This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.

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This issue of Critical Care Clinics by Dr. Anand Kumar will feature articles on: Optimizing Antimicrobial Therapy in Life-threatening infection, sepsis and septic shock;General principles of antimicrobial dosing and PK/PD; Pharmacokinetic and pharmacodynamic issues in the critically ill with severe sepsis and septic shock;Understanding antimicrobial resistance;Combination vs monotherapy in critical illness; Antifungal therapy.

This issue of Critical Care Clinics, Guest Edited by Marilyn Haupt and Mary Reed will include articles such as: Special Populations; Obesity Paradox; Airway Management; Trauma in the Morbidly Obese; Procedures in the Morbidly Obese Critically Ill.

A comprehensive review of cancer patient treatment methods in the Intensive Care Unit. Articles include: Admission Criteria and Prognostication in Cancer Patients Admitted to the ICU; Diagnostic Strategies and Management of Acute Respiratory Failure in Cancer Patients Requiring Intensive Care; Mechanical Ventilation in Cancer Patients: Clinical Characteristics and Outcomes; Critical Care of the Hematopoietic Stem Cell Transplant Recipient; Critical Issues in Oncological Surgery Patients; and Diagnosis and Management of Infectious Complications in Critically Ill Patients with Cancer.

Respected leader in Critical Care Medicine, Phillip Dellinger has complied a top-notch range of articles on the subject of Sepsis. Topics include: "The History of Sepsis," "Molecular Biology of Sepsis," "Sepsis Induced Tissue Hypoperfusion," "Hemodynamic Monitoring in Sepsis," "Performance Improvement in Sepsis," and more!

In this issue, Guest Editors Pratik Panharipande and Wesley Ely look at modern Sedation techniques in the critically ill. Topics include: "Pharmacology of commonly used sedatives and analgesics in the ICU," "Pharmacology of newer agents for sedation and analgesia in the critically ill," "Current sedation practices: lessons learned from recent international surveys," "Sedation and Immunomodulation," "Sedation and sleep disturbances in the ICU," and more!

This issue will take a look at modern critical care techniques in a historical context. Topics include: "Shock and Organ failure," "Battlefield trauma, traumatic shock and consequences: War-related advances in critical care," "Lessons from Modern Disasters and Wars: Bhopal, Chernobyl, Oklahoma City Bombing, 9/11, Hurricane Katrina, Tsunami, Iraq," "Plagues with Critical Care Implications: Legionairres, Staph toxic shock, SARS, Hantavirus, Group A strep nec toxic shock, Marburg and hemorrhagic fevers, Avian flu" and more!

Hemoglobin-based Oxygen Carriers is an exciting and evolving alternative to blood transfusion. This issue explores its potential with topics on: "HBOCs from Human or Bovine Hemoglobin," "Comparison of HBOCs to Stored Human Red Blood Cells," "HBOCs and Tissue Oxygenation," "HBOCs: Role in surgery, resuscitation or hemorrhagic shock?" and more!

For an anesthesiologist, though the challenge of managing an obstetric patient can be very satisfying and rewarding, it can also be extremely difficult given the potential for serious harm to the fetus and mother. For routine care, it is important to understand the risks and benefits of many practices to provide patients with informed decisions and the most satisfying experiences. There are also many less-usual patients and situations, however, that challenge the anesthesiologist's skills significantly. This issue of the Anesthesiology Clinics presents the most up-to-date information on both of these categories, and is written by an outstanding group of experienced clinicians from all over the world. Topics including high-risk analysis, use of simulators for training, major hemorrhage, off-labor-floor consultation, depth of anesthesia monitoring, pharmaceuticals, use of vasopressors, neurological infections after neuroaxial anesthesia, airway management, the HIV patient, ultrasound, and others.

This book provides a concise yet comprehensive overview on the use of opioids in the ICU, offering practical, real-world recommendations on opioid utilization and alternative therapies. The text explains the physiology and assessment of pain and the need for analgesia in the ICU, details the pharmacology of opioids and their use in providing analgesia, sedation, and comfort for patients during critical illness, and summarizes advanced pharmaceutical and surgical approaches to pain management and procedural applications that can supplement, minimize, or replace opioids for the ICU patient. The book also includes algorithms and step-by-step approaches on navigating the delicate balance between the relief of suffering and the adverse effects of opioids, as well as a dedicated section on the management of critically ill patients with preexisting opioid tolerance. Written by experts in the field, Opioid Use in Critical Care: A Practical Guide is a valuable resource for ICU providers who treat and manage critically ill patients with opioids.

