This book offers valuable guidance to neurointensivists, other neurocritical care staff, and those desiring to develop a neurocritical care unit via a thorough discussion of neurological emergencies and neurocritical care unit organization. This comprehensive volume begins with a review of acute neurological emergencies as managed clinically in the neurocritical care unit. Topics include acute cerebrovascular, neurological, and neurosurgical disorders. The unique aspect of this book is its description of the organization of the neurocritical care unit. We focus on how other services in the hospital interact with and assist neurocritical care operations, telemedicine/telestroke, and neurocritical care personnel and their roles. A review of expected outcomes of neurocritical care conditions is also included. Neurointensivists, neurocritical care unit staff leadership, hospital administrators, and those interested in developing a neurocritical care unit will find Neurointensive Care Unit: Clinical Practice and Organization to be an invaluable guide.

The quintessential reference for bedside medical management of neurocritical care patients Medical management of patients in the neurocritical care unit (NCCU) often spells the difference between life or death and return to normal function or a lifetime disability. As such, it is vital that patients with life-threatening neurological and neurosurgical illnesses receive prompt diagnosis and rapid interventions in the NCCU. The Jefferson Manual for Neurocritical Care by renowned neurosurgeon Jack I. Jallo, neurointensive care physician Jacqueline S. Urtecho, and distinguished colleagues is a high-yield pocket resource ideal for the bedside care of patients with serious, life-altering diseases. Nineteen concise chapters encompass cerebrovascular, neuromuscular, oncologic, and traumatic conditions, as well as core clinical topics applicable to the care of neurocritical patients. Key Highlights Evidence-based management strategies created at Thomas Jefferson University's Vickie and Jack Farber Institute for Neuroscience presented in reader-friendly algorithms, pictures, and charts General chapters cover brain death, sodium dysregulation, nutrition, sedation, pain management, neuromonitoring, and ventilation strategies Disease-specific chapters featuring succinct, bulleted format include epidemiology, causes, diagnostic tests, treatment options, symptoms, common clinical presentation, risk factors, differential diagnoses, and more This manual is an indispensable resource for neurocritical care residents and fellows, NCCU nurses, nurse practitioners, physician assistants, general intensive care physicians, and neurointensivists. This book includes complimentary access to a digital copy on https://medone.thieme.com.

"This book contains a collection of the most recent insights regarding maternal morbidity and mortality and optimization of the care processes during acute critical illness. The volume represents a practical resource to be used in real-time by medical practitioners faced with a woman who is critically ill during pregnancy and the peripartum period. By providing concise tools for disease identifiers and management flow-charts, the Editors aimed to increase awareness and improve processes of care for this population. Many care paradigms for obstetric patients are currently unstandardized, unfocused and often do not follow a pre-determined path. Each chapter will provide the practitioner with updated information on how to identify specific critical conditions and how to manage them once they have been identified, to enhance recognition and readiness. This book should be used as a resource to improve the quality of care administered to obstetric patients, to reduce fragmented care processes and to improve interdisciplinary co-ordination and communication, with the overall aim of decreasing maternal morbidity and mortality. Therefore, this book represents an invaluable guide to specialists in critical care, anesthesia and obstetrics as well as to intensive care nurses and midwives."

The aim of this book is to educate and train practitioners in the safe and professional use of diagnostic ultrasound imaging in the visualization and interpretation of various cerebral conditions not only in neurointensive care, but also in the operating room and, in general, cardiothoracic and neurocritical care settings. It is chiefly intended for anaesthetists and intensivists with a basic knowledge of ultrasound physics, but also for neurosurgeons and neurologists. All chapters were coordinated by the Editors, with experiences in hands-on courses on Echography and Doppler of the Brain, and prepared by international experts. The book covers from basic principles to estimation of intracranial pressure and cerebral perfusion. The topics cover emergency department and prehospital brain US as part of POCUS and US multiorgan evaluation to general intensive care, neurointensive care and anesthesia, including special populations as pregnant and children and setting as LMIC. Clinical scenarios complete the book. An innovative and unique guide that equips readers to perform bedside and non-invasive assessments for a range of cerebrovascular diseases.

