Intensiv medicin

AKUTTE NEUROLOGISKE TILSTANDE er en praktisk hjælp til håndteringen af akutte neurologiske patienter. I de senere år har neurologien ændret karakter til også at rumme en stor akut og intensiv dimension. Derfor er der behov for en bog, som hjælper dig med vurdering og behandling af alle vigtige tilstande, man møder i den akutte neurologiske modtagelse.Størstedelen af de akutte neurologiske patienter er truet på liv eller førlighed, herunder ca. 12.000 patienter om året med stroke. Derfor er der i denne bog prioriteret et omfangsrigt kapitel om netop stroke. Derudover indeholder AKUTTE NEUROLOGISKE TILSTANDE kapitler om bl.a. akutte neuromuskulære og neuroinflammatoriske sygdomme, epilepsi, neuroinfektioner, neuroonkologiske tilstande, traumatisk hjerneskade, forgiftninger samt neuroprognosticering, hjernedød og organdonation.AKUTTE NEUROLOGISKE TILSTANDE præsenterer akut- og intensivneurologien kort og præcist, men tilstrækkeligt informativt til at adressere alle relevante problemstillinger ved dit møde med den akut syge neurologiske patient. Bogen henvender sig til medicinstuderende i klinik, yngre læger, neurologer med vagtbærende funktioner og andre med interesse for akut neurologi.

This book is a comprehensive, accurate and up-to-date practical guide to the use of point-of-care ultrasound (POCUS) in critical care. It features detailed descriptions of how to perform a POCUS examination plus practical information on using POCUS in the assessment of shock, trauma and cardiac arrest.

Using a practical, question-and-answer approach, Evidence-Based Practice of Palliative Medicine, 2nd Edition, helps you provide optimal care for patients and families who are dealing with serious illness. This unique reference focuses on patient and family/caregiver-centered care, highlighting the benefits of palliative care and best practices for delivery. The highly practical, user-friendly format sets it apart from other texts in the field, with concise, readable chapters organized around clinical questions that you’re most likely to encounter in everyday care. Uniquely organized using a question-and-answer approach, making it easy to find answers to common questions asked by practitioners and patients. Up-to-date, reader-friendly chapters explore interventions, assessment techniques, treatment modalities, recommendations and guidelines, communication techniques, and available resources for palliative care. Expanded discussions on hospice in every chapter, and a new emphasis on pediatrics, with increased material on pediatric malignancies, developmental delays, cystic fibrosis, and perinatal palliative care. New chapters on wellness of the palliative care practitioner, patients with opioid use disorders, telehealth in palliative care, health disparities, rural palliative care, caring for people with hematologic malignancies, integrative and alternative therapies, LGBTQ+ populations, mobile health technologies, and national palliative care implementation strategies. High-quality evidence gathered and reviewed by leading experts in palliative medicine, including clinicians, educators, and researchers across a broad range of disciplines. Numerous algorithms throughout help you make informed decisions, and "take-home" points in every chapter provide a quick summary of key content. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text and figures from the book on a variety of devices. Any additional digital ancillary content may publish up to 6 weeks following the publication date.

NY DANSK LÆREBOGINTENSIVTERAPIBogen giver en evidensbaseret, praktisk anvendelig og sammenhængende indføring i observation, diagnostik, behandling og pleje af patienter i alle aldersgrupper med potentielt reversible svigt af et eller flere vitale organsystemer.Over 55 kapitler dækker bogen bredt det komplekse arbejdsfelt, og indholdet er organiseret efter fem temaer:DEL 1: Organisation, indlæggelse og kommunikationDEL 2: Vurdering og understøttende behandlingDEL 3: Tilstande på intensivafdelingDEL 4: Palliation, organdonation og følger efter intensivterapiDEL 5: Sygepleje og genoptræningBogen henvender sig primært til læger under speciallægeuddannelse i anæstesiologi, men læger fra andre specialer med interesse for intensivterapi, speciallæger på intensiv og anæstesiologiske afdelinger samt sygeplejersker under specialuddannelse i intensivsygepleje vil også finde indholdet relevant. Derudover kan den interesserede medicinstuderende også være med.Bogens 85 forfattere kombinerer høj faglighed og forsknings- og formidlingserfaring og inkluderer intensivlæger, anæstesiologer, intensivsygeplejersker, fysioterapeuter og ergoterapeuter såvel som speciallæger fra andre specialer i berøring med intensivterapi.

