The topics in this issue represent the most current research areas of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Collaborative Pediatric Critical Care Research Network (CPCCRN). The CPCCRN is a national pediatric critical care research network that is charged with investigating the efficacy of treatment and management strategies to care for critically ill and injured children, as well as to better understand the pathophysiological basis of critical illness and injury in childhood. The proposed authors are past and present principal and co-investigators affiliated with the CPCCRN; the proposed topics represent the individual author's area of clinical and research expertise. Each review article is an up-to-date review of the topic relevant to practicing clinicians and trainees in critical care medicine, with incorporation of the most recently published research findings pertinent to the topic, some of which may be the author's own. The specific articles are devoted to the following topics: Cardiopulmonary resuscitation in pediatric and cardiac ICU; Approach to the critically ill pediatric trauma patient; Transfusion Decision Making in Pediatric Critical Illness; Pathophysiology and management of ARDS in children; Ventilator associate pneumonias in critically ill children; Mechanical ventilation and decision support in pediatric intensive care; Inflammation, pathobiology, phenotypes and sepsis: From meningococcemia to H1N1-MRSA, to Ebola; Immune paralysis in pediatric critical care; Molecular biology of critical illness; Sedation in pediatric critical illness; Delirium in pediatric critical illness; Challenges of drug development in pediatric intensive care; Potential of All Steroid Hormone Subclasses as Adjunctive Treatment for Sepsis; Morbidity: Changing the outcome paradigm; and End-of-Life and Bereavement Care in Pediatric Intensive Care Units.

This issue of Critical Care Clinics focuses on Mechanical Circulatory Support. Editors Nitin Puri and Michael Baram have assembled an expert team of authors on topics such as: History of ECMO; Evolution current technique and equipment; Program Development; Review ELSO standards; Cardiac Failure of medical management; Cardiac Management and Complications; Pre-Respiratory; Respiratory Management and Complications; Post ECMO management; Post ECMO complication; DVT; Transport- Interhospital and How to prep patient; ECHO; Family understanding of ECMO (to cannulate or not); Pharmacy, Nutrition, Blood Management; Transport; The future of ECMO and ventilation.

This issue of Critical Care Clinics focuses on Psychiatric Aspects of Critical Care Medicine. Editor Jose Maldonado has assembled an expert team of authors on topics such as: Psychiatric Aspects of Organ Transplantation in Critical Care; Medical Complications of Psychiatric Treatment; Psychiatric and Palliative Care in the ICU; Psychiatric Aspects of Heart and Lung Disease in Critical Care; Alcohol Withdrawal Syndromes: Assessment and Management; Substance Abuse and Withdrawal in the Critical Care Setting; Mood Disorders and The Outcome of Suicidal Thoughts and Attempts; Anxiety Disorders and the Outcomes of Trauma; Assessment and Management of Toxidromes in the Critical Care Unit; Neuropsychiatric Consequences of Trauma and Head Injury; Detection and Management of Pre-Existing Cognitive Impairment in the Critical Care Unit; Delirium: Pathophysiology, Diagnosis and Treatment; Neuropsychiatric Aspects of Infectious Processes.

The definitive treatment on the medical evacuation and management of injured patients in both peace- and wartime. Edited by eminent experts in the field, this text brings together medical specialists from all four branches of the armed services. It discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail, including such general surgical casualties as abdominal wounds and soft tissue, vascular, maxillofacial, head and spinal cord injuries, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and more. Over 80 illustrations provide a review of transport equipment and both medical and surgical treatment. A must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health service physicians.

4.a edicion de uno de los titulos mas vendidos del SLP. Contenido orientado a la practica y actualizado con los ultimos conocimientos, relevante para todos los aspectos medicos y quirurgicos que se aplican en la unidad de cuidados intensivos. El autor es el director of Critical Care, The Miriam Hospital, Providence, RI; Associate Professor, Brown University School of Medicine, Providence, RI.
La nueva edicion incorpora interesantes novedades, como la presentacion a todo color, la inclusion de anadidos digitales actualizados de forma regular por el Dr. Marino, la reescritura de todo el texto y se han anadido 8 nuevos capitulos y un apendice dedicado a la dosificacion de farmacos.

Despite advances in medical technology and patient safety initiatives, maternal morbidity and mortality rates continue to increase. Maternal mortality trends in the US as reported from the CDC from 1989-2009 demonstrate increasing mortality trends from 7.2 deaths per 100,000 live births in 1987 to 17.8 deaths per 100,000 live births in 2009. To combat this problem, a thorough understanding of the critical medical and surgical issues that are often encountered in pregnancy is essential. Each article addresses a topic relevant to care of the critically ill gravida.

