Critical Care

This title covers the fundamentals of pain, the pharmacology of drugs used, and summarises the current evidence base for the management of acute pain.

This book has grown out of decades of practicing simulation and teaching concepts of perioperative crisis resource management at our institutions, at national meetings, and in our residency and fellowship training programs. The purpose is to fill a gap between two areas of valuable work that exist in the perioperative emergency space; namely, between books that consist largely of steps of diagnosing a problem followed by a list of treatment steps and those reference books or articles that form the compendium works. As such, the goal of this volume is to be an up-to-date, high-yield, clinically relevant resource for understanding the epidemiology, pathophysiology, and proper assessment and management of a wide variety of perioperative emergencies. Our target audience is anesthesiologists, nurse anesthetists, surgeons, recovery and critical care nurses, and anyone else practicing within the perioperative arena.Less

This resource contains more than 1000 updated, realistic multiple-choice questions tailored to the question content of recent American Board of Anesthesiology (ABA) exams. Key messages are repeated and highlighted in the bullets, and while focusing on most-frequently tested keywords by the ABA, it also covers new, emerging topics, such as patient safety, statistics, and ethics.Less

Basic Anesthesiology Examination Review is a high-yield, streamlined study aid. The BAER Review is a text that is tailor made to cover the entire outline of the Basic Anesthesiology Examination (BAE) instituted by the American Board of Anesthesiology (ABA). Each chapter provides a concise content review of all items listed in the ABA outline as well as relevant images and diagrams. The design of the content of each of the chapters is optimized to facilitate early reading while covering each topic in a systematic fashion, while going far beyond being structured in a simple outline format. Furthermore, images are included in each chapter that are designed to be very memorable to facilitate retention of the content reviewed. Chapters conclude with questions and annotated answers, followed by key references and further reading. The questions are written with board preparation in mind, so as not to emphasize minutia but include content that the ABA could reasonably ask the examinee, With this book as a guide, readers will be able to efficiently prepare for the Basic Anesthesiology Examination.Less

Cardiothoracic Critical Care addresses major recent developments in cardiothoracic critical care, such as cardiovascular support, mechanical support (IABP, VADS, and ECMO), and drug therapies such as nitric oxide and other new inotropic agents. The management of postoperative bleeding is covered in detail, as it increasingly involves updated fluid and blood-product therapies, including blood preservation techniques such as cell salvage.Less

Using real life case studies to link knowledge to actual practice and written by senior nurses for nurses, this resource is essential for all nurses who work in acute care settings.

The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications such as heart attacks, pneumonia, and blood clots. As the patient wakes from their drug-induced coma, it takes time for them to metabolize and excrete these drugs, during which period they remain unable to care for themselves, and at increased risk of harm. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The fifth edition of this popular resource provides nurses, surgeons and anaesthetists with clear guidance on how to manage day-to-day problems and how to make difficult decisions. As the definitive guide to setting-up, equipping, staffing, and administering an acute care unit, it also includes basic science such as physiology and pharmacology, specific symptoms including pain and vomiting, and has chapters devoted to the unique post-operative needs of individual types of surgery. This new edition brings this important text up to date, and new drugs and techniques for monitoring are described. A new section looks ahead to the future development and design of recovery rooms and how they can contribute to patient well-being.Less

Continuous Renal Replacement Therapy (CRRT) is the standard of care for management of critically ill patients with acute renal failure. Part of the Pittsburgh Critical Care series, Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on theory, practice, special situations, and organizational issues, this volume provides a complete view of CRRT theory and practice. Tables summarize and highlight key points, and key studies and trials are included in each chapter. The second edition has been updated to include a new chapter on the use of biomarkers to aid in patient selection and timing, extensive revisions on terminology and nomenclature to match current standards, and the most up-to-date information on newly developed CRRT machines.Less

This title details drugs in anaesthesia and intensive care in an A–Z format. The new edition has been improved for exam revision, featuring diagrams of particular drug structures and comparison tables to aid comparison of differences within a drug class.Less

This essential resource 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 resource helps critical care staff identify patients at risk, how to manage them, and be prepared. 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.Less

Patients with acute critical illness are often cared for initially in the emergency department (ED), and the beginning actions can help alter outcomes hours, day and months later. This resource targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences, and chapters are organized in a readable and user-friendly format, with each describing the topic, defining key terms, cutting edge and controversial aspects, and delivering pragmatic advice.Less

End of life care in the ICU presents its own unique challenges, and this resource highlights real clinical issues which need to be addressed if quality palliative care within ICUs is to be consistently delivered.Less

Functional MRI with BOLD (Blood Oxygen Level Dependent) imaging is one of the commonly used modalities for studying brain function in neuroscience. The underlying source of the BOLD fMRI signal is the variation in oxyhemoglobin to deoxyhemoglobin ratio at the site of neuronal activity in the brain. fMRI is mostly used to map out the location and intensity of brain activity that correlate with mental activities. In recent years, a new approach to fMRI was developed that is called resting-state fMRI. The fMRI signal from this method does not require the brain to perform any goal-directed task; it is acquired with the subject at rest. It was discovered that there are low-frequency fluctuations in the fMRI signal in the brain at rest. The signals originate from spatially distinct functionally related brain regions but exhibit coherent time-synchronous fluctuations. Several of the networks have been identified and are called resting-state networks. These networks represent the strength of the functional connectivity between distinct functionally related brain regions and have been used as imaging markers of various neurological and psychiatric diseases. Resting-state fMRI is also ideally suited for functional brain imaging in disorders of consciousness and in subjects under anesthesia. This book provides a review of the basic principles of fMRI (signal sources, acquisition methods, and data analysis) and its potential clinical applications.Less

