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.

The book covers all aspects of peri-operative anesthetic management of liver transplant patients. It provides a comprehensive coverage of the relevant history, surgeons¿, hepatologists¿, intensivists¿ and pediatricians¿ perspective of the disease, its pathogenesis, clinical presentation and indication for transplant. It discusses the practical aspects like fluid management and use of vasopressors. The book is divided into sections for a better and comprehensive delivery of information. Individual sections provide up to date information on the pre-operative issues and optimisation, intra-operative care and management and post-operative critical care issues and management of all transplant patients with special emphasis on recent advances. Separate sections cover ICU care of these patients in great detail and anesthetic management of pediatric liver transplant. The book includes anesthetic techniques involved in conducting multiorgan transplant. It discusses clinical approach to a patient with acute liver failure, brain death criteria and laws and organ donor management. It also presents newer techniques and methodologies adopted in the field of liver transplant. It includes ample illustrations, flowcharts, key points in each chapter, figures and photographs. The book contains chapters focusing on post-transplant patients presenting for non-transplant surgery. The book fills the gap in the literature for a comprehensive guide for the anesthetist performing or pursuing liver transplant, students/trainees/examinees who have a keen interest in this field and doctors dealing with such patients in critical care, donor management, pursuing general anesthesia. It is also helpful for hepatologists, intensivists and surgeons associated with liver transplant.

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 all aspects of clinical manifestations and management of various complications following acute coronavirus disease 2019 (COVID-19). COVID-19 is considered a multisystem disease and may lead to long-term complications and sequelae in various organ systems, some of whom may severely impair quality of life and may cause higher mortality. The current understanding of these complications is still incomplete and unclear, consequently the management strategies are not well elucidated. This book provides an extensive review of the current understanding of post COVID-19 complications and a simple, yet rational approach to their management.The chapters include complications related to multiple organ systems of the body including the respiratory system, nervous system, cardiovascular system, psychiatric issues, endocrine abnormalities, and others. Every chapter provides a detailed description of a practical approach to chronic sequelae along with important summary points for quick reference. Each chapter provides easy-to-follow algorithms and key points.This book will assist medical practitioners in understanding various aspects of post COVID-19 complications and will be helpful for general practitioners, internists, pulmonologists and other healthcare workers dealing with patients with COVID-19. It will also be useful to undergraduates and postgraduates since COVID-19 has been included in medicine curriculum.

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 book discusses about 45 cases of maternal autopsies. These maternal mortalities are related to pregnancy-related diseases, pre-existing diseases that worsen or manifest during pregnancy and diseases for which pregnant patient has increased risk. As the study of maternal mortality is a healthcare quality indicator and plays an important role in the improvement of obstetric care, the book aims at discussing autopsy findings, which is the gold standard for establishing not only the causes of death, but also to uncover the various pathological lesions produced by the physiologic phenomenon of pregnancy. This helps in identifying the direct and indirect causes, which can be reviewed at multidisciplinary review meetings.The chapters are arranged according to direct and indirect causes of maternal death, involving varied target organ systems i.e. central nervous system, cardiovascular system, respiratory system, gastro-intestinal tract, hepato-biliary system and pancreas, urinary system, female genital tract and others. However, it does not include diseases coincidental in pregnancy.Each case begins with the complete case history (age, duration of pregnancy, clinical presentation, investigations, clinical diagnosis, therapy, and course during ward stay, if any), autopsy findings, followed by a clinico-pathological discussion and includes appropriate gross organ and microscopic images. The book caters to the specialists in pathology, obstetrics, general medicine, critical care, surgery, pulmonologists, cardiology and all those involved in the care of pregnant women.

This book covers point of care ultrasound (POCUS) in a practical, problem oriented and illustrated manner. It begins with introduction to the basic principles of medical ultrasound imaging and ultrasound guided interventions and outlines point of care ultrasound in a lucid manner for rapid learning for medical students as well as practitioners. It contains chapters on ultrasound of the airways, thoracic ultrasound including lungs and transthoracic screening echocardiogram, vascular assessment, ultrasound of the abdomen for focussed trauma assessment, gastric volume assessment and ultrasound guided interventions such as vascular cannulations, pleurocentesis, etc. along with some of the latest point of care ultrasound techniques such as ocular assessment and assessment of the foetus and placenta in the operation theatre. This book will help the intensivist, emergency physician and anaesthesiologist to learn the basics of POCUS, which ostensibly, is the future of medical practice. It also includes objective structured clinical examination (OSCE) questions after every chapter as well as multiple choice questions (MCQs) that will benefit the students greatly. The book also includes videos from some of the celebrated practitioners of POCUS providing a unique learning experience. This book is suited for students, trainees and practitioners alike. The modules of POCUS described here are part of the curriculum of anaesthesiology in the UK, USA, Singapore, Australia/ New Zealand and most of the countries. The book also covers the curriculum of POCUS in critical care and emergency medicine courses.

Ultrasound is a diagnostic method that uses high-intensity sound waves to produce the images of structures within the body. It serves as a valuable source of information for several purposes, including diagnosis of various diseases and monitoring the course of pregnancy. Ultrasound can also be used as an image guidance tool during certain medical procedures. The images generated by an ultrasound are known as sonogram. Ultrasound can be categorized into three main types, which includes pregnancy or prenatal ultrasound, diagnostic ultrasound, and ultrasound guidance for procedures. There are several procedures that need ultrasound guidance, such as guiding needle placement to sample fluid or tissue from joints, tendons, muscles, transplant organs, etc. Lesion localization procedures, embryo transfer for in vitro fertilization and nerve blocks are some other medical procedures that make the use of ultrasound guidance. Ultrasound is also used for the management of patients undergoing critical care. The diagnosis and assessment of various medical conditions such as pulmonary edema, pneumothorax and deep vein thrombosis can be done in a rapid manner through ultrasound. This book unravels the recent studies on ultrasound imaging. It strives to provide a fair idea about its applications in critical care. This book is appropriate for students seeking detailed information in this area as well as for experts.

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.