Mayo Clinic Critical Care Case Review is a unique compellation of cases presented at the highly rated Mayo Clinic Clinical Pathological Case (CPC) Conference. Designed to cover rare cases in a short amount of time, these reviews are set up in what is called the "unknown" format: highlighting the clinically key elements of the patient's hospital course, singling out the diagnostic dilemmas, and concludes with a question and answer format that allows clinicians to take home relative points for clinical practice. Written by practicing intensivists and critical care fellows for practicing intensivists and critical care fellows, this book combines interesting reading experiences with critical care medicine review. Each chapter ends with questions and answers that provide a board style review for the readers. Each case begins on the left-hand page with the discussion on the right, written succinctly to provide quick diagnostic understanding. While most critical care review books focus solely on an organ-system format, Mayo Clinic Critical Care Case Review captures the spirit of the CPC Conference in its text and illustrations.

This issue of Critical Care Clinics focuses on Hepatology and Critical Care. Articles include: Acute on Chronic and Decompensated Chronic Liver Failure, Hepatic Encephalopathy, Respiratory Complication in Liver Disease, GI Issues in Liver Disease, Bridging the Patient with Liver Disease to Transplant or Recovery, Infections in Liver Disease, Kidney Injury in Liver Disease, The Liver in Critical Illness, Hematological Issues in Liver Disease, Pharmacological Issues in Liver Disease and more!

This issue of Critical Care Clinics focuses on Gastrointestinal Critical Care. Articles include: Non variceal Upper Gastrointestinal bleeds, Lower Gastrointestinal bleeds, Mesenteric Ischemia, Peritonitis, The open abdomen and intra abdominal infections, Gut motility issues in critical illness, Gut as the motor of multiple organ dysfunction, Intra abdominal hypertension and abdominal compartment syndrome, Abdominal circulatory interactions in critical illness, Severe acute pancreatitis and necrotizing pancreatitis, and Nutrition in the critically ill.

Covering all four critical care board exams (anesthesiology, surgery, internal medicine, and neurology), Critical Care Medicine Review: 1000 Questions and Answers prepares you for exam success as well as clinical practice in today's ICU. This full-color, easy-to-use review tool provides challenging case studies, relevant images, multiple-choice board-style questions, rationales for correct and incorrect answers, and references for every question. Edited by instructors of anesthesia and critical care from Harvard Medical School and Massachusetts General Hospital, this comprehensive resource is an ideal study guide for critical care fellows, recertifying practitioners, and CCRNs. Contains 1000 multiple-choice, case study questions and answers that mirror the four critical care exams in both content and distribution of questions and topics. Covers all body systems as well as Surgery, Trauma, and Transplantation; Pharmacology and Toxicology; Research, Administration, and Ethics; and miscellaneous topics such as pregnancy, dermatologic disorders, and thermoregulatory disorders. Answers include detailed rationales for both correct and incorrect responses, as well as references for further study and review. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Advanced critical care echocardiography brings many benefits to critical care medicine. For those wishing to practice echo at a more advance level, it is necessary to master the theoretical aspects. The Oxford Textbook of Advanced Critical Care Echocardiography provides a physiological and evidence-based reference guide to the principles and techniques of advanced echocardiography. Both transoesophageal and transthoracic echocardiography are addressed and over 300 videos, 470 figures and, 140 mcqs are included making this an ideal adjunct for courses for intensivists. The foundations of advanced echocardiography are outlined before specific assessment methods of critical care echo are provided. In reality, most critically ill patients do not suffer only one clinical problem so a section on integrated techniques explains how to answer both common and unexpected critical care questions. Finally the re use of echocardiography in critical care is explored. Important reference values for clinical use can be accessed easily in the appendices. The Oxford Textbook of Advanced Critical Care Echocardiography includes access to online-only content, consisting of videos, figures and multiple choice questions that can be used to reinforce understanding. This online material can be accessed by activating your unique access code. Authored by an international team of expert practitioners this textbook reflects the International Consensus Statement on Training Standards for Advanced Critical Care Echocardiography. Designed for trainees and consultants, this resource provides comprehensive and integrated coverage of all aspects of advanced critical care echo.

This issue of Critical Care Clinics focuses on Obstetric and Gynecologic Emergencies in the ICU. Articles include: Respiratory Failure and Mechanical Ventilation in the Pregnant Patient, Anesthetic Complications in Pregnancy, Neurologic Complications in Pregnancy, Renal Failure in Pregnancy, Management Complex Cardiac Issues in the Pregnant Patient, Liver Failure in Pregnancy, Hypertensive Emergencies in Pregnancy, Ethical Issues in Pregnancy, and more!

Dr. John Kellum has assembled an essential update on the topic of Nephrology as it relates to Critical Care Medicine. Articles include: Diagnostic criteria, Biomarkers for AKI, Sepsis-induced AKI,Drug-induced AKI, Cardio-renal syndrome,Surgery Associated AKI,Contrast-induced AKI, Principles of Fluid Therapy,Fluid composition and clinical effects, Renal replacement therapy, and Understanding acid-base.