Lectures on scientific data, educational lectures, and the various other forms of oral presentation are the basis for every medical meeting. Physicians are not professionally trained in giving lectures. This becomes very obvious when one visits a medical meeting. Often the message of the presentation is lost because of poor preparation, slides that fail to communicate effectively, and a generally unconvincing performance by the lecturer. To give a high-quality lecture that will be remembered for its content and form, one first has to learn some basic rules about preparation, PowerPoint slides, and oral communication. This book will enable the reader to overcome all the common presentation mistakes and to start a new career as a professional lecturer and esteemed faculty member.

Oxford Case Histories in Infection and Microbiology contains over 45 well structured cases, providing comprehensive coverage of the diagnostic and management dilemmas in clinical microbiology and infectious diseases. Each case comprises of a brief patient history with relevant clinical examination findings, thus insuring the reader is aware of how to confirm a diagnosis rapidly, with reference throughout to laboratory techniques, advice on therapy, epidemiological features, and areas which can be controversial. The cases discussed include common and important pathogens, infections, and serious conditions due to risk of onward spread. Divided by main organ systems, the book also includes a section on systemic infections, and miscellaneous cases which don't fit neatly into one category. The text is complimented by over 50 clinical photographs and laboratory illustrations. Each case includes a concise list of further reading to aid learning and understanding. The format of the book is thought provoking, and helps to improve critical thinking and interpretative skills. It is a perfect self-assessment tool for clinical microbiology and infectious diseases postgraduate trainees. It will also be on interest to medical professionals working in critical care and public health.

Certain organ toxicities can be severe and life-threatening. Therefore, it is crucial to recognize these disease entities early on to provide prompt and effective treatments to improve the quality of patient care, and enable the continuation of cancer therapy long-term. A clinical handbook with a particular focus in this field is lacking. This handbook focuses on the comprehensive, systematic review of clinical aspects of immunotherapy-induced toxicities in 15 major organ systems. The organs covered include endocrine, eye, gut, heart, kidney, liver, lung, muscular-skeletal, neuro, pancreas and skin etc. A unique feature about this book is the inclusion of perspectives from Anesthesiology, Infectious Disease, and Pathology besides specific organ toxicity management. The contributors are a group of experts offering routine clinical care to patients with most complex and refractory toxicity conditions, conducting pioneering research, and providing the guidance for the clinical practice to the peers and trainees in the field. The topics of each chapter include incidence, clinical presentations, evaluation, management, and long term follow up of each disease entity. There is also a simplified management algorithm or table illustrated in each chapter as well as audio PowerPoint slide deck to provide straightforward general instruction on the evaluation and treatment.

This extensively updated textbook is a comprehensive study guide that covers pediatric critical care principles and specific disease entities commonly encountered by the pediatric critical care medicine (PCCM) practitioner. Pathophysiologic aspects unique to the pediatric patient are emphasized. The first edition has become a highly utilized text for pediatric critical care fellows. The second edition will prove even more valuable to the fellow in-training and indeed to any clinical pediatric intensivist. In addition to updating the chapters from the previous edition, there are new chapters on topics such as central nervous structure and function, palliative care, child abuse and practical biostatistics. Pediatric Critical Care: Text and Study Guide is an invaluable clinically focused resource for PCCM practitioners. Allowing for concise reading on specific topics, this book acts as both text and study guide covering advanced physiology, pathophysiology, diagnostic considerations and treatment approaches that should be mastered by the higher level PCCM practitioner. The large number of illustrations complements the text in each chapter that also includes key references and case-orientated questions that help reinforce important ideas learned in the chapter.

50 Studies Every Anesthesiologist Should Know presents key studies that have shaped the practice of anesthesiology. Selected using a rigorous methodology, the studies cover topics ranging from pain medicine, critical care, cardiothoracic anesthesiology to general anesthesiology. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. Brief information on other relevant studies is provided, and an illustrative clinical case concludes the review. This book is a must-read for health care professionals in anesthesiology and pain medicine, and anyone who wants to learn more about the data behind clinical practice in anesthesiology, pain medicine, critical care and its broad subspecialties.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is a graphical, dense and concise text describing fundamental theoretical concepts needed for doctors and other professionals new to the field of Intensive Care Medicine. The book serves two main purposes: as study material for any junior doctor, nurse or other allied healthcare professional who is time-pressured and wants to quickly learn the essentials; and as a course volume of new ESICM educational initiative called Intensive Care Fundamentals (c). The overarching goal of this initiative is to offer standardised high-quality introductory education to all starters in intensive care. There are two key elements of this initiative: the book, which is the prerequisite reading for attending the two day face-to-face course and the materials, registration of candidate and training and certifying the trainers that will be provided by ESICM.

