Divided into twelve sections that cover the entirety of anesthetic practice, this is a case-based, comprehensive review of anesthesiology that covers the basics of anesthetic management and reflects all new guidelines and recently developed standards of care. Each chapter of Anesthesiology: Clinical Case Reviews begins with a specific clinical problem or a clinical case scenario, followed by concise discussions of preoperative assessment, intraoperative management, and postoperative pain management. In addition to residents and fellows, this book is written for practicing anesthesiologists, student nurse anesthetists, and certified registered nurse anesthetists (CRNAs).

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.

The AFEM Handbook of Acute and Emergency Care 2e provides a field reference for emergency care providers in Africa, which addresses the African regional disease burden and recommends diagnostic and management pathways. The text is designed to be used by all levels of providers for the care of acutely ill or injured patients, and covers the full scope of emergency and acute care. It addresses both out-of-hospital and in-hospital interventions, and provides diagnostic and management strategies for the most common emergency care problems faced by providers in sub-Saharan Africa. Uniquely, the text offers care providers management strategies based on available resources: it guides care providers through a rapid systematic and integrated approach to patient stabilisation and resuscitation, stratified to three resource levels: minimal, moderate and full resources. The primary target market includes emergency medicine practitioners (medical doctors and emergency care technicians). In addition, it is aimed at MBChB students and National Diploma students taking modules in Emergency Medicine or Emergency care, and students enrolled in certificate courses in Emergency care at provincial colleges.

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.

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 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.

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 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.