Intensive Care

A Concise Textbook

By

  • Charles Hinds, FRCP, FRCA, Professor of Intensive Care Medicine, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, and Barts and the London NHS Trust, London, UK Professor of Intensive Care Medicine
  • J. David Watson, BSc(Hons), FRCA, Consultant and Senior Lecturer in Intensive Care Medicine, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry and Homerton University Hospital NHS Trust, London, UK

Now in its third edition, 'Intensive Care: A Concise Textbook' continues to provide an excellent introductory text to the practice of critical care medicine. Extensively revised, expanded and updated, the format of the new edition has been radically altered to make the text more readable and the information even more accessible. Comprehensive yet concise, the book provides a sound working knowledge of the discipline, is packed with information and is extensively referenced. Current evidence based guidelines for managing critically ill patients with complex pathophysiology and multisystem involvement are highlighted throughout.
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Audience

Trainees in intensive care medicine

 

Book information

  • Published: August 2008
  • Imprint: SAUNDERS
  • ISBN: 978-0-7020-2596-9


Table of Contents

1 PLANNING, ORGANIZATION AND MANAGEMENT:

Introduction;
Levels of care and facilities required to deliver a critical care service;
Designing critical care areas;
Management of the critical care service

2 OUTCOME AND COSTS:

Mortality, long-term survival and quality of life;
costs;
End-of-life decision-making, withholding and withdrawing treatment;
Severity scoring systems

3 APPLIED CARDIOVASCULAR AND RESPIRATORY PHYSIOLOGY:

Oxygen delivery;
Cardiac output;
Oxygen content;
Pulmonary ventilation and gas exchange;
Mixed venous oxygen tension;
Lung volumes;
Lung mechanics and work of breathing;
Control of breathing

4 ASSESSMENT AND MONITORING OF CARDIOVASCULAR FUNCTION:

Heart rate;
Blood pressure;
Pre-load;
Cardiac output and myocardial function;
Assessment of tissue perfusion and oxygenation

5 SHOCK, SEPSIS AND MULTIPLE-ORGAN FAILURE:

Definition;
Causes;
Pathophysiology;
Clinical features of shock;
Monitoring and laboratory investigations in shock;
Management;
Multiple-organ failure;
Adjunctive therapy in shock, sepsis and organ failure;
Anaphylactic shock;
Pulmonary embolism

6 ASSESSMENT AND MONITORING OF RESPIRATORY FUNCTION:

Measurement of lung volumes;
Assessing airways obstruction;
Maximum mouth pressures;
Flow-volume and pressure-volume loops;
Measuring the work of breathing;
Non-invasive monitoring of ventilation;
Monitoring inspired and expired gas composition;
Measurement of respiratory gas exchange;
Blood gas analysis and acid-base disturbances;
Determination of oxygen content;
In vivo blood gas measurement;
Other indices of pulmonary oxygen transfer and lung function

7 RESPIRATORY SUPPORT:

Negative-pressure ventilation;
Positive-pressure ventilation;
Beneficial effects of mechanical ventilation;
Indications for mechanical ventilation;
Dangers of mechanical ventilation;
Institution of invasive respiratory support;
Management of patients on ventilators;
Tracheal intubation;
Tracheostomy

8 RESPIRATORY FAILURE:

Definition;
Types, mechanisms and clinical features;
Causes of respiratory failure;
Principles of management;
Some common causes of respiratory failure

9 MYOCARDIAL ISCHAEMIA, CARDIOPULMONARY RESUSCITATION AND MANAGEMENT OF ARRHYTHMIAS:

Acute coronary syndromes;
Cardiorespiratory arrest;
Postresuscitation management;
Cardiorespiratory arrest associated with special circumstances;
Prognosis of cardiorespiratory arrest;
Management of arrhythmias

10 TRAUMA:

Advanced trauma life support and trauma resuscitation;
Chest injuries;
Burns;
Spinal injuries;
Near-drowning;
Crush injuries;
Fat embolism syndrome;
Complications of trauma

11 GENERAL ASPECTS OF MANAGING CRITICALLY ILL PATIENTS:

Fluid and electrolyte balance;
Nutritional support;
Sedation, analgesia and muscle relaxation;
Prevention of deep venous thrombosis and pulmonary thromboembolism;
Prevention of stress ulceration;
Psychological and behavioural disorders

12 INFECTION IN THE CRITICALLY ILL:

Factors predisposing to infection in hospitalized patients;
Sources and prevention of infection;
Nosocomial infections in the critically ill;
The rational use of antibiotics;
Antibiotic-associated diarrhoea;
Unusual pathogens - diagnosis and treatment;
The immunocompromised patient

13 ACUTE RENAL FAILURE:

Definition, incidence and causes;
Pathogenesis and pathophysiology of acute intrinsic renal failure;
Diagnosis and investigations;
Clinical course and management;
Prognosis of ARF

14 ACUTE LIVER FAILURE:

Types of acute liver failure;
Acute liver failure;
Acute decompensation of chronic liver disease

15 NEUROLOGICAL DISORDERS:

Head injuries and raised intracranial pressure;
Acute bacterial meningitis;
Encephalitis;
Non-traumatic intracranial haemorrhage;
Brain death and irreversible cerebral damage;
Organ donation;
Status epilepticus;
Tetanus;
Myasthenia gravis;
Acute inflammatory polyradiculoneuropathy;
Critical illness polyneuromyopathy

16 GASTROINTESTINAL DISORDERS:

Gastrointestinal haemorrhage;
Abdominal emergencies

17 ENDOCRINE EMERGENCIES:

Diabetes mellitus;
Thyroid emergencies;
Calcium metabolism;
Phaeochromocytoma;
Adrenal crisis;
Pituitary emergencies

18 OBSTETRIC INTENSIVE CARE:

Physiological alterations in pregnancy;
Severity scoring systems in the obstetric population;
Pre-eclampsia;
Acute lung injury/acute respiratory distress syndrome in obstetric patients;
Peripartum cardiomyopathy;
Acute coagulopathy in pregnancy

19 POISONING:

Types of poisoning;
Diagnosis and assessment;
Principles of management;
Management of specific poisonings

20 DISTURBANCES OF BODY TEMPERATURE:

Accidental hypothermia;
Hyperthermia

21 TRANSPORTING THE CRITICALLY ILL:

Primary transport;
Secondary transport;
Modes of transport;
Equipment for transport;
Transport within the hospital;
Transport over long distances

APPENDICES:

Normal values.