Publisher: Lippincott Williams & Wilkins | Third Edition (December 1, 2005) | ISBN: 0781739160 | Pages: 894 | CHM | 13.5 MB
Ideally suited for students in critical care rotations and residents, this concise, practical handbook presents the essentials of medical and surgical critical care in an easy-to-read format. The authors succinctly explain the pathophysiology underlying clinical disorders and the key principles of diagnosis and patient management, emphasizing cost-effective approaches. The Third Edition features greatly expanded coverage of surgical critical care and new information on echocardiography, hemodynamics, circulatory support, hazards of excessive fluid resuscitation, lasix drips, respiratory monitoring, post-extubation care, weaning from ventilators, sedation, use of opiates, new drugs, emergency room interventions for myocardial infarction, stroke management, infectious disease issues, and sepsis.
Review by David J. Dries
This is the second edition of a two-author, softbound introduction to critical care medicine. The first edition was published in 1989. The book provides a summary of pertinent problems and physiology for critical care with a review of diagnostic approaches and key management principles. The critical care trainee and practitioner seeking an overview are an appropriate audience for this work. All material is written by two senior critical care practitioners, one at the University of Minnesota, the other at Vanderbilt. Forty chapters are divided into three sections. The initial section describes techniques and methodology common to the management of any critical care patient. Emphasized are cardiopulmonary management, fluids and electrolytes, and administration issues. Medical and surgical emergencies are discussed in the remaining sections of this work. In the two final sections, the majority of attention is given to issues involving medical critical care. Chapters are clearly written with black-and-white illustrations of high quality. The references are not comprehensive, but cite work dating to within one year of publication. Where original work is not cited, pertinent reviews are indicated. Concluding are several appendixes with applicable formulas and normal values followed by a detailed index with separate citations for figures and tables. Reference cards summarizing the use of common ICU medications are inside the back cover. Marini and Wheeler provide an excellent overview of cardiopulmonary critical care in the second edition of this textbook. Chapters are succinct, with clear discussion and summary points concluding each presentation. The weakest portion of this workis the surgical section, covering material outside the acknowledged expertise of the authors. This material could be eliminated to allow greater emphasis on the strength of this work.
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Table of Contents
1 Hemodynamics 3
2 Hemodynamic monitoring 20
3 Support of the failing circulation 46
4 Arrhythmias, pacing, and cardioversion 61
5 Respiratory monitoring 78
6 Airway intubation 107
7 Indications and options for mechanical ventilation 120
8 Practical problems and complications of mechanical ventilation 139
9 Positive end-expiratory and continuous positive airway pressure 162
10 Weaning and discontinuation of mechanical ventilation 178
11 Intensive care unit imaging 200
12 Acid-base disorders 213
13 Fluid and electrolyte disorders 230
14 Transfusion and blood component therapy 247
15 Medication administration 258
16 Nutritional assessment and support 267
17 Analgesia, sedation, and therapeutic paralysis 280
18 General supportive care 291
19 ICU utilization and cost control 311
20 Cardiopulmonary arrest 327
21 Angina coronary syndromes 340
22 Hypertensive emergencies 366
23 Venous thrombosis and pulmonary embolism 376
24 Oxygenation failure, ARDS, and acute lung injury 389
25 Ventilatory failure 411
26 Common ICU infections 430
27 Severe sepsis 451
28 Thermal disorders 466
29 Acute renal failure and dialysis 477
30 Clotting and bleeding disorders and anticoagulation therapy 490
31 Hepatic failure 507
32 Endocrine emergencies 514
33 Drug overdose and poisoning 529
34 Coma, stroke, seizures, and brain death 545
35 Head and spine trauma 565
36 Thoracic trauma 579
37 Acute abdomen 588
38 Pancreatitis 601
39 Gastrointestinal bleeding 609
40 Burns and inhalational injury 624
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