The OSCEs have become a part of most examinations in Critical Care Medicine. This book will be of great help to the examinees. The contents have been divided into two sections one is Questions and the second is Answers. It contains chapters on Respiratory Medicine, Neurology, Nephrology, Microbiology and Infection Control, Hemodynamics, Drugs, Biochemistry, Miscellaneous, and Case Scenarios. Contains nearly 330 questions with model answers. Questions range from the old tests, new techniques and devices, and results of laboratory and other investigations. Also covers questions on all organ systems and different ways these systems may be affected by the disease. The answers are structured from examination point-of-view. These will help the examinees in developing the skills to face the objective structured clinical examinations (OSCEs) in their examination.

This text has been prepared with a view to be simple, practical, concise and easy-to-read for pediatricians, pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU) residents and fellows using conventional mechanical ventilation for commonly seen conditions such as respiratory distress syndrome (RDS), meconium aspiration syndrome (MAS), persistent pulmonary hypertension (PPHN), pneumonia, acute respiratory distress syndrome (ARDS), asthma, and various cardiovascular and neurological conditions. This book is intended to be a practical resource for pediatric residents, pediatricians, and physicians involved in the care of neonatal and pediatric intensive care patients needing mechanical ventilation. Ventilation technique specifically applicable to neonate or an older child has been indicated wherever necessary Easy-to-read flow diagrams (algorithms) have been used for management of respiratory distress, rapid sequence intubation (RSI), basic mechanical ventilation, and weaning. Noninvasive ventilation modalities such as continuous positive airway pressure (CPAP), biphasic positive airway pressure (BIPAP), and high flow nasal oxygen have also been included. Newer modes such as high frequency ventilation and common ventilator graphics interpretation have also been included for the reader aspiring to learn the newer and advanced modes of ventilation. A chapter on extracorporeal membrane oxygenation has been added to make the reader familiar with technology beyond mechanical ventilation to support patients with refractory hypoxemia. A chapter on how to choose a ventilator has also been included as a guide to new units providing care to neonates and children. This book would be helpful to the user in management of common conditions requiring CPAP, invasive and non-invasive mechanical ventilation in neonates and older children.

This textbook encompasses the essential topics on the subject that all clinicians need to know for the effective management of their patients. It has four sections each for ventilation, fluids and electrolytes, blood gases, and miscellaneous. Each section starts with applied physiology and then covers routine as well as advance topics related to ventilation, fluids, and electrolytes in critically ill adult patients. The miscellaneous section covers enteral and parenteral nutrition, immunonutrition, blood product transfusion, and care of potential organ donor in the intensive care unit (ICU). There are also chapters on common problems such as the approach to the patient with hypoxemia, hypercapnia, hypovolemia, electrolyte abnormalities, and acid-base disturbances. Covers all essential aspects, from applied physiology to advanced care, related to ventilation, fluids, and electrolytes in critically ill adult patients. Based on common problems like the approach to the patient with hypoxemia, hypercapnia, hypovolemia, electrolyte abnormalities, and acid-base disturbances. Chapters start with a case scenario, followed by structured description of the problem, and in the end discussion about the index case. Figures, tables, and flowcharts have been used throughout the chapters. At the end of each chapter, a few salient points are given to emphasis on the important area of the particular topic. Useful for trainees as well as consultants of various clinical specialties who manage critically ill adult patients, including critical care medicine, emergency medicine, pulmonary medicine, and anesthesiology.

This book has been organized and sponsored by the Asia Pacific Association of Critical Care Medicine (APACCM) to assist dissemination of the available evidence in the field. The book has been exclusively written by 85 authors, who practice in the Asia Pacific regions intensive care environment, thus provides a contemporary overview of the practice intensive care medicine in our region. In addition to the sections on general assessment and organ support in critically ill, over the half of the book is dedicated to organ dysfunction and specific critical illness syndromes (including the infectious diseases) that are prevalent in areas of the region.

Home/community-based care addresses an issue which is becoming increasingly urgent in South Africa. Millions of people are affected by chronic diseases such as HIV and Aids, cancer and tuberculosis. With rising costs, lack of space and facilities in hospitals, providing care and support for these patients and their families in their own homes is a necessity.

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.

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.

SECTION 1: BASICS OF RESPIRATION 1 The Act of Breathing 2 Pulmonary Gas Exchange 3 Respiratory Physiology SECTION 2: MECHANICAL VENTILATION 4 Mechanical Ventilators 5 Initiation of Mechanical Ventilation 6 Drugs used in Mechanical Ventilation 7 Ventilatory Modes 8 Noninvasive Ventilation 9 Inspiratory Pressures 10 Pressure-controlled Ventilation 11 Positive End Expiratory Pressure 12 General Settings in a Ventilator 13 Monitoring of Ventilated Patients 14 Ventilatory Complications in Emergency Room 15 Ventilator-induced Lung Injury and Ventilator-associated Pneumonia 16 Weaning Parameters 17 Ventilatory Strategies 18 Ventilatory Graphics

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.

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.