Manual of ICU Procedures is a comprehensive, step-by-step guide to intensive care procedures. The book is divided into four anatomical sections, and a final miscellaneous section. Section one covers airway and respiratory, followed by; vascular and cardiac; neurological; gastrointestinal, abdominal, and genitourinary procedures. Each section covers an extensive range of procedures, and each chapter begins with basic principles before describing the procedure step-by-step. Enhanced by 428 colour images and illustrations, Manual of ICU Procedures is an ideal resource for all critical care professionals. Key Points Step-by-step guide to a range of intensive care procedures Covers respiratory, cardiovascular, neurological, gastrointestinal, genitourinary and miscellaneous procedures 428 colour images

Erfahrene Intensivmediziner liefern mit dem Band eine praktische Anleitung sowie notwendige Hintergrundinformation fur die praklinische und klinische Versorgung von internistischen Intensivpatienten: von den Techniken und Methoden bis hin zu krankheitsubergreifenden Behandlungskonzepten. Der systematische Aufbau hilft Lesern, die benotigten Informationen rasch zu finden. Neu in der komplett aktualisierten 2. Auflage sind Abschnitte zu den Grenzen der Intensivmedizin, zur Patientenverfugung, zu Scoresystemen und psychiatrischen Notfallen."

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.

Health Care Ethics examines the way ethical dilemmas are played out in everyday clinical practice and argues for an approach to ethical decision-making which focuses more on patient needs than competing professional interests.

While advances in medical science and technology have improved the ability to save and prolong lives, they have also given rise to fundamental questions about what constitutes life and personhood, especially in the context of what are termed 'persistent vegetative state' and 'brain death'. Drawing on the example of intensive care where such questions feature strongly in everyday practice, Kath M Melia examines how decisions are taken within the context of multiprofessional teamworking, including

- whether to admit a patient and commence treatment

- what the aim of treatment should be (i.e. palliation, care or cure)

- when to limit, withhold or withdraw treatment

- when to donate organs.

As an area in which different professional groups work closely together, the author argues that there are lessons to be learnt from intensive care which can be applied to ethical decision making in all areas of health care for the greater good of patients.

The book makes a significant contribution to the literature on ethics in health care and to the development of ethical decision making which prioritises the needs of patients. It is essential reading for ethicists, sociologists and health care professionals.

Nach dem erfolgreichen Buch Komplikationen in der Anasthesie folgen nun mit Mehr Komplikationen in der Anasthesie weitere, spannende Fallbeispiele aus der taglichen Praxis, bei denen es zu Komplikationen oder Beinahe-Zwischenfallen gekommen ist. In unvergleichlicher Art und Weise - mit Tiefgang und dramaturgisch ausgefeilt - schildern und analysieren die Autoren typische Kliniksituationen und Klinikablaufe. Sie beleuchten dabei, welche Rolle menschliche und organisatorische Fehler fur das Zustandekommen der Zwischenfalle gespielt haben und wie sich diese kunftig vermeiden lassen. Dabei lernt der Leser quasi nebenbei, eingewoben in die Falle, wichtige Fakten des Faches Anasthesiologie. Fur alle Anasthesisten in Klinik oder Praxis, die aus Fehlern lernen oder sich gegenuber Gefahrensituationen sensibilisieren moechten.

Mit diesem Buch fur die Kitteltasche behalten Weiterbildungsassistenten die Nerven vor und wahrend Ihres ersten Dienstes. Prazise beantwortet Ihnen dieser Leitfaden alle wichtigen Fragen, die Sie sich vor Ihrem ersten Einsatz stellen: Wann muss ich den Oberarzt rufen? Auf welche Notfalle muss ich vorbereitet sein? Wie verhalte ich mich bei einem Zwischenfall?Von rechtlichen Aspekten, uber das konkrete Vorgehen in Notfallen bis hin zum Umgang mit eigener Mudigkeit und Konzentrationsschwache finden Sie zahlreiche Tipps und Tricks fur die souverane Bewaltigung des ersten Dienstes und aller weiteren. Nun in der 2. Auflage vollstandig uberarbeitet und aktualisiert.

Das Lehrbuch fur die Weiterbildung und daruber hinaus! Dieses Fachbuch bietet Pflegenden aus dem Bereich Intermediate Care (IMC) kompaktes Grundlagenwissen und zeigt dessen erfolgreiche Umsetzung anhand zahlreicher Beispiele aus dem Praxisalltag. Durch die Darstellung konkreter Falle mit unterschiedlichen Erkrankungen werden die pflegerischen Aufgaben und besonderen Herausforderungen nachvollziehbar dargestellt. Profitieren Sie vom Erfahrungsschatz der Autoren und lesen Sie die zahlreichen Tipps und Anregungen, auch fur die gelungene Anleitung neuer Mitarbeiter! Die ubersichtliche Struktur ermoeglicht Ihnen einen schnellen Zugang zu allen wichtigen Inhalten. Fur einen optimalen Einstieg auf die IMC-Station!