Drs. Honiden and Siner have put together a comprehensive issue on Critical Care as it relates to Chest Medicine. Articles include:Recent advances in management of Acute respiratory distress syndrome, Simulation training for critical care, Telemedicine (E-ICU issues), Adverse event reporting/quality improvement in the ICU, ICU Mobility, Hospital-acquired infections/resistant organisms/emerging pathogens, Circadian rhythm disturbance and sleep in the ICU environment, Advances in Sepsis Research, Controversies in ICU nutrition, and more!

Der Begriff "Fluoroquinolone-Associated Disability" (FQAD) ist spatestens seit der Verwendung durch die US Food and Drug Administration (FDA) etabliert - allerdings ist die Definition der FDA mit den dazugehoerenden Diagnosekriterien fur den behandelnden Arzt nicht alltagstauglich. Stefan Pieper unterstutzt in diesem essential AErzte und Therapeuten, FQAD einfach zu diagnostizieren und mit FQAD-Patienten besser und adaquater umzugehen. Besonderes Augenmerk legt der Autor auf die Pathogenese, Diagnostik und die (begrenzten) therapeutischen Moeglichkeiten, die aus seiner Sicht Aussicht auf Erfolg haben. Zudem schlagt er fur die FQAD Diagnosekriterien vor, die eine moeglichst sichere und dabei zeitsparende Eingrenzung des neuen Krankheitsbildes erreichen, um diese im Praxisalltag zu implementieren. Praxiserfahrungen des Autors mit inzwischen mehr als 250 FQAD-Patienten erganzen das essential.

This issue of Critical Care Clinics focuses on Neurocritical Care and covers topics such as: The Evolution of Neurocritical Care, Update in management of acute ischemic stroke, Intracerebral hemorrhage, Subarachnoid treatment, Intracranial pressure monitoring and management of intracranial hypertension, Status Epilepticus, Brain Resuscitation and Prognosis after Cardiac Arrest, Neuromuscular complications of Critical Illness, Adverse Neurological Effects of Commonly Used ICU medications, and Brain death and management of a potential organ donor.

The second part of Dr. Wu's Ultrasound edition has more topics covered by an expert panel of authors. Topics discussed include ocular ultrasound, basic procedures, musculoskeletal, deep vein thrombosis, advanced procedures, and OB/GYN!

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.

The Year Book of Critical Care Medicine brings you abstracts of articles carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. Topics such as Acute Lung Injury, Cardiac Arrest, Hemodynamics and Monitoring, Burns, Postoperative Management, Renal, Trauma and Overdose, and Pharmacology/Sedation-Analgesia are represented highlighting the most current and relevant articles in the field.

This issue of Critical Care Clinics edited by Dr. Margaret Parker on Pediatric Critical Care features topics such as:1. Acute Respiratory Failure, Post-op Cardiac Surgery, Septic Shock, Acute Renal Failure, Traumatic Brain Injury, Encephalitis, Status Asthmaticus, Status Epilepticus, Bleeding/coagulopathy, and Transfusi

This issue of Critical Care Clinics edited by Dr. Robert Hyzy on Enhancing the Quality of Care in the ICU features topics such as: Taking Central Line-Associated Bloodstream Infection Rates to Zero, Preventing ICU Delirium, Avoiding Clostridium difficile associated diarrhea, Reducing ventilator associated complications and pneumonia, Can Venous Thromboembolism be avoided?, Preventing urinary catheter associated infections, Improving ICU quality through collaboratives, Do performance measures enhance patient quality in the ICU, and The Future of Quality in the ICU.

Topics include: Cocaine intoxication, Carbon monoxide poisoning, Update on miscellaneous drug overdoses, Toxidromes, Cardiac glycoside toxicity, Acetaminophen overdose, Envenomations, Methanol and ethylene glycol ingestion, and Toxicologic causes of ketoacidosis.

Top authors were selected to write clinical review articles devoted to Advances in Respiratory Care of the Newborn. Articles are devoted to: Effects of chorioamnionitis on lung function and growth; Delivery room respiratory management of the term and preterm infant; CPAP or INSURE for initial respiratory support; Which CPAP is best?; Non-invasive respiratory support; Volume limited and volume targeted ventilation; Weaning from mechanical ventilation; Predictors of bronchopulmonary dysplasia; Brain Injury in Chronically Ventilated Preterm Neonates: Collateral Damage Related to Ventilation Strategy; The Pulmonary Circulation in Respiratory Failure; Novel methods for assessment of right heart structure and function in pulmonary hypertension; Control of oxygenation; Non-invasive monitoring by photoplethysmography; Cell-based strategies to reconstitute lung function in infants with severe bronchopulmonary dysplasia; Permissive Hypercapnea; Prevention of BPD with Nitric Oxide; and Aero-digestive pulmonary disorders in the neonate.

The Year Book of Critical Care Medicine brings you abstracts of articles carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. Topics such as Acute Lung Injury, Cardiac Arrest, Hemodynamics and Monitoring, Burns, Postoperative Management, Renal, Trauma and Overdose, and Pharmacology/Sedation-Analgesia are represented highlighting the most current and relevant articles in the field.