All physicians are involved in the management of pain at some level or the other, but of the various specialties and health professions, orthopedic surgeons are at the frontline of delivering perioperative pain care for a wide variety of problems that range from skeletal trauma, joint replacement procedures, bone tumors and spinal conditions. Perioperative Pain Management for Orthopedic and Spine Surgery offers a concise yet comprehensive overview of the surgical spine pain management field to help practitioners effectively plan and enhance perioperative pain control. Chapters provide guidance on solving common dilemmas facing surgeons who are managing patients with pain related problems and clinical decision-making, and explore essential topics required for the trainee and practitioner to quickly assess the patient with pain, to diagnose pain and painful conditions, determine the feasibility and safety of surgical procedure needed, and arrange for advanced pain management consults and care if needed. This text also explores the latest evolving techniques and appropriate utilization of modern equipment and technology to safely provide care. Highly accessible and written by experts in the field, Perioperative Pain Management for Orthopedic and Spine Surgery is an ideal resource for practicing orthopedic and spine surgeons, anesthesiologists, critical care personnel, residents, medical students.

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.

Noninvasive mechanical ventilation has managed to establish itself as the treatment option for a wide variety of causes of acute and chronic respiratory failure in different settings in hospital and home noninvasive mechanical ventilation. In the last decades, we have discovered its positive effects on gas exchange and symptoms such as dyspnea control, widely contrasted against endotracheal intubation. However, although this wide range of beneficial effects have been described, pathophysiology, diagnosis, prevention and treatment of noninvasive mechanical complications could not be forgotten for a correct application as they clearly affect patient outcome and mortality. Nowadays, there is a scarce number of publications analyzing noninvasive mechanical ventilation complications and this book is the first dedicated to its analysis. This book brings together a broad multidisciplinary vision of common and unusual complications, thus it serves as the original and essential scientific published reference on noninvasive mechanical ventilation complications. The present book has been structured to offer through its sections and chapters an exhaustive and in-depth analysis of noninvasive mechanical ventilation complications, mechanisms, direct or indirect factors determinants, key recommendations for the early diagnosis and treatment for most frequent applications from multidisciplinary perspective. Finally, we analyze noninvasive mechanical ventilation complications and how they impact in short- and long-term complications and mortality. The book concludes analyzing evidence in diagnosis, prevention and treatment. We believe that the readers of this book will find in it an essential reference for a correct application of noninvasive mechanical ventilation, and thus be able to improve results and prognosis. Only the precise knowledge of complications of noninvasive mechanical ventilation will allow us to achieve a proper application to success.

A popular, practical and easy-to-use guide, Oxford Desk Reference: Critical Care second edition distils evidence, therapeutics, and a growing knowledge base in to one single resource. Using their expertise, the Editors have devised an invaluable clinical guide reflecting best practice and training pathways ensuring all key information is covered. Each topic is laid out in a concise entry allowing rapid access to information. The second edition includes new chapters on tissue perfusion monitoring, paediatric and maternal critical care as well as expanded coverage of cardiovascular monitoring, myocardial infarction and respiratory therapy techniques. New self-assessment questions support FFICM and EDIC (European Diploma of Intensive Care) revision as well as CME reflection. Covering the entire discipline in an easy-to-read format, this is the definitive clinical reference for critical care, ideal for trainees, consultants, advanced care practitioners, and nurses. It is a definitive everyday reference for on the Intensive Care Units, High Dependency Units, acute medical or surgical wards, Accident and Emergency departments, and operating theatres.

'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.

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.

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."

Acute Care Casebook provides a case-based approach to the broad practice of acute care medicine, covering a variety of common patient presentations and clinical environments. This book features over 70 illustrated cases, including presentations of trauma and medical illness in wilderness medicine, military and prehospital environments, pediatrics, emergency medicine, and intensive care unit and floor emergencies. Designed for students and trainees in medicine, nursing, EMS, and other acute care specialties, this text guides readers through not only symptom evaluation and treatment, but also the thought process and priorities of experienced clinicians. Each chapter features key diagnoses and management pearls from leading experts that will help prepare readers for any event, from stabilizing and transporting a trauma patient in the field, to managing post-operative complications in the ICU.

Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews pediatric anesthesia utilizing the PBL approach. Each chapter deals with conditions and problems in pediatric anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Cases were carefully selected to present a broad systems-based tour of commonly encountered clinical cases in pediatric anesthesia. The book can be used to review an upcoming clinical case or as a PBL tool. The 'Stem Case and Key Questions' and 'Discussion' sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the subspecialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.

