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Closed injuries and abdominal wounds have always been a difficult surgical problem. The presence of many vital organs in the abdominal cavity, the specifics of their anatomical structure, vascular architectonics, and innervation, the immediate proximity of intestinal contents rich in pathogenic flora, and the presence of organs producing extremely active enzymes lead to massive internal bleeding, rapid development of peritonitis, and irreversible changes in organs and tissues. The problem of modern diagnostic and therapeutic approaches to abdominal trauma is very relevant and requires detailed coverage. This book provides a comprehensive overview of the different types of abdominal trauma and their treatment.

This book serves as a guide to the pulmonary and critical care complications of hematopoietic stem cell transplantation (HSCT). HSCT is an important therapeutic modality for a variety of malignant and non-malignant conditions. The outcomes of these patients have been improving and the number of HSCT cases is increasing around the world. These patients, however, continue to have post-transplant complications related to conditioning regimens and graft vs. host disease. Pulmonary complications following HSCT remain a major cause of morbidity and mortality in this patient population.The book begins with an overview of HSCT and graft vs. host disease. Chapters then cover particular complications, including immunological changes in lungs, diffuse alveolar hemorrhage, bronchiolitis obliterans and pulmonary fibrosis. Other complications, including neurologic, renal, gastrointestinal, and cardiac, are covered. Chapters are comprehensive and consistent with each defining the scope of the complication, epidemiology, risk factors, diagnostic approach, management, outcome and predictors of outcome, and future directions. The book provides insight as well on matters that arise during the care of HSCT patients such as provider burnout, nursing care, intensive care unit organization, nutritional support, and pulmonary and physical rehabilitation. This is an ideal guide for pulmonologists, critical care physicians, transplant specialists, oncologists, and relevant trainees caring for patients who have undergone HSCT.

This book provides a concise overview of neonatal imaging. After a short clinical introduction on the crucial role of imaging in diagnosing and treating neonatal conditions, it discusses the various methods (ultrasound, digital radiography, fluoroscopy, CT, and MRI) available and explains in detail how they have to be adapted for neonatal applications. Chapters feature imaging findings and differential diagnoses for the most common neonatal conditions. Additionally, some relevant aspects of foetal imaging are presented. Written by an interdisciplinary team, Imaging in Neonates is a practical resource for daily use in the ward for all medical professionals involved in treating neonates.

In different sections of this book the relationships between the patterns of psychological response in acute and chronic respiratory failure, as well as the epidemiology of neuropsychiatric disorders in ventilator management, are collected and analyzed. Main concepts such as ¿vulnerability to stress¿, critical illness-psychological stress and susceptibility that may develop during NIV support, as well as the diagnosis of neuropsychiatric disorders in respiratory failure are also summarized. A section is devoted to the most frequent indications of NIV, also including a special use of NIV in pandemic and high-risk infections, as well as in several other conditions such as acute and chronic respiratory failures and neurological disorders. A summary of practical approaches for treatment and prevention in neurologic and psychiatric disorders during noninvasive mechanical ventilation, as well as the perspective in terms of outcomes, quality-of-life, palliative care is also given.The book is intended for all those healthcare professionals treating patients suffering from neurological or psychiatric disorders and who develop acute or chronic respiratory failure. Neurologists, psychiatrists, pulmonary critical care professionals, geriatricians, internists and psychologists will find in the book a valuable guide for their everyday clinical practice.

This text aims to provide a comprehensive review of general emergency surgery, the branch of medicine that treats patients presenting to the hospital with a wide variety of emergency conditions. It includes a section focusing on clinical aspects, management, logistics, patient cohorts and perioperative considerations in the context of general emergency surgery and trauma. Other sections describe various conditions and diseases in specific anatomical structures to enable readers to easily find the information they need. Written and edited by international experts and opinion leaders in the field, this book is a valuable reference resource for general and emergency surgeons, trauma surgeons, emergency physicians and nurses. It will also be of interest to residents, students and all other healthcare professionals involved in the management of emergency surgical patients.

Safe handling of patient and device in home ventilation!This book offers all relevant contents of the further training "Basic qualification extra-clinical artificial respiration" and addresses itself to maintaining and responsible persons, who supply ventilated humans at home or in the nursing home. Learn comprehensive basics about anatomy, pathology and the different ventilation modes and benefit from the authors' wealth of experience. Here you can read in an easily understandable and concise manner how to provide your patients or residents with all-round competent care and how to handle the ventilation situation with confidence.Ideal for all employees and nursing services to train and qualify for the challenging care of ventilated patients!

