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Now completely revised to bring you up to date with the latest advances in the field, Critical Care Medicine: Principles of Diagnosis and Management in the Adult, 5th Edition, delivers expert, practical guidance on virtually any clinical scenario you may encounter in the ICU. Designed for intensivists, critical care and pulmonology residents, fellows, practicing physicians, and nurse practitioners, this highly regarded text is clinically focused and easy to reference. Led by Drs. Joseph Parrillo and Phillip Dellinger, the 5th Edition introduces numerous new authors who lend a fresh perspective and contribute their expertise to that of hundreds of top authorities in the field.

  • Includes new chapters on current applications of bedside ultrasound in the ICU, both diagnostic and procedural; mechanical assist devices; and extra-corporeal membrane oxygenation (ECMO).
  • Contains new administrative chapters that provide important information on performance improvement and quality, length of stay, operations, working with the Joint Commission, and more.
  • Features new images that provide visual guidance and clarify complex topics.
  • Keeps you up to date with expanded chapters on echocardiography in the ICU and valvular heart disease, including TAVR.
  • Includes separate chapters on mechanical ventilation of obstructive airway disease and acute respiratory distress syndrome (ARDS) – including the many recent changes in approach to positive end expiratory pressure setting in ARDS.
  • Covers key topics such as patient-ventilator synchrony and non-invasive ventilation for treating chronic obstructive pulmonary disease patients with acute respiratory failure.
  • Reflects the recent literature and guidance on amount of fluids, type of fluid, vasopressor selection, mean arterial pressure target, and decision on steroid use in septic shock.
  • Provides questions and answers in every chapter, perfect for self-assessment and review.