Neuroprotection is becoming an increasingly recognized and important part of critical care and perioperative medicine. As human beings survive increasingly severe life-threatening injuries and complex surgical interventions, it has become clear that neurologic injury and dysfunction is a primary driver of long-term outcome and disability. Neuroprotection is currently under-recognized as the primary objective in promoting recovery from life-threatening injuries, illnesses, and procedures. To address this knowledge gap, Neuroprotection in Critical Care and Perioperative Medicine provides a concise review of the current state of the art of clinical care and research. Within the context of critical care, the specific topics covered will include the primary forms of brain injury on which neuroprotection research and intervention has traditionally focused, such as traumatic brain injury, cardiac arrest, acute ischemic stroke, and intracranial hemorrhage, as well as CNS injuries related to sepsis and acute respiratory distress syndrome, mechanical circulatory support, and premature birth. Within the context of perioperative care, the specific topics covered will include anesthetic and perioperative strategies to reduce brain injury from cardiac surgery, aortic surgery and endovascular repair, carotid endarterectomy, vascular and endovascular neurosurgery, and other major surgical procedures.

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."

This practical guide provides a multidisciplinary, clinically oriented approach to the management of patients in intensive care. The book discusses the complete range of specialties, including cardiology, pulmonology, gastroenterology, neurology, toxicology, and much more. Each condition is presented in a step by step process, covering pathophysiology, signs and symptoms, diagnosis, treatment, and other considerations such as age/developmental issues. The comprehensive appendices section covers essential data and assessment for the management of critically ill patients including discussion on drugs, dosages and side effects, clinical scores, indices and equations, normal biochemical values, ICU rounds and more. The text is highly illustrated with clinical images, diagrams and tables, and includes recent articles and current guidelines on management of sepsis and deep vein thrombosis (DVT). Key points Practical guide to management of patients in intensive care Covers complete range of specialties, presented in a step by step, clinically oriented approach Comprehensive appendices section covers drugs, clinical scores, biochemical values and much more Includes recent articles and current guidelines on management of sepsis and DVT

Fully revised to meet the 2015 CPR/ECC Guidelines and to prepare students and professionals for PALS certification and recertification, Pediatric Advanced Life Support Study Guide, Fourth Edition, provides a clear and complete approach to managing pediatric emergencies. Designed for use by the spectrum of healthcare professionals, the Fourth Edition provides users with the critical information needed to approach real-life pediatric emergencies. The Fourth Edition includes: End-of-chapter quizzes with answers and objectives, as well as a comprehensive posttest to gauge material comprehension Case studies at the end of appropriate chapters for practice with real-world material application Clear procedural explanations written in descriptive yet accessible language A refined Table of Contents including standalone chapters on cardiac dysrhythmias, for focused learning and study PALS Pearl boxes that discuss practical applications of material for use in the field In-text references for deeper research if desired

This practical new resource uses a highly visual approach to summarise and simplify neurocritical care topics which can often seem daunting in their complexity. Diagrams, flowcharts, figures and tables highlight the main principles of disease pathophysiology, diagnosis and management, giving an easy-to-understand insight into this new and exciting field of medicine. Numerous high-quality radiographic images demonstrate the neuroimaging of neurological and neurosurgical diseases, and overviews of major clinical trials and studies provide an evidence-based perspective. Incorporating a full grounding in the fundamentals of neuroanatomy, neurophysiology and examination, and summaries of key points and suggested reading for each chapter, this book is a concise yet thorough reference for all those working in neurocritical care. Ideal for both trainees and specialists in neurology, neurosurgery, intensive care, anaesthesiology, emergency medicine and internal medicine.

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.

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.

Intensive care medicine is a rapidly expanding medical speciality that commands a significant proportion of health care resources. It is predicted that the demand on intensive care resources will rapidly increase in the foreseeable future, partially due to an ageing elderly population. There is an increasing wealth of literature as to the nature of the intensive care multi-disciplinary team, and how this impacts patient morbidity and mortality. This book presents current research from around the globe in the study of intensive care units including: intensive care unit staffing and its impact on patient outcome; medical and nursing intensive care delivery; acute compartment syndrome on intensive care units; and blood transfusions in the intensive care unit.

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.

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.

Das vorliegende Buch prasentiert das gesamte klinische und wissenschaftliche Spektrum der neurologischen Beatmungsmedizin. Es wendet sich an alle AErzte, die beatmete neurologische Patienten betreuen, wie Neurologen, Anasthesisten, Internisten, Pneumologen, Intensivmediziner, Schlafmediziner und Palliativmediziner. Das Werk vermittelt sowohl die fur die neurointensivmedizinische und neurorehabilitative Behandlung als auch die fur die optimale Versorgung ausserklinisch beatmeter Patienten erforderlichen Kenntnisse. Zahlreiche Handlungsempfehlungen fur das Vorgehen bei den oft schwierigen Beatmungs- und Atemwegssituationen machen das Werk besonders praxistauglich.

In recent years, neurocritical care has grown and matured as a subspecialty of Critical Care Medicine with the advent of new monitoring, diagnostic, and therapeutic capabilities. The goal of neurocritical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. Neurocritical Care provides 'at the bedside' guidance on the medical knowledge and technical skills required to care for critically ill patients with neurologic conditions such as cerebrovascular disorders, neurotrama, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general ICU or specialty Neuro ICU unit. Readers will gain an understanding of background knowledge and concrete solutions to questions and situations encountered in daily practice.

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.

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.

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.