A hands-on guide for patients, families, and caregivers on how to live an affirming existence while facing the physical and spiritual traumas of life-threatening illness.

Every page of this book reveals the author's keen awareness of the challenges faced by patients, families, and caregivers dealing with life threatening illnesses. In page after page readers will discover clear, practical, and wise suggestions that are well grounded in personal experience. Don't we all know somebody who needs this book now?
--Robert Kastenbaum, Ph.D., Editor, Omega Journal of Death and Dying

This evidence-based guide is the first of its kind to outline the surgical and perioperative management of patients with anatomical anomalies and support clinical decision-making under these difficult circumstances. Presented in a simple, accessible format and organized by anatomical area, this book contains all the essential topics required by trainees and practitioners to assess the patient quickly, diagnose anatomic anomalies, determine the feasibility and safety of the planned surgical and anesthetic procedures, and arrange for advanced consults and care, if needed. Newer techniques for surgical and anesthetic management of patients with anatomic anomalies are presented to facilitate practitioners' development of their skills. Chapters include the latest ultrasound techniques and images, as well as case studies. Physicians, nurses, and trainees involved in the surgical, anesthetic, perioperative, or critical care of patients will find this guide to be their go-to resource in the OR, lab, or pain clinic.

The complex IT requirements of a critical care unit have led to the development of numerous information systems. In this concise handbook, the authors share their experience and research findings on how to unleash the power of the technology and overcome potential problems. Clinical Information Systems in Critical Care explains the key aspects of the information systems currently available, covering topics such as how to select the best system to match the requirements of a critical care unit, the issues surrounding data maintenance, patient confidentiality and the concept of the paperless patient record. It discusses both the benefits that may justify investment in the technology and hurdles that may arise, and offers advice for avoiding common problems. Clinical Information Systems in Critical Care is essential reading for all clinicians and health managers involved in developing, implementing, maintaining and using clinical information systems.

By utilizing a review of case-based studies and providing concise management recommendations from leaders in the field, this book provides essential knowledge for those practicing in a dynamic specialty. In the rapidly developing field of Neurocritical Care, Advanced Practice Clinicians have become an integral component of the multi-disciplinary team. This essential volume provides a frame of reference for advanced practice nurses, physician assistants, physicians, and students on a wide range of common Neuro ICU diagnoses and management strategies.

Dieses Kompendium ist ein aktueller Beitrag zur Aerosoltherapie und gibt einen kurzen Aoeberblick A1/4ber die Anatomie der Lunge, die zur Therapie eingesetzten Aerosole und deren Produktionsverfahren. Der Schwerpunkt liegt aber auf der mAglichen Nutzung eines Morphinaerosols zur SchmerzbekAmpfung. Die dargestellten klinischen Erfahrungen weisen nur auf den additiven Stellenwert dieser Methode im Rahmen der Schmerzbehandlung hin. Die tierexperimentellen Untersuchungsergebnisse ermAglichen dagegen hinsichtlich der Pharmakokinetik bei der Resorption durch Inhalation und hinsichtlich der Lungenprotektion bei Langzeitbeatmung neue AnsAtze.

Acute Stroke Management in the First 24 hours bridges the clinical application gap by offering a practice-based approach to treating ischemic and hemorrhagic stroke. The comprehensive text, written by international experts in the field of stroke care, covers all aspects of stroke care, including review of stroke systems, clinic features, neuroimaging diagnostic characteristics, and pre-hospital care and challenges. Practical clinical studies in each chapter engage readers in the discussion of common diagnostic pitfalls and work challenges. Chapters also include detailed figures and management algorithms, making this book an easy-to-use reference guide ideal for first responders and clinicians working in emergency medicine, neurology, neurosurgery, and critical care.

This book provides health professionals with sound clinical advice on management of the obese patient admitted into hospital. It addresses all aspects of the patient's care, as well as serving as a resource to facilitate the management of services, use of clinical information, and negotiation of ethical issues that occur in intensive care. As the number of obese patients in intensive care continues to grow, this book will serve as a comprehensive clinical resource for everyday use by both obesity specialists and emergency medicine physicians.