1. Introduction - p. 1 2. Chapter 1: Cardiac Arrest and Cardiopulmonary Resuscitation - p. 2 3. Chapter 2: Airway Management in the Critically Ill Adult - p. 12 4. Chapter 3: Assessment of Cardiac Filling and Blood Flow - p. 29 5. Chapter 4: Arterial, Central Venous, and Pulmonary Artery Catheters - p. 40 6. Chapter 5: Cardiac Pacing - p. 50 7. Chapter 6: Pericardial Tamponade: Clinical Presentation, Diagnosis, and Catheter-Based Therapies - p. 72 8. Chapter 7: Percutaneous Assist Devices - p. 80 9. Chapter 8: Echocardiography - p. 101 10. Chapter 9: General Principles of Mechanical Ventilation - p. 129 11. Chapter 10: Ventilatory Management of Obstructive Airway Disease - p. 144 12. Chapter 11: Mechanical Ventilation in Acute Respiratory Distress Syndrome - p. 158 13. Chapter 12: Bronchoscopy and Lung Biopsy in Critically Ill Patients - p. 170 14. Chapter 13: Noninvasive Respiratory Monitoring - p. 181 15. Chapter 14: Bedside Tracheostomy in the Intensive Care Unit - p. 193 16. Chapter 15: Chest Tube Thoracostomy - p. 201 17. Chapter 16: Multimodality Intracranial Monitoring - p. 212 18. Chapter 17: Gastrointestinal Endoscopy - p. 218 19. Chapter 18: Bedside Ultrasonography in the Critically Ill Patient - p. 226 20. Chapter 19: Continuous Renal Replacement Therapy - p. 239 21. Chapter 20: Use of Sedatives, Analgesics, and Neuromuscular Blockers - p. 251 22. Chapter 21: The Effect of Critical Illness on Pharmacokinetics and Pharmacodynamics - p. 267 23. Part 2: Critical Care Cardiovascular Disease - p. 287 24. Introduction - p. 287 25. Chapter 22: Shock: Classification, Pathophysiology, and Approach to Management - p. 288 26. Chapter 23: Cardiogenic Shock - p. 311 27. Chapter 24: Severe Sepsis and Septic Shock - p. 323 28. Chapter 25: Cardiac Tamponade - p. 346 29. Chapter 26: Hypovolemia and Traumatic Shock: Nonsurgical Management - p. 359 30. Chapter 27: Severe Heart Failure - p. 387 31. Chapter 28: Anaphylaxis and Anaphylactic Shock - p. 420 32. Chapter 29: Acute Coronary Syndromes and Acute Myocardial Infarction - p. 424 33. Chapter 30: Valvular Heart Disease in Critical Care - p. 470 34. Chapter 31: Cardiac Arrhythmias - p. 504 35. Chapter 32: Hypertensive Crises - p. 543 36. Chapter 33: Acute (Thoracic) Aortic Dissection - p. 551 37. Chapter 34: General Principles of Postoperative Intensive Care Unit Care - p. 560 38. Chapter 35: Postoperative Management of the Cardiac Surgery Patient - p. 573 39. Part 3: Critical Care Pulmonary Disease - p. 590 40. Introduction - p. 590 41. Chapter 36: Acute Respiratory Failure - p. 591 42. Chapter 37: Life-Threatening Asthma - p. 605 43. Chapter 38: Chronic Obstructive Pulmonary Disease - p. 613 44. Chapter 39: Hypoventilation and Respiratory Muscle Dysfunction - p. 624 45. Chapter 40: Pneumonia: Considerations for the Critically Ill - p. 643 46. Chapter 41: Weaning from Mechanical Ventilation - p. 663 47. Chapter 42: Acute Pulmonary Embolism - p. 670 48. Chapter 43: Pulmonary Hypertension - p. 690 49. Chapter 44: Massive Hemoptysis - p. 704 50. Chapter 45: Pneumothorax and Barotrauma - p. 717 51. Chapter 46: Toxic Gas, Fume, and Smoke Inhalation - p. 733 52. Part 4: Critical Care Infectious Disease - p. 744 53. Introduction - p. 744 54. Chapter 47: Nosocomial Infection in the Intensive Care Unit - p. 745 55. Chapter 48: Principles Governing Antimicrobial Therapy in the Intensive Care Unit - p. 788 56. Chapter 49: Antifungal and Antiviral Therapy - p. 807 57. Chapter 50: Critically Ill Immunosuppressed Host: Infectious Complications - p. 822 58. Chapter 51: Specific Infections With Critical Care Implications - p. 838 59. Part 5: Renal Disease and Metabolic Disorders in the Critically Ill - p. 865 60. Introduction - p. 865 61. Chapter 52: Acute Kidney Injury - p. 866 62. Chapter 53: Chronic Kidney Disease - p. 891 63. Chapter 54: Acid-Base, Electrolyte, and Metabolic Abnormalities - p. 899 64. Chapter 55: Acute Diabetic Emergencies, Glycemic Control, and Hypoglycemia - p. 933 65. Chapter 56: Adrenal Insufficiency in the Critically Ill Patient - p. 950 66. Chapter 57: Thyroid Disorders - p. 960 67. Part 6: Neurologic Disease in the Critically Ill - p. 981 68. Introduction - p. 981 69. Chapter 58: Coma - p. 982 70. Chapter 59: Neurologic Criteria for Death in Adults - p. 1000 71. Chapter 60: Stroke - p. 1009 72. Chapter 61: Myasthenia Gravis and Guillain-Barré Syndrome - p. 1020 73. Chapter 62: Seizures in the Critically Ill - p. 1030 74. Chapter 63: Head Injury - p. 1043 75. Part 7: Physical and Toxic Injury in the Critically Ill Patient - p. 1073 76. Introduction - p. 1073 77. Chapter 64: Critical Care of the Severely Burned - p. 1074 78. Chapter 65: Poisonings - p. 1093 79. Chapter 66: Hypothermia, Hyperthermia, and Rhabdomyolysis - p. 1111 80. Part 8: Administrative, Ethical, and Psychological Issues in the Care of the Critically Ill - p. 1126 81. Introduction - p. 1126 82. Chapter 67: Performance Improvement and Severity Scores in Critical Care - p. 1127 83. Chapter 68: Ethical Considerations in Managing Critically Ill Patients - p. 1138 84. Chapter 69: Delirium, Sleep, and Mental Health Disturbances in Critical Illness - p. 1144 85. Chapter 70: Intensive Care Unit Administration and Education - p. 1160 86. Part 9: Other Critical Care Disorders and Issues in the Critically Ill - p. 1167 87. Introduction - p. 1167 88. Chapter 71: Diagnosis and Management of Liver Failure in the Adult - p. 1168 89. Chapter 72: Gastrointestinal Bleeding - p. 1192 90. Chapter 73: Acute Pancreatitis - p. 1210 91. Chapter 74: Hemorrhagic and Thrombotic Disorders - p. 1219 92. Chapter 75: Use of Blood Components in the Intensive Care Unit - p. 1235 93. Chapter 76: Intensive Care of the Cancer Patient - p. 1250 94. Chapter 77: Critical Care Medicine in Pregnancy - p. 1263 95. Chapter 78: Nutrition Support - p. 1273 96. Index - p. 1287

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Descripcion
Descripción

Now completely revised to bring you up to date with the latest advances in the field, Critical Care Medicine: Principles of Diagnosis and Management in the Adult, 5th Edition, delivers expert, practical guidance on virtually any clinical scenario you may encounter in the ICU. Designed for intensivists, critical care and pulmonology residents, fellows, practicing physicians, and nurse practitioners, this highly regarded text is clinically focused and easy to reference. Led by Drs. Joseph Parrillo and Phillip Dellinger, the 5th Edition introduces numerous new authors who lend a fresh perspective and contribute their expertise to that of hundreds of top authorities in the field.

