Table of Contents
Contributors
Preface
Introduction
Pt. I An Overview of the Approach to and Organization of Critical Care
1 An Approach to Critical Care 3
2 ICU - The Team Approach 11
3 Economics of Critical Care 17
4 Improving Quality of Care in the ICU 25
5 Infection Surveillance and Control in the ICU 35
6 Legal Issues in Critical Care 47
7 Assessment of Severity of Illness 57
8 Cardiopulmonary Resuscitation 71
9 Transportation of the Critically Ill Patient 79
Pt. II General Management of the Patient
10 Pain Control, Sedation, and Use of Muscle Relaxants 87
11 Airway Management 111
12 Ventilator-Induced Lung Injury 121
13 Monitoring the Respiratory System 131
14 Clinical Use of the Pulmonary Artery Catheter 155
15 Prevention and Early Detection of Complications of Critical Care 177
16 Nutrition in the Critically Ill 205
17 Multiple Organ System Failure: Clinical Expression, Pathogenesis, and Therapy 221
18 Withholding and Withdrawal of Life-Sustaining Therapy 249
Pt. III Cardiovascular Disorders
19 The Pathophysiology of the Circulation in Critical Illness 259
20 Shock 277
21 Ventricular Dysfunction in Critical Illness 303
22 Electrocardiography 323
23 Rhythm Disturbances, Pacing, and Cardioversion 355
24 Myocardial Ischemia 397
25 Acute Right Heart Syndromes 417
26 Pulmonary Embolic Disorders: Thrombus, Air, and Fat 427
27 Pericardial Disease 451
28 Valvular Heart Disease 467
29 Aortic Dissection 483
Pt. IV Pulmonary Disorders
30 The Pathophysiology and Differential Diagnosis of Acute Respiratory Failure 499
31 Noninvasive Ventilation 509
32 Management of the Ventilated Patient 517
33 Acute Hypoxemic Respiratory Failure 537
34 Acute-on-Chronic Respiratory Failure 565
35 Status Asthmaticus 579
36 Restrictive Disease of the Respiratory System 595
37 Cardiopulmonary Failure Associated with Sleep-Disordered Breathing 609
38 Ventilator-Associated Pneumonia 617
39 Liberation from Mechanical Ventilation 653
Pt. V Infectious Disorders
40 Principles of Antimicrobial Therapy and the Clinical Pharmacology of Antimicrobial Drugs 671
41 Approach to Sepsis of Unknown Origin 719
42 Septic Shock 733
43 Approach to Infection in Patients Receiving Cytotoxic Chemotherapy for Malignancy 747
44 AIDS in the Intensive Care Unit 773
45 Endocarditis and other Intravascular Infections 803
46 Infectious Complications of Intravascular Access Devices Used in Critical Care 817
47 Pneumonia 827
48 Bacterial Infections of the Central Nervous System 853
49 Encephalomyelitis 871
50 Life-Threatening Infections of the Head, Neck, and Upper Respiratory Tract 887
51 Soft Tissue Infections 903
52 Urinary Tract Infections 913
53 Gastrointestinal Infections 923
54 Severe Malaria 933
55 Tetanus 943
56 Viral Hemorrhagic Fevers 949
Pt. VI Neurologic Disorders
57 Neuropsychiatric Disorders in the Critically Ill: Delirium, Psychotic Disorders, and Anxiety 965
58 Cerebrovascular Disease 979
59 Status Epilepticus and Serial Seizures 989
60 Neuromuscular Diseases Leading to Respiratory Failure 995
61 Coma, Persistent Vegetative State, and Brain Death 1005
Pt. VII Hematologic and Oncologic Disorders
62 Blood Products and Plasmapheresis 1021
63 Anemia, Leukopenia, and Elevated Blood Counts 1033
64 Bleeding Disorders 1043
65 Thrombotic Thrombocytopenic Purpura and the Approach to Thrombotic Microangiopathies 1057
66 Acute Leukemia 1065
67 The Oncologic Emergencies 1075
68 Bone Marrow and Stem Cell Transplantation and Graft-Versus-Host Disease 1091
69 Toxicities of Chemotherapy 1103
Pt. VIII Renal and Metabolic Disorders
70 Acute Renal Failure 1117
71 Rhabdomyolysis and Myoglobinuria 1133
72 Dialysis in the Critical Care Patient 1141
73 Severe Electrolyte Disturbances 1153
74 Acid-Base Disorders 1169
75 Diabetic Ketoacidosis, Hyperglycemic Hyperosmolar Nonketotic Coma, and Hypoglycemia 1183
76 Adrenocortical Insufficiency 1195
77 Thyroid Disease 1205
Pt. IX Gastrointestinal Disorders
78 Gut and Hepatobiliary Dysfunction 1221
79 Gastrointestinal Hemorrhage 1237
80 Acute and Chronic Hepatic Disease 1253
81 Acute Pancreatitis in the Critically Ill 1269
82 Mesenteric Ischemia 1279
Pt. X The Surgical Patient
83 Special Considerations in the Surgical Patient 1289
84 Preoperative Assessment of the High-Risk Surgical Patient 1301
85 The Acute Abdomen and Intraabdominal Sepsis 1315
86 The Transplant Patient 1325
87 Care of the Multiorgan Donor 1345
88 Priorities in Multisystem Trauma 1351
89 Head Injury and Intracranial Hypertension 1359
90 Spine Injuries 1375
91 Torso Trauma 1387
92 Extremity and Pelvic Trauma 1407
93 Electrical Trauma 1421
94 Burns: Resuscitation Phase (0 to 36 Hours) 1427
95 Burns: Postresuscitation Phase (Day 2 to Day 6) 1437
96 Burns: Inflammation-Infection Phase (Day 7 to Wound Closure) 1443
97 Interventional Radiology in the Intensive Care Patient 1449
Pt. XI Special Problems in Critical Care
98 Special Problems in the ICU 1465
99 Toxicology in Adults 1473
100 Critical Care Pharmacology 1527
101 Rheumatology in the ICU 1553
102 Critical Illness in Pregnancy 1571
103 Anaphylactic and Anaphylactoid Reactions 1595
104 Dermatologic Conditions in the Critically Ill 1605
105 Sickle Cell Disease 1627
106 Hypothermia 1645
107 Hyperthermia 1657
108 Diving Medicine and Near Drowning 1667
Index 1681
INTRODUCTION
The classic text in critical care medicine! The 3rd Edition of this
classic text is streamlined and focused on the needs of the working
critical care physician and features important new treatment
strategies. Organized by organ systems, this text, the only critical
care source that includes evidence-based learning, guides physicians
from initial patient assessment and differential diagnosis through
therapeutic plan.
DESCRIPTION-
The classic text in critical care medicine!
The 3rd Edition of this classic text is streamlined and focused on
the needs of the working critical care physician and features
important new treatment strategies.
Organised by organ systems, this text, the only critical care source
that includes evidence-based learning, guides physicians from initial
patient assessment and differential diagnosis through therapeutic
plan.