"A comprehensive and user-friendly guide to paediatric anaesthesia written by practising experts. Thoroughly updated to reflect current clinical practice and now covering advances in interventional practice, neonatal anaesthesia, and the effects of anaesthesia on the developing brain. An ideal resource for both trainees and practitioners"--

This book presents the best practice, indications and drugs most used in the practice of noninvasive ventilation (NIV). In the last two decades NIV has made a lot of progress in different scenarios and etiologies of respiratory failure. The treatment of these patients frequently involves the use of drugs to control patient's symptoms such as dyspnea, discomfort and some of them can have direct or indirect effects on lung function. The volume is organized into various sections - dedicated both to adults as well as pediatrics - where the most frequent clinical conditions requiring for the use of a pharmacological support are described. Furthermore, this book is conceived as a quick reference guide including an analysis of the indications of drugs dosage and the pharmacological interactions that can be observed in lung function in patients undergoing NIV. Thanks to its contents, readers can quickly consult indications, contraindications, doses, the most suitable treatments to achieve the maximum NIV as well as the most important side effects reported by clinicians.In this book specialists in critical care and pharmacology, managing both adult and pediatric population, shed a light to the proper medication management and best drugs choice in patients with indications for NIV

In this issue of Critical Care Clinics, guest editors Drs. David N. Hager, Kyle Gunnerson, and Stephen Macdonald bring their considerable expertise to the topic of Critical Illness Outside the ICU. Top experts cover key topics such as flight transport of the critically ill; models of critical care in the emergency department; in-hospital triage; rapid response teams; early warning systems; ICU without walls; and more. Contains 14 relevant, practice-oriented topics the role of intermediate care; PACU care; critical care in rural settings; critical care in austere settings; tele-ICU support; alternate care pathways for the patient with multimorbidity; and more. Provides in-depth clinical reviews on critical illness outside the ICU, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Physician Assistant Clinics, guest editor Diane Bruessow of Yale School of Medicine brings her considerable expertise to the topic of Gender Minority Medicine. Filling a knowledge gap in transgender health in primary care, this issue features articles by top experts that focus on up-to-date standards regarding clinical care, hormone therapy, inclusion, hormone therapy and surgery, and more. Contains 12 relevant, practice-oriented topics including interpreting gendered lab results; deferring puberty in transgender adolescents and associated clinical care; administrative considerations (or creating a welcoming environment) for transgender inclusion; navigating transgender health in the uniformed services; and more. Provides in-depth clinical reviews on gender minority medicine, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This book provides easy consultation and guidance for an appropriate understanding and management of endotoxic shock. Endotoxic shock results from a severe, generalized inflammatory response induced by bloodstream infection with gram-negative bacteria. However, endotoxin-induced inflammatory activation may be disconnected by Gram-Negative threats (e.g. Gram-Positive and yeast infections) as well as occur in multiple clinical scenarios like post-cardiac arrest syndrome and trauma, possibly due to gut barrier dysfunction and consequent endotoxin translocation.The clinical management is structured focusing and dedicating a chapter for antibiotics, corticosteroids, volume support, vasoactive and cardiostimulating drug, coagulopathy and nutritional support. In addition, this book is remarkable because describing polymixin b hemoperfusion points out molecular interactions, and hydrodynamics of Sorption.Each section includes ¿) brief pathophysiology; ¿) principles of management; ¿) key messages. Readers can find updated tips related to the diagnosis and management of endotoxic shock with a multidisciplinary approach drawing a pathway from endotoxin structure and source and the related pathophysiology of endotoxic shock underling the specific clinical aspect and focusing on medical clinical management of endotoxemia and extracorporeal removal.The book ¿ written by international opinion leaders of this field ¿ is addressed to healthcare providers working in intensive care and represents a point of reference for intensivists, infectious disease physicians, nephrologists and critical care nurses involved in the management of endotoxic shock and enriched with useful downloadable material.

Introducing our CCRN Study Guide 2024-2025: 2 Practice Tests and Review Book for the Adult Critical Care Registered Nurse Exam [2nd Edition]! Ascencia Test Prep's CCRN Study Guide 2024-2025 includes everything you need to pass the Critical Care Registered Nurse exam the first time.Quick review of the concepts covered on the CCRN exam2 full practice tests with detailed answer explanationsTips and tricks from experienced critical care nursesAscencia Test Prep's CCRN Study Guide 2024-2025 is aligned with the official CCRN exam framework. Topics covered include: Cardiovascular ReviewRespiratory ReviewEndocrine ReviewHematology and Immunology ReviewGastrointestinal ReviewRenal and Genitourinary ReviewIntegumentary ReviewMusculoskeletal ReviewNeurology ReviewBehavioral and Psychosocial ReviewMultisystem ReviewProfessional Caring and Ethical Practice Review The American Association of Critical-Care Nurses (AACN) was not involved in the creation or production of this product, is not in any way affiliated with Ascencia Test Prep, and does not sponsor or endorse this product. About Ascencia Test PrepAt Ascencia Test Prep, we understand that healthcare professionals need high-quality educational resources. That's why our test prep materials are developed by credentialed experts with years of experience who are excited to share their knowledge with you. Whether you're just starting your career or ready to climb higher, we're here to help you feel ready on test day.