  • Includes new chapters on current applications of bedside ultrasound in the ICU, both diagnostic and procedural; mechanical assist devices; and extra-corporeal membrane oxygenation (ECMO).
  • Contains new administrative chapters that provide important information on performance improvement and quality, length of stay, operations, working with the Joint Commission, and more.
  • Features new images that provide visual guidance and clarify complex topics.
  • Keeps you up to date with expanded chapters on echocardiography in the ICU and valvular heart disease, including TAVR.
  • Includes separate chapters on mechanical ventilation of obstructive airway disease and acute respiratory distress syndrome (ARDS) – including the many recent changes in approach to positive end expiratory pressure setting in ARDS.
  • Covers key topics such as patient-ventilator synchrony and non-invasive ventilation for treating chronic obstructive pulmonary disease patients with acute respiratory failure.
  • Reflects the recent literature and guidance on amount of fluids, type of fluid, vasopressor selection, mean arterial pressure target, and decision on steroid use in septic shock.
  • Provides questions and answers in every chapter, perfect for self-assessment and review.

1. Introduction - p. 1 2. Chapter 1: Cardiac Arrest and Cardiopulmonary Resuscitation - p. 2 3. Chapter 2: Airway Management in the Critically Ill Adult - p. 12 4. Chapter 3: Assessment of Cardiac Filling and Blood Flow - p. 29 5. Chapter 4: Arterial, Central Venous, and Pulmonary Artery Catheters - p. 40 6. Chapter 5: Cardiac Pacing - p. 50 7. Chapter 6: Pericardial Tamponade: Clinical Presentation, Diagnosis, and Catheter-Based Therapies - p. 72 8. Chapter 7: Percutaneous Assist Devices - p. 80 9. Chapter 8: Echocardiography - p. 101 10. Chapter 9: General Principles of Mechanical Ventilation - p. 129 11. Chapter 10: Ventilatory Management of Obstructive Airway Disease - p. 144 12. Chapter 11: Mechanical Ventilation in Acute Respiratory Distress Syndrome - p. 158 13. Chapter 12: Bronchoscopy and Lung Biopsy in Critically Ill Patients - p. 170 14. Chapter 13: Noninvasive Respiratory Monitoring - p. 181 15. Chapter 14: Bedside Tracheostomy in the Intensive Care Unit - p. 193 16. Chapter 15: Chest Tube Thoracostomy - p. 201 17. Chapter 16: Multimodality Intracranial Monitoring - p. 212 18. Chapter 17: Gastrointestinal Endoscopy - p. 218 19. Chapter 18: Bedside Ultrasonography in the Critically Ill Patient - p. 226 20. Chapter 19: Continuous Renal Replacement Therapy - p. 239 21. Chapter 20: Use of Sedatives, Analgesics, and Neuromuscular Blockers - p. 251 22. Chapter 21: The Effect of Critical Illness on Pharmacokinetics and Pharmacodynamics - p. 267 23. Part 2: Critical Care Cardiovascular Disease - p. 287 24. Introduction - p. 287 25. Chapter 22: Shock: Classification, Pathophysiology, and Approach to Management - p. 288 26. Chapter 23: Cardiogenic Shock - p. 311 27. Chapter 24: Severe Sepsis and Septic Shock - p. 323 28. Chapter 25: Cardiac Tamponade - p. 346 29. Chapter 26: Hypovolemia and Traumatic Shock: Nonsurgical Management - p. 359 30. Chapter 27: Severe Heart Failure - p. 387 31. Chapter 28: Anaphylaxis and Anaphylactic Shock - p. 420 32. Chapter 29: Acute Coronary Syndromes and Acute Myocardial Infarction - p. 424 33. Chapter 30: Valvular Heart Disease in Critical Care - p. 470 34. Chapter 31: Cardiac Arrhythmias - p. 504 35. Chapter 32: Hypertensive Crises - p. 543 36. Chapter 33: Acute (Thoracic) Aortic Dissection - p. 551 37. Chapter 34: General Principles of