Cardiac critical care is an emerging technology. The existing literature has bundles of protocols applied in cardiac critical care intensive care unit. However, there is no textbook that exists for students' reference. For undergraduates, postgraduates, and paramedical staff in cardiac critical care medicine, the increased demand and growth in critical care for cardiac patients necessitates further training. Textbook of Cardiac Critical Care, a brand new, practical resource, helps meet that need. The cardiac critical care division worldwide is still in its infancy, but the book has taken up the challenges of developing this evolving specialty with the entire modern infrastructure at its disposal for state-of-the-art delivery of health care to the most critically ill adult and pediatric cardiac patients. Key Highlights: A straightforward approach, abundant detailed images, and latest references provide step-by-step guidance on the principles and effective use of important imaging modality in both diagnosis and assistance with specific procedures. Coverage includes the latest advances in ECMO, ECHO, and cardiac critical care. This must-have resource will help postgraduates in cardiac anaesthesia, surgery, cardiology, medicine, paediatrics, critical care, and ECMO specialists. This book includes complimentary access to a digital copy on https://medone.thieme.com. Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

The war between realism and conventionalism bitterly rages ever strong. We find early skirmishes in Plato's Cratylus, in which Socrates examines and demonstrates the problems with both of these views of language; and the contemporary realist-empiricist debates in the philosophy of science carry on that same traditional feud. The feud in both of these cases, and many historical links in between, is the same: do humankind's concepts pick out the real furniture of the world, or not? This discussion is of course only one facet of a broader dialogue that concerns the very relationship between mind and world, and what I would like to do in this dissertation is call to our attention (and challenge) a particular presupposition that underlies both realism and conventionalism, in the hopes that we might make some headway in the debate between those two rivals, both alike in dignity. Of course, to assume that I might settle the issue once and for all would be a very bold move indeed, and so for those who fancy boldness, I invite you to take up the charge that I will begin (or, as you will see, continue) in the following chapters. For those who prefer more of a restrained approach, please consider these remarks not as intending to settle the dilemma, but rather to offer a third option few give much attention these days.

This book should represent a guideline for launching an extracorporeal membrane oxygenation (ECMO) program. It describes in detail particularities and special features of planning, setting up, developing, structuring and maintaining of ECMO support program for instable patients with the need of transportation from peripheral hospitals to an experienced ECMO centre for further treatment.Authors have condensed both the current evidence and Guidelines on ECMO and eCPR support and have highlighted in detail the issue of planning, setting up, developing, structuring and maintaining this program with the view to helping other centres launching this life-saving service taking into account their experience in this important field of medicine. In this context, the main benefit of this book is the outstanding and particular aim to educate the reader in developing and maintaining a large-spectrum ECMO program. The volume, richly illustrated and written by KOLs using an expository writing style to promote the readability will appeal to intensivists, anesthesiologists and cardiologists as well as cardiac- and thoracic-surgeons and pneumologists

In this issue of Critical Care Clinics, guest editors Drs. Rishikesan Kamaleswaran and Andre L. Holder bring their considerable expertise to the topic of Data Science in Critical Care. Data science, the field of study dedicated to the principled extraction of knowledge from complex data, is particularly relevant in the critical care setting. In this issue, top experts in the field cover key topics such as refining our understanding and classification of critical illness using biomarker-based phenotyping; predictive modeling using AI/ML on EHR data; classification and prediction using waveform-based data; creating trustworthy and fair AI systems; and more. Contains 15 relevant, practice-oriented topics including AI and the imaging revolution; designing "living, breathing? clinical trials: lessons learned from the COVID-19 pandemic; the patient or the population: knowing the limitations of our data to make smart clinical decisions; weighing the cost vs. benefit of AI in healthcare; and more. Provides in-depth clinical reviews on data science in critical 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.