'Deeply affecting - a personal memoir that grips, harrows, inspires and, ultimately, uplifts with its vein of deep humanity' Philippe Sands' An extraordinarily frank book laced with humour and self-deprecation' The Times As a doctor on the intensive care unit at one of London's top hospitals, Jim Down has spent his life working as healthcare's last resort, where each day reveals a new challenge. But nothing could prepare Jim and his colleagues for the events of spring 2020, when the Covid-19 pandemic put them on the frontline of a global health crisis. In Life Support, Jim tells the extraordinary month-by-month story of how, as the world came to a standstill, he and his co-workers faced down the biggest challenge in the history of the NHS. Full of warmth, honesty and humour, this book is a gripping and moving testament to the everyday heroism of the NHS staff in a global emergency, and an unforgettable insight into what was really happening on the wards as we clapped on our doorsteps.

Endlich ein Buch uber Neuromonitoring Die Notwendigkeit zu diesem modernen Ansatz entsteht durch die immer grosser werdende praktische Bedeutung neurophysiologischer Untersuchungsverfahren im Bereich Intensivmedizin, intraoperative Uberwachung zentral - wie peripher - nervaler lebenswichtiger Funktionen, Narkosefuhrung. Zwei Blickwinkel bestimmen die Gliederung: 1. Darstellung der wichtigsten neurophysiologischen Untersuchungsverfahren im Hinblick auf deren Einsatz auf der Intensiveinheit und im OP. 2. Die relevanten Einsatzmoglichkeiten dieser Verfahren bei haufigen intensivpflichtigen Erkrankungen und diversen chirurgischen Eingriffen an Kopf und Wirbelsaule. Intraoperatives Neuromonitoring sowie Narkosesteuerung mittels neurophysiologischer Verfahren werden in eigenen Kapiteln ausfuhrlich dargestellt."

The groundbreaking text on critical care emergency medicine - updated with the latest evidence and recommendations A Doody's Core Title for 2022! Critical Care Emergency Medicine has become the standard reference for all clinicians who wish to understand the overlap between emergency medicine and critical care. Much like the field of emergency medicine itself, this text is a collaborative effort involving emergency physicians as well as clinicians from trauma, critical care, infectious diseases, and pulmonary medicine. Critical Care Emergency Medicine teaches emergency physicians everything they must know and do to better care for critically ill patients in an emergency department or to provide care in an ICU. Enhanced by numerous algorithms that speed decision making and full-color illustrations demonstrating anatomy and technique, this book is an essential practice tool. Incorporating the wisdom of both academic and community emergency medicine experts, Critical Care Emergency Medicine, Second Edition delivers expert coverage of: Airway and Ventilatory Support Pulmonary Disorders Cardiovascular Disorders Gastrointestinal and Renal Disorders Neurologic and Neurosurgical Disorders Hematologic and Endocrine Disorders Infectious Disorders Toxicologic Conditions Ultrasonography in Critical Care Special Considerations (including nutritional support, end-of-life issues, fluid management, and more) If you are looking for an up-to-date, evidence-based text designed to take your critical care to the next level, your search ends here.

This handbook is a guide to best practice in interventions commonly encountered in the ICU. It is clinically orientated providing: step-by-step explanations and illustrations of most invasive procedures, check lists to make sure the indication is right, check lists to ensure appropriate assessment once the procedure has been carried out. The information is easily accessible providing practical advice and essential background for every member of the multi-disciplinary team caring for critically ill patients. It will serve the senior consultant who has not performed a procedure for some time as well as the junior doctor in need of an aide memoire.

The book provides up-to-date and easy to understand information on airway management with special emphasis on practical management along with required theory background and key points. It covers all aspects of airway management including education, training, audit, controversies, recent advances, case discussion, etc. The book covers all the techniques of airway management like the use of video laryngoscopy, fibre-optic intubation, and retrograde intubation. Further, the book includes a chapter on airway management during transmittable infectious diseases, such as COVID-19. The book also includes separate chapters on the available guidelines; discussion of interesting cases; neonatal airway; and out of hospital airway management. The book is written by experienced authors keeping in mind the unique problems and situations related to this specialized and vital area of patient management. It presents summary and key points in each chapter. Overall, this book provides practical, specialty oriented and patient centered approach to airway management. The book is a useful resource for postgraduate students, residents and fellows in anesthesia, emergency medicine, critical care medicine. It is also relevant for anesthesiologists, intensivists, emergency physicians and internal medicine physicians.