ICU Care of Abdominal Organ Transplant Patients provides a concise resource for intensivists, surgeons, and nurses caring for abdominal organ transplant patients before and after surgery. In a concise, practical style, the authors offer concrete solutions to questions and situations confronted by ICU clinicians. Chapters address general principles of immunosuppression, infectious complications, management, and nursing considerations, plus indications, approach to anesthesia, transplant procedure, and post-operative care for liver, kidney, pancreas, islet cell, and small bowel and multivisceral transplantation.Less

Kidney disease is a crippling disease that affects approximately ten percent of the population worldwide, with more than 2.6 million individuals estimated to receive renal replace therapy. Chronic kidney disease (CKD) is fast becoming a major public health issue even in resource poor settings, with some estimates predicting a disproportionate increase in countries such as China and India. Consequently, renal protection has become a vital and critical component of prevention. While observational data suggests that awareness remains low, the concept of renal protection is currently under-recognized in promoting recovery as well as preventing further renal loss. Kidney Protection: Strategies for Renal Preservation is a clinically applicable review of the current medical care and research that aims to address the awareness gap. The authors combine renal protection research and clinical practices with an interdisciplinary approach that is inclusive of nephrology,urology, critical care, anesthesia, emergency medicine and clinical medicine.Written by experts in the field of nephrology, the authors have also included applicable photographs and line drawings. The specific topics covered include: protection of the kidneys in hypertension, diabetes and heart disease, exposure to contrast including coronary angiogram, atherosclerosis, and more. This handbook is formatted to emphasize clinical practice points and major systemic illnesses. Additionally, it features the latest evidence-based practice guidelines for optimal renal outcomes, thus, making it a concise reference for the busy clinician interested in understanding the basics of kidney disease assessment, renal injury prevention, and renal preservation.Less

Mayo Clinic Critical Care Case Review is a unique compellation of cases presented at the highly rated Mayo Clinic Clinical Pathological Case (CPC) Conference. Designed to cover rare cases in a short amount of time, these reviews are set up in what is called the "unknown" format: highlighting the clinically key elements of the patient's hospital course, singling out the diagnostic dilemmas, and concludes with a question and answer format that allows clinicians to take home relative points for clinical practice. Written by practicing intensivists and critical care fellows for practicing intensivists and critical care fellows, this book combines interesting reading experiences with critical care medicine review. Each chapter ends with questions and answers that provide a board style review for the readers. Each case begins on the left-hand page with the discussion on the right, written succinctly to provide quick diagnostic understanding. While most critical care review books focus solely on an organ-system format, Mayo Clinic Critical Care Case Review captures the spirit of the CPC Conference in its text and illustrations.Less

Mechanical Ventilation—Physiology and Practice provides a comprehensive review of the physiological principles underlying mechanical ventilation, as well as practical approaches to the management of patients with respiratory failure. The book explains instrumentation and terminology, ventilator modes and breath types, ventilator alarms, how to write ventilator orders, and how to diagnose and correct patient–ventilator asynchrony. It also discusses the physiological assessment of the mechanically ventilated patient and the diagnosis and management of dynamic hyperinflation, and describes how to manage patients with the acute respiratory distress syndrome (ARDS), severe obstructive lung disease, and right ventricular failure; how to “wean” patients from the ventilator; and how and when to use noninvasive ventilation.Less

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, neurotrauma, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. It provides information on the clinical conditions, basic and advanced neuro-monitoring, and addresses some unique special populations. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general intensive care unit or specialty neurointensive care unit. Readers will gain an understanding of background knowledge and concrete solutions to questions and situations encountered in daily practice.Less

Clinicians caring for patients are challenged by the task of protecting the brain and spinal cord in high-risk situations. These include following cardiac arrest, in critical care settings, and during complex procedural and surgical care. This book provides a comprehensive overview of various types of neural injury commonly encountered in critical care and perioperative contexts and the neuroprotective strategies used to optimize clinical outcomes. In addition to introductory chapters on the physiologic modulators of neural injury and pharmacologic neuroprotectants, the topics covered include: imaging assessment; tissue biomarker identification; monitoring; assessment of functional outcomes and postoperative cognitive decline; traumatic brain injury; cardiac arrest and heart-related issues such as valvular and coronary artery bypass surgery, aortic surgery and stenting, and vascular and endovascular surgery; stroke; intracerebral hemorrhage; mechanical circulatory support; sepsis and acute respiratory distress syndrome; neonatal issues; spinal cord injury and spinal surgery; and issues related to general, orthopedic, peripheral vascular, and ear, nose and throat surgeries.Less

This essential guide brings together information in an easy-to-use format. Up-to-date, relevant, and evidence-based information on the management of the critically ill is combined in one resource, ideal for the use of Intensive Care Units, High Dependency Units, acute medical or surgical wards, Accident and Emergency departments and operating theatres.Less