Chapter ¿Aerosol Therapy and Humidification¿ is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

The aim of this book is to inform nurses about the most common and the more serious errors made in caring for neonatal patients. Nurses play the largest role in patient care and their overwhelming workload may sometimes lead to errors that are, in some cases, irreversible or even fatal, putting a great deal of responsibility on nurses to avoid errors. And amongst patients that nurses care for, the most vulnerable of these are neonates. This book covers learnings about the uniqueness of neonatal patients and common conditions that are seen with patients in the neonatal intensive care unit (NICU). Factors that are predisposing and contributing factors for nursing errors are reviewed. The types of errors, consequences, detection, and monitoring for nursing errors are included. The book describes how errors can be avoided with necessary precautions, and managed appropriately based on current evidence-based practice. Recommendations for further study are also provided. This resource can be a useful tool for professional nurses, as well as nurse educators, leaders, and mentors to educate and guide their students and novice nurses.

This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.  

This book describes a fully integrated approach to the management of elderly patients who are at risk of or suffer trauma, drawing on up-to-date knowledge from multiple specialties in recognition of the fact that the number and severity of comorbidities in this population requires expertise in many fields. Readers will find comprehensive and detailed coverage of the prevention of complications related to aging, geriatric care concepts, specific treatments in acute care, including fracture stabilization and diagnostic procedures, and the surgical management of different types of fracture and soft tissue trauma. Intensive care management of the geriatric patient is also extensively addressed. Information is provided on diverse aspects of the physiology of ageing, and the coverage is completed by discussion of fracture care service models and specific models of rehabilitation and aftercare designed to prevent further falls and adverse late outcomes. The authors are a group of renowned experts from each of the relevant fields, and the book will be a valuable asset for surgeons, intensivists, geriatricians, gerontologists, and rehabilitation specialists. 

This book aims to give a comprehensive overview of the current challenges and solution posed to the health care professionals who need to use mechanical ventilation to treat their patients.Mechanical ventilation is a cornerstone of the treatment of critically ill patients, as also dramatically underlined by the recent COVID-19 pandemic. The topic is not simple to approach, since it requires integration of multiple data which, in turn, result from complex interplays between patient's condition and ventilatory settings. While technological development empowered advanced monitoring and decision support, these also increase the burden of data on the practitioners. Furthermore, considering that sometimes mechanical ventilation is seen under two, apparently opposite, approaches, "e;physiology vs. protocols"e;, the book aims to reconcile these two aspects. And this has been done by each author following the above trajectory in their chapters. The exposure of the topic begins from the "e;pathophysiology"e; (i.e. the "e;physiology of the disease"e;) so that the reader can better understand the concept and rationale of any given approach. At the same time, any rationale or hypothesis (for as much as supported by physiology) must hold at the proof of clinical research and evidence, which is summarized in each chapter.In summary, the purposes is that the readers understand not only which is the best clinical practice to adopt but also why and which mechanisms this is based upon and how to approach a novel issue they might encounter. The book - addressed to physicians, nurses and respiratory therapist - features chapters on "e;novel"e; or "e;hot"e; topics like, obviously, COVID-19, ECMO, but also MV in low resource setting.

In this issue of Clinics in Chest Medicine, guest editors Drs. Drew Harris, Emily Brigham, and Juan Celedon bring their considerable expertise to the topic of Aiming to Improve Equity in Pulmonary Health. Top experts discuss disparities in risk factors for respiratory diseases, how communities are affected unequally, interventions to mitigate disparities, and evidence of effects, if present. Contains 17 practice-oriented topics including racism and bias, tobacco use, air pollution and climate change, occupational hazards, access to care and rural health, asthma and COPD, lung cancer, pulmonary hypertension, migrants and refugees, sex and gender, homelessness and incarceration, mental illness, and more.  Provides in-depth clinical reviews of improving equity in pulmonary health, 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 evolution of Antimicrobial Resistance is outpacing the ability to create novel antibiotics, which is proving to be a global problem in the fact of climate change, population growth, demographic shifts toward aging populations, emerging infections, and other crises. Therefore, clinicians are forced to use the existing antimicrobials more responsibly to preserve their longevity for generations to come. In a parallel vein, there has been a recent regulatory acknowledgement of the importance of prudent antimicrobial prescribing, mandating the implementation of Antimicrobial Stewardship across all healthcare settings. This is harder to manage in a non-traditional setting, which include long-term care facilities, outpatient care clinics, urgent care centers, and others. Given the trends in patient care in these settings¿particularly where the aging community is concerned¿this is proving to be a growing problem. This is troublesome even for spaces that have university and large hospital affiliations. There is a plethora of data describing the implementation and outcomes of Antimicrobial Stewardship Programs in acute-care hospitals with open-access, evidence-based guidelines endorsed by the Infectious Diseases Society of America. However, non-traditional settings often find themselves struggling to implement the same practices and procedures due to their unique needs and limited resources. There may be variability in access to resources, applicability, and patient-type. This book seeks to inform those in non-traditional healthcare settings on the principles, practice, and outcomes of Antimicrobial Stewardship Programs to improve patient care across all settings. The text begins by unpacking Antimicrobial Stewardship in nontraditional settings then covers specific environments, including long-term care facilities, outpatient clinics, and emergency departments. The text also covers special topics, including veterinary medicine, HIV, oncology, and immunocompromised patients, pediatrics, neonates, transplant, and critical care patients.