Postoperative Intensive Care Unit Care - p. 560 38. Chapter 35: Postoperative Management of the Cardiac Surgery Patient - p. 573 39. Part 3: Critical Care Pulmonary Disease - p. 590 40. Introduction - p. 590 41. Chapter 36: Acute Respiratory Failure - p. 591 42. Chapter 37: Life-Threatening Asthma - p. 605 43. Chapter 38: Chronic Obstructive Pulmonary Disease - p. 613 44. Chapter 39: Hypoventilation and Respiratory Muscle Dysfunction - p. 624 45. Chapter 40: Pneumonia: Considerations for the Critically Ill - p. 643 46. Chapter 41: Weaning from Mechanical Ventilation - p. 663 47. Chapter 42: Acute Pulmonary Embolism - p. 670 48. Chapter 43: Pulmonary Hypertension - p. 690 49. Chapter 44: Massive Hemoptysis - p. 704 50. Chapter 45: Pneumothorax and Barotrauma - p. 717 51. Chapter 46: Toxic Gas, Fume, and Smoke Inhalation - p. 733 52. Part 4: Critical Care Infectious Disease - p. 744 53. Introduction - p. 744 54. Chapter 47: Nosocomial Infection in the Intensive Care Unit - p. 745 55. Chapter 48: Principles Governing Antimicrobial Therapy in the Intensive Care Unit - p. 788 56. Chapter 49: Antifungal and Antiviral Therapy - p. 807 57. Chapter 50: Critically Ill Immunosuppressed Host: Infectious Complications - p. 822 58. Chapter 51: Specific Infections With Critical Care Implications - p. 838 59. Part 5: Renal Disease and Metabolic Disorders in the Critically Ill - p. 865 60. Introduction - p. 865 61. Chapter 52: Acute Kidney Injury - p. 866 62. Chapter 53: Chronic Kidney Disease - p. 891 63. Chapter 54: Acid-Base, Electrolyte, and Metabolic Abnormalities - p. 899 64. Chapter 55: Acute Diabetic Emergencies, Glycemic Control, and Hypoglycemia - p. 933 65. Chapter 56: Adrenal Insufficiency in the Critically Ill Patient - p. 950 66. Chapter 57: Thyroid Disorders - p. 960 67. Part 6: Neurologic Disease in the Critically Ill - p. 981 68. Introduction - p. 981 69. Chapter 58: Coma - p. 982 70. Chapter 59: Neurologic Criteria for Death in Adults - p. 1000 71. Chapter 60: Stroke - p. 1009 72. Chapter 61: Myasthenia Gravis and Guillain-Barré Syndrome - p. 1020 73. Chapter 62: Seizures in the Critically Ill - p. 1030 74. Chapter 63: Head Injury - p. 1043 75. Part 7: Physical and Toxic Injury in the Critically Ill Patient - p. 1073 76. Introduction - p. 1073 77. Chapter 64: Critical Care of the Severely Burned - p. 1074 78. Chapter 65: Poisonings - p. 1093 79. Chapter 66: Hypothermia, Hyperthermia, and Rhabdomyolysis - p. 1111 80. Part 8: Administrative, Ethical, and Psychological Issues in the Care of the Critically Ill - p. 1126 81. Introduction - p. 1126 82. Chapter 67: Performance Improvement and Severity Scores in Critical Care - p. 1127 83. Chapter 68: Ethical Considerations in Managing Critically Ill Patients - p. 1138 84. Chapter 69: Delirium, Sleep, and Mental Health Disturbances in Critical Illness - p. 1144 85. Chapter 70: Intensive Care Unit Administration and Education - p. 1160 86. Part 9: Other Critical Care Disorders and Issues in the Critically Ill - p. 1167 87. Introduction - p. 1167 88. Chapter 71: Diagnosis and Management of Liver Failure in the Adult - p. 1168 89. Chapter 72: Gastrointestinal Bleeding - p. 1192 90. Chapter 73: Acute Pancreatitis - p. 1210 91. Chapter 74: Hemorrhagic and Thrombotic Disorders - p. 1219 92. Chapter 75: Use of Blood Components in the Intensive Care Unit - p. 1235 93. Chapter 76: Intensive Care of the Cancer Patient - p. 1250 94. Chapter 77: Critical Care Medicine in Pregnancy - p. 1263 95. Chapter 78: Nutrition Support - p. 1273 96. Index - p. 1287

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