As the global population lives to an increasing older age, there is a need to research, develop and deliver appropriate anaesthesia and pain management care to these increasingly frail and vulnerable patients. This book provides a comprehensive and detailed overview of all aspects of anaesthesia for the elderly patient looking at the effect of ageing on the systems of the body and the role that age has on drug mechanisms. Designed for both consultants and trainees who care for elderly patients, chapters address the clinical management of the older patient in pain, trauma, intensive care as well as anaesthesia for all aspects of surgery. The expert author team use their experience to provide a practical and stimulating book which informs everyday clinical activity and explores the unanswered questions which face anaesthetists in this changing patient population. This book will give all consultants and trainees a thorough grounding in this growing and demanding area of anaesthetic practice.

This comprehensive update of the previous two successful editions covers both basic and advanced anesthesia topics. These include pharmacology, procedures, monitoring, equipment, subspecialty anesthesia, safety, professionalism, pain management, and more. Chapters are concise, easy-to-read, and authored by faculty specialized in medical education. They feature case studies designed to help apply theoretical knowledge to real patient situations, as well as questions and answers. A convenient resource for medical students, student registered nurse anesthetists, and student anesthesiologist assistants in any student of anesthesia will find this unique book useful.

This book is a comprehensive summary of the recommendations for best practice, and current evidence, for physical activity and rehabilitation of functional deficits in individuals with end-stage diseases. While advances in technology have afforded us the opportunity to live longer lives, it has also demanded an expansion of focus of medical interventions towards palliative care to enhance the quality of life. Exercise and healthcare professionals must strive to broaden their perspectives to provide for the unique needs of these individuals, and to successfully engage with them, to achieve the most positive outcomes throughout the entire continuum of care. Healthcare providers play a critical role in advocating for care to allow individuals to remain physically active for as long as possible, even in the face of declining health. Finally, due to the increasing and progressively emergent healthcare utilization required by these individuals, a significant cost burden is experienced by healthcare systems, patients, families, and payers. There is evidence of substantial protective effects of physical activity, prevention, safety, and rehabilitative procedures to reduce hospital readmissions, reduce length of stay, and assist in avoiding unwarranted or unnecessary diagnostic tests or procedures. Physical activity has been proven to have a substantial impact and protective effects on virtually all medical conditions. During curative management, but especially during transitional phases to palliative care, other strategies need enhanced consideration to complement the existing plan of care and help to improve patient's quality of life. Ideally, physical medicine would be at the forefront of allowing individuals to live their best life until the very end. Physical Activity and Rehabilitation in Life-threatening Illness is key reading for academics and policy makers in physical activity, international exercise, wellness and rehabilitation, and related disciplines, as well as research-focused clinicians in settings where patients with advanced illness are frequently encountered.

CVVH, CVVHD and CVVHDF: These terms will soon no longer be a "black box" for you! This book is aimed at physicians and nurses in intensive care units who want to both apply and understand continuous renal replacement procedures. Step-by-step, the functionalities and characteristics of all common renal replacement procedures, such as continuous veno-venous hemofiltration, hemodialysis, and hemodiafiltration, are explained in a comprehensible manner, and the clinical implications of the parameters to be set are described. A separate chapter is devoted to the topic of citrate anticoagulation, an understanding of which is essential when using continuous renal replacement procedures. With this knowledge, the most suitable therapy can be selected for each patient and optimally adapted to the patient's needs.

The latest edition of this handbook is a concise yet comprehensive guide for attending physicians, fellows, residents, and students who cover the ICU. The chapters follow an outline format and are divided by organ system, including neurologic disorders and cardiovascular disorders, and special topics, such as environmental disorders, trauma, and toxicology. The handbook includes thoroughly updated chapters from the previous edition, alongside completely new content. Written by an authority in the field, the Handbook of Critical and Intensive Care Medicine, Fourth Edition is a valuable one-stop reference for every practitioner engaged in Critical Care Medicine across the world.

For 25 years Anaesthesia, Intensive Care and Perioperative Medicine A-Z has provided a comprehensive resource of the relevant aspects of pharmacology, physiology, anatomy, physics, statistics, medicine, surgery, general anaesthetic practice, intensive care, equipment, and the history of anaesthesia and intensive care. Originally prepared as essential reading for candidates for the Fellowship of the Royal College of Anaesthetists and similar exams, this fully updated edition will also prove as invaluable as ever for all anaesthetists and critical care physicians, as well as operating department practitioners and specialist nurses. The alphabetical arrangement with extensive cross-referencing ensures a full understanding of topics. The succinct and clear text and diagrams make for easy quick reference. The exam preparation checklist is ordered by key topics to facilitate effective revision. The contents are easily accessible with the accompanying ebook. There has been a substantial addition of new entries as well as revision of existing ones. This acknowledges the breadth of information needed to satisfy the range of activities performed by anaesthetic, intensive care, nursing and other colleagues, and also reflects the ever-changing field in which they all work. The consolidation of the role of anaesthetists as 'perioperative physicians' is reflected in additional entries of particular relevance and also by the enhanced title of the book. The structured 'revision checklist' of entries which is particularly useful to those preparing for examinations has been further developed for this edition.