In this issue of Critical Care Clinics, guest editors Drs. Philip Yang and Annette Esper bring their considerable expertise to the topic of Diagnosis and Management of Acute Respiratory Failure. Top experts in the field cover invasive mechanical ventilation; pharmacologic treatments in ARF; fluid management in ARF; management of ventilator dyssychrony; identification and routine management of ARDS; adjunctive management in ARF and ARDS; and much more.Contains 13 relevant, practice-oriented topics including MV in ventilatory/hypercapnic respiratory failure; ARF in pregnancy; ARF in neuro injuries and head trauma; ventilator weaning, extubation, and prolonged mechanical ventilation; physical and cognitive impairment in ARF; and more.Provides in-depth clinical reviews on diagnosis and management of acute respiratory failure, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The book covers 75 autopsy-based cases (about 75) of common and uncommon presentations of various cardiovascular diseases (CVDs). It emphasizes the importance of the autopsies, which have played a pivotal role in the understanding of the pathology and hence the clinical manifestations of several CVDs. The book attempts to present the material from the perspective of the autopsy table. It uses the clinical data as the initial framework and the autopsy findings to develop a true understanding of the disease and the associated pathophysiology of the condition with final clinico-pathological correlation. Each case covers a complete journey of the deceased patient concisely under the following headings-title, clinical history, autopsy findings and discussion, which includes a brief review of the literature. The text is accompanied by relevant high-quality macroscopic and microscopic images. The book is relevant for specialists in pathology, cardiology, cardiac surgery, internal medicine, critical care and pediatrics

This book provides an overview of emerging CSF management systems that filter or clear cerebrospinal fluid (CSF) as a therapeutic approach for several CNS conditions. While the term "liquorpheresis" most accurately refers to extracorporeal procedures that filter CSF (similar to plasmapheresis), this book covers any method based on devices that -either alone or in combination with drugs- can clear CSF or enhance its turnover, which in turn dilutes toxins.The book begins with an overview of CSF anatomy and physiology, followed by a discussion of the role of CSF clearance and flow dysfunction in various CNS conditions. The next section describes the different CSF management systems and procedures that are currently available or under development. The book then reviews the potential applications of these systems for treating subarachnoid hemorrhage, CNS infections, meningeal carcinomatosis, autoimmune encephalitis, polyradiculomyelitis, and neurodegenerativediseases. Finally, a chapter discusses future advances in liquorpheresis systems and applications. This book is intended for clinicians, neuro-researchers, academics, and students who are interested in the development and application of CSF management systems. It is also relevant to the medical device industry, particularly those that develop apheresis and CSF management devices, and the drug-delivery industry.

This comprehensive book addresses the acute emergencies in neuromuscular disease from a novel perspective, focusing on clinical management and treatment of these disorders rather than the more traditional neuropathology, neurogenetics, and neurophysiology approaches. The book fills the gap in guidelines by providing an evidence-based guidance for the clinical adult or pediatric neurologist confronted by an acutely ill patient in a potentially life-threatening situation. The book is structured according to pathophysiological principles, but each chapter is strictly organised around case vignettes that emphasize clinical relevance allowing the non-specialist to access complex scientific backgrounds. The electronic supplementary material and multimedia are provided as an integral tool to facilitate accessibility and understanding of a notoriously difficult field of neurology. Finally, the role of patients, who are increasingly involved in many management decisions, is highlighted in a chapter on ethical issues discussing withholding or withdrawing life-sustaining therapy, patient end-of-life values, wishes and preferences, and on advanced directives. The publication is aimed equally at the non-specialist neurologist in frontline clinical practice confronted by a rare disorder needing immediate management decisions, at the clinical specialist referring for guidance in specific management aspects, and at the specialist researcher keen to maintain clinic relevance.