This book offers a state-of-the-art description of the complexity of the healthy and pathological respiratory system, with particular reference to the mechanics of the airways, lung and chest wall. Detailed information is provided on new insights into the mechanics of breathing that have been obtained through technological innovations in measurement systems, cutting-edge modeling techniques and novel approaches to functional imaging of the respiratory system. It is explained how these advances permit the assessment of emerging treatment approaches, including new drugs, innovative surgical techniques and modes of mechanical ventilation and new forms of rehabilitation. In order to ensure comprehensive coverage of the subject, the editor has assembled a multidisciplinary team of authors comprising basic scientists in respiratory medicine, chest and intensive care physicians and bioengineers involved in both modeling and instrumentation. The book is intended for intensive care physicians, respirologists, physiologists, rehabilitation specialists, basic scientists in respiration, research and clinical fellows, biomedical engineers involved with respiratory mechanics and respiratory therapists. They will update their knowledge and improve their clinical expertise.

Trauma has been recognized in recent years as one of the most important health care issues still to be fully addressed. A new awareness of deficiencies in the clinical management of injured patients has led to an urgent reappraisal of procedures and training in many hospitals. Parallel to this, there has been a revolution in the field of radiology and diagnostic imaging. Imaging in Trauma provides guidance on the safe and effective application of imaging techniques to patients who have been injured - recommending appropriate techniques wherever they are known to be effective and highlighting cases where their use would be inappropriate. The use of basic conventional radiology is most comprehensively covered, recognising that some of the newer modalities, such as magnetic resonance imaging, will not be generally available for some years. . It is important to consider not only the production of good images, but also how to help clinicians to order them appropriately and to interpret them. A full report from a trained radiologist may not be immediately available to junior medical staff trying to manage the patient in the A&E department. Therefore, advice about viewing images systematically is offered, together with hints on the pitfalls which might be faced. This advice is patient- centred rather than image centred - an emphasis which makes the text different from others. Each chapter offers a summary of the key points it contains. The book will be of assistance to all medical and nursing staff working in the speciality of Accident and Emergency Medicine and also to those working in specialities which offer definitive care to injured patients. The contents of the book may also assist those wishing to study for higher examinations in Accident and Emergency, Surgery and Radiology, especially where the interpretation of images forms part of the examination.

Neurocritical Care Pharmacotherapy: A Clinican's Guide is a practical, succinct but comprehensive pharmacy handbook provides up-to-date clinical guidance on the effective selection, prescription, and usage of neurocritical care drugs for patients with acute neurologic illnesses. The treatment of the critically ill neurologic patient is often difficult, specialized, and includes drugs infrequently used in other intensive care units such as antiepileptic drugs, osmotic agents or acute immunotherapy such as intravenous immunoglobulin and plasma exchange. This text discusses choosing the right combination of drugs; how to correctly prescribe and administer the drugs; how to monitor drug efficacy and side effects; how neurocritical care drugs interact with other medications; and comprehensive coverage of current treatment options. Key Feature of this Manual Include * A brief discussion of the basic pharmacology of each neurocritical drug, with an emphasis on how to select and use these drugs in multiple clinical contexts. * 150 drugs accompanied by a diagram for quick comprehension and drug administration guides. * Unique blending of expertise of neurointensivist with a critical care pharmacist to provide a vital resource for both specialities * References for further reading that are oriented toward utility in clinical practice.

5 Tage gegen schlaflose N chte

Strukturiert und konzentriert bekommen Sie hier die pr fungsrelevante An sthesie, Intensivmedizin, Notfallmedizin und Schmerztherapie in 5 Tagen. F r alle, die sich kurz vor knapp auf das "Hammerexamen" vorbereiten und w hrend des PJs kaum Zeit haben ist dieses Buch "der Hammer." Die Inhalte sind nach ihrer H ufigkeit in den IMPP-Fragen gewichtet. So k nnen Sie sicher sein, nicht stundenlang Exoten zu lernen, die dann doch nie gepr ft werden. Die Texte sind stichpunktartig geschrieben, sinnvolle Tabellen und Hinweise auf Pr fungsfallen und Verwechslungsgefahren erg nzen die Fakten. Platz f r eigene Notizen bietet die Randspalte, so k nnen Sie auch ganz spezielle Inhalte f r die m ndliche Pr fung festhalten. Und nat rlich k nnen Sie die Lerneinheiten auch auf eine l ngere Zeit verteilen.

K rzer und kompakter geht es f r die Pr fung nun wirklich nicht.