Das vorliegende Werk liefert das Basiswissen fur die Versorgung des internistischen Intensivpatienten - systematisch dargestellt, verstandlich erklart und mit vielen konkreten Tipps. Es wendet sich an Assistenzarzte in der Inneren Medizin, die im Rahmen ihrer Facharztweiterbildung auf die Intensivstation rotieren mussen und eine erste Anleitung fur die Arbeit auf der Intensivstation benoetigen. Dargestellt werden allgemeinen Prinzipien, wie apparative Diagnostik, Ernahrung und Gerinnungsmanagement uber spezielle Interventionen, wie Gefasspunktionen, Schrittmacheranlage und Analgosedierung bis hin zum konkreten Vorgehen bei haufigen intensivpflichtigen Krankheitsbildern und Akutsituationen, wie akutes Koronarsyndrom, Herzrhythmusstoerungen, ARDS und Intoxikationen. Ein praxisnahes Werk, mit dem der Einstieg in die internistische Intensivmedizin gelingt.

The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of treatment options for acute organ failure, with a focus on peculiar clinical situations that call for special treatment, including: extracorporeal membrane oxygenation (ECMO), circulatory support and urgent liver transplantation. In order to identify the key determinants in decision-making and therapeutic support that can help avoid critical errors, authors not only define and discuss specific surgical techniques, but also present major issues and controversies related to it. In essence, the book can be considered a "What to do guide" that offers easy access to both basic and advanced lifesaving surgical procedures, due in part to text boxes highlighting "Tips, Tricks and Pitfalls" as well as advice on "Complications Management". Many chapters are enriched by providing clinical case scenarios, an important educational resource including self-assessment questionnaires.

In diesem Werk findet sich das gesamte Spektrum der internistischen Intensivmedizin systematisch, leitlinienorientiert und praxisnah dargestellt. Das Werk richtet sich an alle AErzte auf internistischen Intensivstationen und eignet sich hervorragend sowohl zur Prufungsvorbereitung als auch zum schnellen Nachschlagen im Klinikalltag. Ausgewiesene Experten beschreiben alle relevanten Themen der internistischen Intensivmedizin mit Krankheitsbildern aus Kardiologie, Pneumologie, Neurologie, Angiologie, Gastroenterologie, Nephrologie, Onkologie, Infektiologie und Endokrinologie. Auch das Wesentliche zu intensivmedizinischen Techniken, Diagnostik und Therapie wird dargestellt. Die 3. Auflage erscheint komplett uberarbeitet und aktualisiert und enthalt zahlreiche neue Leitlinien, u.a. aus den Bereichen Kardiologie, Angiologie, Pneumologie, Neurologie, und Infektiologie. Neue Themen sind Weaning, inhalative Analgosedierung, Notfallsonographie, Palliativmedizin und Ethik sowie Qualitatsmanagement in der Intensivmedizin.

Der Klassiker der Intensivmedizin in 12. Auflage! Als Intensivmediziner benoetigt man heutzutage ein breites Wissen verschiedener Fachdisziplinen. Im grossen Standardwerk fur die Intensivmedizin haben ein hochkaratiges und interdisziplinares Herausgeber- und Autorenteam alle Themen der modernen, interdisziplinaren Intensivmedizin zusammengetragen: Diagnostik und Therapie, (nicht-)invasive Monitoringverfahren, Kapitel zu allen relevanten Krankheitsbildern und Notfallen. Eigene Abschnitte zu speziellen Disziplinen (Kardiologie, Chirurgie, Gastroenterologie) sowie ethische, psychosoziale und pflegerische Aspekte helfen bei taglichen Fragen und schwierigen Entscheidungen. Die 12. Auflage erscheint komplett aktualisiert und um neue Themen erweitert, wie: Extrakorporale Organunterstutzung, VAD-Systeme- Heimbeatmung und UEberleitung in die Heimbeatmung Prophylaxen in der Intensivmedizin Ileus und toxisches Megakolon, mesenteriale Ischamie, nekrotisierende Weichteilinfektionen, akute Porphyrie Patient Blood Management, Patientendatenbanksysteme (PDMS) Telemedizin Das vorliegende Werk bietet hoechsten Standard fur die arztliche Weiterbildung und ist gleichzeitig ein wertvolles Nachschlagewerk im klinischen Alltag fur AErzte auf Intensivstationen aller Fachgebiete.

