because of febrile children. During the past few years remarkable advances on this subject of fever have been made. Among others, this book covers: - Different types of fever with possible complications, - Hyperthermia and their management, - Management of fever with guidelines on antipyretics and their side effects, - Complimentary medicine and fever, - Differential diagnosis of fever, with problem-setting and solving as a case presentation. This reader-friendly reference on the disorders of body temperature in children covers the entire spectrum of subjects related to fever. It gives an overview of the best treatment options in order to achieve the best results.