Terapia intensiva e critical care

Clinician-performed bedside ultrasound is an exciting new development in medicine. Numerous diagnostic and procedural applications show great promise for improving the care of children. Many pediatric providers, however, remain unaware of its potential and ultrasound continues to be under-utilized in both the investigation and management of ill and injured children. Case Studies in Pediatric Emergency and Critical Care Ultrasound illustrates the utility of bedside ultrasound in a variety of scenarios, including the emergency setting and critical care unit. A wide range of diagnostic and procedural applications are covered in fifty-nine cases, recreating real-life experiences of expert practitioners. The cases are concise and readable, with teaching points that highlight how ultrasound can be used to expedite and focus pediatric care. With hundreds of high-quality images, and video content accompanying many cases, this text is essential reading for pediatricians, emergency physicians, pediatric anesthesiologists and critical care physicians.

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.

Intensive Care Unit Manual is a practical, hands-on, how-to manual that covers the full spectrum of conditions encountered in the ICU, guiding you step-by-step from your initial approach to the patient through diagnosis and treatment. Compact, affordable, and comprehensive, the ICU Manual puts all the critical care information you need right at your fingertips!

This pocket guide is a single-volume source of the most common and important formulas and laboratory values used in the daily practice of acute care and critical care medicine. Information is presented in outline format and as tables, graphics, and algorithms to facilitate quick look up. Acute and Critical Care Formulas and Laboratory Values is designed to help clinicians to interpret clinical data, to apply formulas, and to understand laboratory values, and to integrate this information with their knowledge of pathophysiology to promote the delivery of evidence-based care. * Essential formulas and laboratory values * Multiple ways to derive a value, where appropriate * Non-clinical formulas useful for understanding physiologic concepts or that underlie diagnostic tests or clinical measurement included * Chapters divided by organ system * Practical appendixes of "Abbreviations" and "Key Telephone Numbers" * A special "Notes" section for recording frequently used formulas

Despite increasing interest in intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) as causes of significant morbidity and mortality among the critically ill, unanswered questions cloud the understanding of the pathophysiology of these conditions: * Are IAH and ACS synonymous? * What are the ideal methods of measuring and lowering intra-abdominal pressure (IAP)? * When should we think of IAH? * Can IAH be prevented? * What level of IAP requires abdominal decompression? Written by two experts in critical care and IAP, Intra-Abdominal Hypertension is a distillation of the current literature and furthers the understanding of these complex critical conditions. Using a step-by-step approach and illustrative figures, this clinical handbook presents a concise overview of consensus definitions, measurement methods, organ assessment and treatment options. Intra-Abdominal Hypertension is essential reading for all members of the intensive care multidisciplinary team, including experienced and junior physicians, anesthetists and nurses.

This updated and refined new edition is the only book to provide a comprehensive approach to the intensive care of neurologically injured patients from the emergency room and ICU through the operating room and post-surgical period. It reviews neuroanatomy, neuroradiology, and neurophysiology, examines the neurological problems most frequently seen in intensive care, and describes the various types of neurosurgery. General issues are discussed, such as cardiac care, fluids and electrolytes, nutrition, and monitoring as well as more specific conditions and complications including elevated intracranial pressure, seizures, and altered mental states.

Critical care happens where it is needed, not just in the ICU. Patients with acute critical illness are often cared for initially in the ED, and the beginning actions can help alter outcomes hours, day and months later. This handbook targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences from respected authors. Chapters are organized in a readable and user-friendly format, and each describes the topic, defines key terms, notes cutting edge and controversial aspects, and delivers pragmatic advice. Our goal is not to discuss every pathology and care option, but to focus on the key thoughts and actions that can drive care and improve the health of those I need.

This essential handbook provides a practical, accessible guide to all emergency situations encountered in the critical care setting. Emergencies are very common in the critical care setting and this book helps critical care staff identify patients at risk, how to manage them, and be prepared. To help the reader find advice quickly, most chapters begin with a generic description of how to manage emergencies affecting that system, or patient group. This is followed by details of specific diagnoses and how they should be managed. The author team, where possible, follow the 'ABC' approach, which is not only the standard approach to emergency management, but also a widely-used scheme for documenting daily reviews on ICU, and for documenting trauma management. 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 in to 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.

The field of interventional bronchoscopy is rapidly expanding and has emerged as a new and exciting subspecialty in pulmonary medicine. To date, the impact of interventional bronchoscopy procedures has been felt in diagnosis, staging, and management of lung cancer, the most lethal cancer worldwide. Interventional Bronchoscopy: A Clinical Guide provides a state-of-the art description of interventional bronchoscopy procedures, addressing the scientific basis, indications, techniques, results, complications, and cost issues. Chapters address the current status, the advantages of new techniques and, most importantly, when to choose new techniques over the existing techniques. Each chapter will discuss the future of these procedures. Interventional Bronchoscopy: A Clinical Guide is an essential resource for a successful interventional pulmonology service and will be useful for the bronchoscopist, anesthesiologist, radiologist, thoracic surgeon and oncologist as well as practicing pulmonologists who do not perform these procedures but have to make decisions regarding appropriate referral of their patients to advanced airway centers.