This work offers a comprehensive reference guide to help clinicians in the field of Internal Medicine addressing common aspects of endocrinological disorders in their daily practice. The exponential growth in our knowledge of biomedicine calls for continuous multidisciplinary approaches across specialists and disciplines. In this volume, recognized experts in each given area explore the complex mechanisms linking endocrinological disorders to abnormalities of the cardiovascular system, kidney, liver and gastrointestinal tract, autoimmune, neuro-psychiatric, rheumatic, and dermatologic diseases. Aspects connected to critically ill and elderly patients are examined as well, helping to enhance daily interactions with the most fragile populations observed in clinical medicine. The individual chapters are designed to deliver timely information while explaining pathophysiological mechanisms with the help of figures, flow-charts, and updated guidelines. The book offers a unique and valuable resource for all clinicians, residents, specialists, and physicians involved daily in the management of complex and multidisciplinary systemic diseases.

Der therapeutische Nutzen der enteralen und parenteralen ErnAhrung gewinnt zunehmend an Bedeutung. Wissenschaftlich fundiert und zugleich praxisnah beschreiben renommierte Vertreter internationaler Fachgesellschaften den aktuellen Stand der ErnAhrungstherapie:
- Grundlagen der ErnAhrungs- und Stoffwechselphysiologie
- MAglichkeiten und Grenzen der enteralen und parenteralen ErnAhrung
- Therapeutisches Vorgehen bei ernAhrungsabhAngigen Krankheiten und angeborenen Stoffwechsel- und Speicherkrankheiten sowie besonderen Patientengruppen.
Ein Nachschlagewerk fA1/4r die tAgliche Praxis, das auch bei schwierigen Fragestellungen und seltenen Erkrankungen Antworten bietet. Basierend auf den Leitlinien der Fachgesellschaften (DGEM, DGVS, DIVI, ESPEN). FA1/4r A"rzte, ErnAhrungswissenschaftler und DiAtassistenten.

Building on the previous edition with contributions from internationally renowned experts this book provides a fully comprehensive resource for managing the post emergency/treatment stage of acute poisoning. Chapters incorporate evidence-based paradigms with up-to-date citations from the original medical literature. Topic areas covered include: diagnosis and management of the critically poisoned patient, including pediatric patients and poisoning in pregnancy; toxic syndromes including hepatotoxic and pulmonary syndromes as well as poisonings from medications, drugs of abuse, chemical and biological agents. This book is an essential resource for Clinical Toxicologists, Intensivists and Emergency Medicine specialists in training and in practice.

This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative nutritional management of all surgical patients. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors, and focuses on appropriate nutritional repletion for various common disease states. Specifically, the text addresses the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. In addition, the book addresses the growing problem of obesity in surgical populations, including appropriate strategies directed towards the metabolic management of these patients. The text is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient. Written by experts in the field, Surgical Metabolism: The Metabolic Care of the Surgical Patient is a valuable resource for all clinicians involved in the care of the critically ill.

Quality in an invasive discipline such as neurosurgery comprises evidence based medicine, cost effectiveness and also risk control. Risk control and quality management have become a science on their own, combining the expertise of many specialists such as psychologists, mathematicians and also economists. Intensive communication with basic safety scientists as well as safety experts from the industry and traffic promises ideas and concepts than can be adopted for neurosurgery. An international conference was held in Munich in October 2000 bringing together neurosurgeons and safety experts from outside medicine in order to discuss basic aspects of risk control and quality management and to develop structures applicable to neurosurgery. Basic aspects such as principles of risk and safety management, the human factor as well as standards of neurosurgical patient care, proficiency of staff and residents, and industrial quality standards were discussed. The presentations and discussions resulted in a wealth of new ideas and concepts. This book contains this material and thus provides a unique and comprehensive source of information on the current possibilities of quality management in neurosurgery.

Brain edema is found in a wide variety of clinical disorders including stroke, intracerebral haemorrhage, subarachnoid haemorrhage, head injury, brain tumors and hydrocephalus. This volume brings together clinical and basic scientists from all over the world. Their expertise in the understanding of brain edema and shifts in brain water compartments has led to a further significant step in our understanding of those diseases characterized by brain edema. This book has also drawn on the expertise of the International Advisory Board of the Brain Edema Society, who have carefully summarized each section, thus providing an easy-to-read summary of the latest advances in each subject. The book is therefore much more than a collection of papers: it represents a critical appraisal and puts each paper into modern scientific context. The greatest advances have come from the rapid development of modern imaging techniques, especially with magnetic resonance imaging (MRI). Imaging can now produce "water maps" and "metabolic profiles" that bring brain metabolism and water content right into every clinic with access to MRI. This book provides the background knowledge to understand these pathophysiological changes.