The intensive care unit (ICU) is a specialised hospital ward where the ¿sickest-of-the-sick¿ patients, often with life-threatening illness, receive around-the-clock monitoring and life support. There is a wide spectrum of conditions managed, and these present unique challenges for those who work in this field. Written in lay language by experienced ICU doctors (Intensivists), Psychiatrists, healthcare professionals outside of medicine and other stakeholders, ¿Stories from ICU doctors¿ provides insight and commentary around the nature and management of stressors for senior doctors working in the ICU. The first five sections of the book describe the distinctive nature of the ICU environment: the human factors involved, the characteristics of thriving Intensivists, the emotions they experience, and how they behave in response. The final three sections provide a synthesis of the advice of these clinicians for both current and future Intensivists, the advice from those who surround the Intensivist both at work and at home; and some concluding remarks about trainee suitability and selection for intensive care medicine.This book is for ICU patients and their families, it is for the families of ICU doctors, it is for doctors from other specialities, it is for the nurses and others that work alongside ICU doctors, and for anyone considering a career in ICU medicine and those who care for them. We share these stories in hope that readers might better appreciate the human side of these doctors, better understand the complex working environment in which they practice, and perhaps better empathize with their stressors and struggles. Most importantly, this book is also for the ICU doctors who currently work within the specialty, to validate their feelings and experiences, and ultimately provide support by reminding them that they are not alone in navigating the difficulties they face.

This book, written by internationally renowned experts, is a comprehensive text covering all aspects and recommendations regarding the use of POCUS for critically ill neonates and children. Point of Care Ultrasound (POCUS) for the Neonatal and Pediatric Intensivist is structured to address and expand upon recently published international evidence-based POCUS guidelines endorsed by the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).The book is richly illustrated and includes a robust collection of individual POCUS images and cases. The Electronic Supplementary Materials offer high quality and interesting video clips complementing reader learning, particularly for neonatology, pediatric critical care, and general pediatric providers. Chapter authors provide a practical, experience-based approach to clinical integration of POCUS applications and highlight relevant supportive literature as well as important limitations to POCUS use in the management of critically ill children. The information within the book is also intended to support further clinical and educational research in the practice of pediatric POCUS.

This book is the result of thousands of encounters with tube-fed infants and their families over the past four decades. The ailing and fragile children, suffering from a myriad of medical conditions acted as muses and mentors teaching more than could be expected. This book is addressed to medical professionals, early interventionists, pediatricians, child surgeons, nurses, dieticians, occupational therapists, speech and language pathologists (SLPs), feeding specialists, psychologists, physiotherapists, infant psychiatrists as well as parents. The medically fragile child (MFC) is the subject of the authors' work when it is concerned with enteral nutrition support (ENS) by means of a feeding tube (ENT). As pediatricians and psychotherapists, they have been treating eating and feeding disorders of children since 1986 and with this book they pass on knowledge they have garnered over three decades. Over 5,000 children have been weaned off their feeding tubes. Tube weaning requires the evaluation of medical, nutritional, sensory, developmental, metabolic and growth-related findings. The review of the literature around this subject has provided a source of inspiration as well as critical self-reflection; the authors wish to offer their insight and ideas on how to approach child-led tube-management and tube-weaning to all healthcare professional involved in the management of these children.

75% of patients who die from trauma have injuries to the chest. The care of the chest trauma patient can be incredibly complex, require multiple specialty and sub-specialty services, and may require interventions available only at quaternary referral centers.This book provides a comprehensive, state-of-the-art overview of chest trauma. The text reviews all aspects of chest wall, intra-thoracic organ, and great vessel injury management, with each section of the book structured anatomically to explore specific treatment options.The first section of the book contains an overview and introduction to the topic, discussing the definition and significance of chest trauma, initial resuscitation of the chest trauma patient, and centers of excellence, health systems, and regionalization. The following section is focused on chest wall injury, with chapters on acute rib fractures, sternal fracture, clavicle and scapula fractures, non-surgical aids in fracture healing, and anesthesia considerations. The next section spotlights thoracic organ injury, specifically focusing on cardiac injury, aorta and great vessel injury, esophageal injury, tracheal and pulmonary injury, and thoraco-abdominal and combined injuries.Since injury care alone is insufficient in guiding the totality of care, the fourth section is dedicated to inpatient critical care. Topics covered in this section include principles of ICU resuscitation, coagulopathy management, ICU monitoring, ventilator management, and advanced acute pain management. With the increase in violent extremism around the world, including the use of non-conventional weapons, as well as the plethora of natural and man-made disasters, disaster and mass casualty events is the timely subject of the book's final section. Specific topics tackled in this section include blast injury, blast lung, pulmonary aspiration, thoracic crush injury after natural and man-made disasters, toxic agent exposures, the role of the local facility during a national disaster, and the ethics of resource of allocation. The text also features over 100 high-yield illustrations, photographs, and tables. 