Handbook of Blood Gas/Acid-Base Interpretation, 2nd edition, simplifies concepts in blood gas/acid base interpretation and explains in an algorithmic fashion the physiological processes for managing respiratory and metabolic disorders. With this handbook, medical students, residents, nurses, and practitioners of respiratory and intensive care will find it possible to quickly grasp the principles underlying respiratory and acid-base physiology, and apply them. Uniquely set out in the form of flow-diagrams/algorithms charts, this handbook introduces concepts in a logically organized sequence and gradually builds upon them. The treatment of the subject in this format, describing processes in logical steps makes it easy for the reader to cover a difficult- and sometimes dreaded- subject rapidly.

The definitive guide to the use of mechanical ventilation in critically ill patients - now in full color and updated to reflect the latest advances "Principles & Practice of Mechanical Ventilation, 3E" provides comprehensive, authoritative coverage of all the clinical, pharmacological, and technical issues surrounding the use of mechanical ventilation. Editor Martin J. Tobin - past editor-in-chief of the "American Journal of Respiratory and Critical Care Medicine" - has enlisted more than 100 authors, all of whom are at the forefront of research in their chosen subfield in order to provide the most authoritative and up-to-date information possible. No other text so thoroughly and comprehensively explores the myriad advances in modes and methodologies that have occurred in this ever-changing field as this cornerstone text. Features: each chapter has been extensively revised to reflect the latest research; a strong focus on the biomedical principles that govern ventilator management; expert insights from contributors in critical care, pulmonary medicine, anesthesiology, surgery, basic science, provide a unique multidisciplinary approach; 68 chapters that explore every important aspect of mechanical ventilation, including: Conventional and unconventional methods of ventilator support; Noninvasive methods of ventilator support; Unconventional methods of ventilator support; Physiologic effect of mechanical ventilation; Complications in ventilator supported patients; Weaning of ventilator-support; Management of the ventilator-supported patient; Adjunctive therapy, including fluid management, inhaled antibiotic therapy, and bronchodilator therapy; and, Ethics and economics. "Principles & Practice of Mechanical Ventilation, 3E" comprehensively covers the principles and practice of keeping patients alive through the use of mechanical ventilation, along with related pharmacological and technical issues.

Perfect for medical students, junior doctors, anaesthetic nurses and allied health professionals, Lecture Notes Clinical Anaesthesia provides a thorough introduction to the modern principles and practices of clinical anaesthesia. Full-colour diagrams, photographs and key fact boxes support easy understanding of the theory of anaesthetics allowing confident transfer of information into clinical practice.This fourth edition has been fully revised and updated to reflect recent developments within the anaesthetics specialty and is fully supported by a wide-range of self-assessments for study and revision purposes together with a range of 'tips for anaesthesia attachments' that start each chapter.Whether you need to develop your knowledge for clinical practice, or refresh that knowledge in the run-up to examinations, Lecture Notes Clinical Anaesthesia will help foster a systematic approach to the clinical situation for all medical students and hospital doctors.

Essentials of Trauma Anesthesia provides a concise, practical review of the essential elements in the care of the severely injured trauma patient, including emergency airway management, fluid and blood resuscitation, regional and general anesthesia, and perioperative care. Edited by two of the most experienced trauma anesthesiologists in the USA, with chapters written by experts from leading US and Canadian trauma centers with the highest and most varied caseload of critically injured patients, Essentials of Trauma Anesthesia identifies new trends in surgery and anesthesiology practices that impact on the management of trauma patients. Dedicated chapters address the management of special populations including pediatric, geriatric, burn and pregnant patients. Covering the most important topics in trauma anesthesia, Essentials of Trauma Anesthesia provides anesthesiology trainees and practitioners with a practical basis for managing trauma patients.

This is the first practical, protocol-based guide to the emerging field of neurocritical care. The goal of neurological critical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. "The NeuroICU Book" puts that goal within the reach of every neurologist and critical care specialist. Combining the latest clinical perspectives in critical care medicine, neurology, and neurosurgery, this comprehensive, evidence-based text standardizes neurocritical care and takes you through the rationale for those standards. Filled with detailed case studies and featuring a question-and-answer format, the book not only builds competency in recognizing acute changes in neurological function, but also addresses all organ insufficiencies and failures, reflecting the real-life challenges in the modern neuro-ICU. Features Robust, wide-ranging scope goes beyond classic neurology to encompass other organ failures at the time of presentation or during the ICU stay. Evidence-based approach leverages the scientific and controlled research that supports the key treatment methods outlined in the book. Balanced coverage of neuro care and critical care offers outstanding preparation for the neurocritical care board certification exam as well as an indispensible primer for daily clinical work in critical care medicine. Cutting-edge insights into the care used in some of the more advanced neuroICUs provide a crucial blueprint for understanding the newer procedures and protocols. This title presents practical tools including algorithms, tables, illustration, photographs, detailed references, and critical take-home points.