Cardiovascular disease remains the major cause of morbidity and mortality throughout developed countries and is also rapidly increasing in developing countries. Cardiovascular medicine and the specialty of cardiology continue to expand, and the remit of the cardiologist is forever broader with the development of new sub-specialties. The Oxford Handbook of Cardiology provides a comprehensive but concise guide to all modern cardiological practice with an emphasis on practical clinical management in many different contexts. This second edition addresses all the key advances made in the field since the previous edition, including interventional cardiology, electrophysiology, and pharmacology. It expands the remit to medical students and the more junior doctor while retaining the level of detail required by more senior practitioners within the field.

Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This new edition of The Perioperative Medicine Consult Handbook provides useful information, advice, and guidelines based on a combination of clinical experience and evidence-based medicine. It covers topics in many major clinical areas (anesthesiology, cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and many others) and puts critical surgery information at a consult physician's fingertips. New to this edition are chapters on thyroid disease, restrictive lung disease, sickle cell disease, inflammatory bowel disease, nutrition, and perioperative care of elderly patients. The entire volume has been streamlined for a more precise presentation of essential perioperative management guidelines. Originally created by the Medicine Consult Service team at the University of Washington Medical Center, and now fully updated into a comprehensive second edition, this quick reference is sure to be indispensable for residents and consult physicians alike.

For years the administrative of anesthesia was extremely dangerous and risky. Because of this the surgeon and anesthesiologist had to balance the risks and benefits for each patient before proceeding with surgery. In the last two decades the care of the surgical patient has changed dramatically. New equipment, monitors and pharmacologic agents have transformed surgical technique and improved outcomes. Patients once deemed "too sick" for the operating room are found frequently on operating room schedules nationwide. Today, anesthesiology for the healthy patient in most developed countries is extremely safe. However, perioperative complications still occur. These events can be catastrophic for patients and may have serious implications for residents, surgical and anesthesiology staff and nurses. Prompt recognition and management of these incidents may reduce or negate complications. This is based on a fundamental base of knowledge acquired through several avenues and practiced with other team members to maximize outcomes. Engagement of all caregivers impacts outcomes. Many organizations do not have the structural components or education to recognize or manage these catastrophic events. This textbook will provide educational material for the many students, as well as nurses, residents or attending physicians who participate in perioperative medicine. It will focus on the most serious perioperative complications and include a discussion of the pathophysiologic and pharmacologic implications unique to each. Additionally, it will provide medicolegal information pertinent to those providing care to these patients. All chapters will be written with the most current and relevant information by leading experts in each field.The layout and format is designed to be purposeful, logical and visually effective. Other features include review questions and answers, chapter summaries and shaded call-out boxes to facilitate learning. Catastrophic Perioperative Complications and Management will be of great utility for medical and nursing students, anesthesiology residents, student nurse anesthestists, surgical residents, nurses involved in perioperative medicine as well as surgical and anesthesiology attending physicians.

This book focuses on subarachnoid hemorrhage (SAH), describing in detail the neurophysiology, anatomy, epidemiology, grading, anesthesia management, coiling and interventional treatment of this dangerous disease. Written by leading international experts, it highlights the state-of-the-art techniques for the diagnosis and treatment (non-surgical and surgical) of SAH and the clinical variations. It also examines the reliability of the new techniques versus the standard clinical methods to predict problems related to SAH and its recent diagnosis and management. The book starts with a brief discussion of the epidemiology of SAH, cerebral circulation, anatomy of brain blood vessels and neurophysiology related to this fatal disease. Then, in the following chapters it covers grading of subarachnoid hemorrhage, anesthesia management of SAH, treatment, subarachnoid hemorrhage coiling and radiological intervention. Lastly, it explores surgical treatment of intracranial aneurysms in more detail, and addresses complications, critical care management and headache in SAH, traumatic SAH and prognosis. Featuring numerous images, tables, schema, illustrations and videos, the book is intended for junior and senior anesthesiologists, neuroscientists, intervention radiologists, intensivists and neurosurgeons.