This book addresses the principle that successful treatment incorporates a remarkably broad range of clinical variables. Clinicians must identify the extent to which each factor contributes to the success of the treatment process, and how to utilize this information strategically so that their combination enhances outcome.Complex clinical situations involve numerous macroscopic and microscopic components and their interactions. This book describes clinical practices and variables, that should be weighted according to their relevance for achieving treatment precision and improved results.The book is divided into sections, each containing topically organized chapters. Sections build from identifying discrete components of the clinical field to combined variables as they impact treatment progression. The clinical narratives that make up the latter part of the book elaborate on the course of care and the challenges involved in managing complex clinical situations. Cases range from primary care patients with systemic medical and psychiatric co-morbidity to more complex cases requiring the involvement of medical specialists, allied health professionals, and multiple health care systems.Scholarly, practical, and comprehensive, Complexity in Health Care enables clinicians to incorporate previously underappreciated health-related factors into their thinking and practice.

This new edition presents an evidence-based review of extracorporeal membrane oxygenation (ECMO) for adults, with a particular focus on veno-venous (VV) ECMO. Due to the dramatic impact of COVID-19, the number of institutions offering ECMO, thus the number of clinicians performing ECMO (or referring their patients for ECMO), has exploded in a truly unprecedented way. While the pandemic may fade, programs built in response will survive by extending the application of ECMO to previously overlooked populations.This fully updated second edition refines its focus to VV ECMO, which has seen the most dramatic increase and relevance. This allows expert authors to go further in depth regarding VV ECMO and provide readers with better guidance from the physiology of VV ECMO to weaning and decannulation. Several areas have been expanded, including anti-thrombotic approaches; how to set the mechanical ventilator and judge the complex interactions between patient, ventilator, and ECMO circuit; assessing the systemic circulation during VV ECMO (especially right ventricular function and intravascular volume); and recognizing membrane lung dysfunction. Finally, new chapters addressing how the VV-capable clinician should think about VA ECMO and how to incorporate ethical principles in patient selection and withdrawal of ECMO have been added.This is an ideal guide for intensive care and respiratory medicine specialists, fellows training in critical care, ECMO specialist staff, perfusionists, nurses, and respiratory therapists.

Dieses essential zeigt anhand von Fallbeispielen auffällige und pathologisches Befunde in der Transfusionsmedizin. Das Werk wendet sich an medizinisch technische Assistentinnen und Assistenten, ebenso wie an Ärztinnen und Ärzte, die noch mehr Sicherheit bei Transfusionen erlangen und bei Problemfällen gewappnet sein möchten.

Despite a decreasing number of burns and improvement in mortality of burn patients in the United States, burn injuries are still frequent. Non-burn specialists such as emergency medicine physicians and primary care physicians will inevitably treat burn patients. In many instances, the first clinicians to see burn patients are non-burn specialists in the urgent care, emergency department, or primary care clinic, yet they typically do not have any formal training or exposure to burns in residency. As a result, many clinicians feel uneasy about managing burns even if the burn is minor. If a burn center is in a reasonable proximity, one can transfer the patient, but prior to transfer, or if no burn center is available, these clinicians may have to perform the initial management. It is important that they understand the basic principles of burn care. In times of burn disasters, non-burn specialists are needed to care for burn patients as burn centers can be quickly overwhelmed. They shouldbe able to manage burn patients including stabilization, resuscitation and wound care. The text includes all current management available today for the care of burn patients. It is organized in a stepwise manner with clear information listed in sequential chapter formats. Chapter one offers the basic epidemiology of burn care while chapters three and four discuss the initial assessment and management. The chapter five discusses inhalation injury while the next three chapters focus on burn wound management including face and hand. The majority of chapters that follow center on a specific type of burn or burn patient. The last few chapters discuss aftercare including scar management and burn rehabilitation. Written by experts in the field, Essential Burn Care for Non-Burn Specialists is a valuable guide for any physician involved in burn treatment such as emergency physicians, primary care physicians, and general and plastic surgeons.

In this issue of Critical Care Clinics, guest editors Drs. Steven Hollenberg and José L. Diaz-Gomez bring their considerable expertise to the topic of Cardiovascular Intensive Care. Top experts cover key topics such as hemodynamic monitoring in the cardiac ICU; the role of ultrasound in the cardiac ICU; cardiogenic shock; management of patients after cardiac arrest; temporary mechanical circulatory support; and more.Contains 16 relevant, practice-oriented topics including the changing epidemiology of the cardiac intensive care unit; diagnosis and management of LVAD emergencies; design and execution of clinical trials in the CICU; end-of life issues in patients with mechanical circulatory support; and more.Provides in-depth clinical reviews on cardiovascular intensive care, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.