Brain death-the condition of a non-functioning brain, has been widely adopted around the world as a definition of death since it was detailed in a Report by an Ad Hoc Committee of Harvard Medical School faculty in 1968. It also remains a focus of controversy and debate, an early source of criticism and scrutiny of the bioethics movement. Death before Dying: History, Medicine, and Brain Death looks at the work of the Committee in a way that has not been attempted before in terms of tracing back the context of its own sources-the reasoning of it Chair, Henry K Beecher, and the care of patients in coma and knowledge about coma and consciousness at the time. That history requires re-thinking the debate over brain death that followed which has tended to cast the Committee's work in ways this book questions. This book, then, also questions common assumptions about the place of bioethics in medicine. This book discusses if the advent of bioethics has distorted and limited the possibilities for harnessing medicine for social progress. It challenges historical scholarship of medicine to be more curious about how medical knowledge can work as a potentially innovative source of values.

Rapid Response System: A Practical Guide provides a practical approach to the evaluation, differential diagnosis, and management of common medical and surgical emergencies such as cardiac arrest, acute respiratory failure, seizures, and hemorrhagic shock occurring in hospitalized patients. Less common and special circumstances such as pediatric, obstetric, oncologic, neurologic and behavioral emergencies as well as palliative care for terminally ill patients encountered in the context of rapid response team events are also discussed. An overview of commonly performed bedside emergency procedures by rapid response team members complements the clinical resources that may need to be brought to bear during the course of the rapid response team event. Finally, an overview of organization, leadership, communication, quality and patient safety surrounding rapid response team events is provided. This book is written with medical students, junior physicians and nursing staff in mind working in both academic and community hospital settings. Both a novice and an experienced healthcare provider involved in a rapid response system will find this handbook to be valuable supplement to the clinical experiences gained though active engagement in the system. Hospital administrators and senior management staff will also find this book to be useful in the evaluation of quality and performance of the rapid response system, management of staff attitudes and behavior, performance of peer review, care for second victims and implementation of countermeasures for patient safety problems discovered in the course of rapid response system reviews.

Wound management forms the bulk of the work in Accident and Emergency practice. Although most of these wounds will appear minor and the treatment straightforward for many injuries, the consequences of improper assessment or management can be very serious. Disabling injury may be overlooked, and life threatening infections can follow inappropriate treatment. Accident and Emergency staff must be prepared to begin initial assessment and treatment while surgical help arrives. This new edition of The Management of Wounds and Burns provides practical and authoritative information on all aspects of wound and burn care, taking the reader from initial assessment to the treatment of specific injuries. The care and legal aspects of life-threatening wounds are covered, together with anaesthesia, surgical techniques of wound care, wound infection, and injuries to the hand, face, neck, chest, and abdomen. Throughout , the authors present their guidelines concisely and lucidly, with detailed advice on anatomy, medication, and treatment techniques, providing an invaluable guide for junior doctors and nurses in A & E.

Reviews of the first edition: 'Any doctor, regardless of seniority or speciality, likely to be called on to treat a wound would do well to read this valuable book from cover to cover and to retain the wealth of practical information that it contains... the best insurance against patients suffering needless harm after sustaining a wound.' British Journal of Surgery (1993) 'There is good advice throughout the book... It is well suited to the target audience of junior doctors starting a job in A & E and to the nursing staff of an A & E department... Patients can only benefit.' British Journal of Hospital Medicine (1993) 'Each chapter has a clear and well structure layout... I think this book would provide a useful addition to any A & E library.' Accident and Emergency Nursing (1993) 'It covers just about every wound that one is likely to encounter... It will be of great help in the treatment room.' The Medical Journal of Australia (1993)

This excellent value pack contains the Oxford Handbook of Critical Care Third Edition and Emergencies in Critical Care Second Edition. The combination of practical advice and essential background information with an easily accessible guide in emergencies presents a unique package essential to every doctor with an interest in Critical Care. The fully revised, third edition of the Oxford Handbook of Critical Care describes best practice of critical care in a succinct, concise and clinically-orientated way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols. Emergencies in Critical Care provides a practical, accessible guide to all emergency situations encountered in the critical care setting. Emergencies are very common in the critical care setting; but also surprisingly predictable. This book helps critical care staff identify those at risk, how to manage them, and be prepared in the ward. This second edition covers new areas of importance, including sections on how to deal with adverse events and critical incidents involving critically ill patients, patient-safety and improved patient rescue packages, and on the practicalities of infection control procedures. Normal values have been combined into one short chapter for easy reference. Easy to use and evidence based, this book will help all critical care staff involved with the management of emergencies, from the new junior doctor to the experienced consultant in a portable and easily-readable format.