This book showcases state-of-the-art techniques as well as various clinical, technical and non-technical skills. By highlighting the reliability of the new techniques compared to standard clinical methods of predicting peri-operative problems in the operating rooms, it enables better management and utilization of operating rooms.The combined use of knowledge and technology has resulted in improvements in healthcare services that are not achieved by the use of the best technology but by the best use of technology.Medicine is a continually advancing science, and healthcare providers constantly enhance their knowledge and develop their skills. While knowledge sharing is vital for humanity, technology has made the application of medical knowledge more versatile and more widely available.Written by leading anesthesiologists, anesthesia technicians and technologists, the book addresses the need for a ready reference for anesthesiologists, as well as anesthesia technical staff. It provides an easily navigated, pocket-sized reference resource featuring pictures, tables and schema.

Patients with difficult airways represent a clinical conundrum for anaesthetists. With a wide variety of presentations in both an elective and emergency setting, all anaesthetists need to be prepared to manage such a situation. This book consists of real-life clinical scenarios, describing how these were managed at the time and on reflection how their management could have been improved. Further discussion emphasises how any associated failures and complications could have been mitigated. Using a combination of up-to-date knowledge, advanced technology and clinical expertise, this book provides an invaluable resource for any specialist managing airways in a clinical environment. This book is an indispensable aide-mémoire for postgraduate doctors, physicians practising in the emergency department, intensive care specialists, anaesthesia associates and allied healthcare professionals in managing patients with a difficult airway.

This book uses real-world clinical case analyses of hot topics to provide insights into noninvasive mechanical ventilation (NIV). Written by leading international teachers and experts, it features a selection of "e;major controversial topics in clinical practice"e; and demonstrates how these cases can be used to teach about NIV.  It then presents a discussion of the topics in various scenarios (anesthesiology, critical care, emergency, pneumology and sleep medicine, as well). The chapters allow readers to develop a case-by-case understanding of NIV in acute and chronic respiratory disorders, and perioperative and in intensive care patients, also thanks to Electronic Supplementary Materials. Lastly the authors summarize five key points / recommendations. This book is an attractive resource also for universities / educational seminars / national and international postgraduate courses and hot-topics sessions at national/international congresses.

This book covers the intersections between neurointervention and neurology, neurointervention and neurosurgery, and neurointervention and other specialties. It fills the gap in the literature by placing specific emphasis on appropriate patient selection, preparation, and post-procedural management. Concise and comprehensive, this text covers the increasingly important aspects of the neurointerventionalist profession, as it has moved away from a purely technical role to a focus on clinical care. In addition, the most rapidly expanding area of neurointervention, ischemic stroke, is thoroughly examined in this text, where other texts on this subject fail. It is also meant as a reference for non-neurointerventionalists who may desire to learn more about how their patients can benefit from the therapeutic or adjunctive techniques that the neurointerventionalist can provide. Neurointervention in the Medical Specialties, Second Edition is an essential guide written for neurointerventional specialists from all backgrounds, both in practice and in training

In this issue of Critical Care Clinics, guest editor Dr. Hannah Wunsch brings her considerable expertise to the topic of History of Critical Care Medicine. The term "Critical Care Medicine? was first introduced in the 1950s at the University of Southern California-making 2023 the 70th anniversary of this subspecialty.  This issue provides a fascinating look at important aspects of the history of the field, which originated with the concept that immediately life-endangered patients, the critically ill and injured, may have substantially better chances of survival if provided with professionally advanced minute-to-minute objective measurements. Contains 10 practice-oriented topics including early pediatric ICU care; mechanical ventilation: negative to positive and back again; airway management over the last 100 years; critical care nursing from the 1950s to the 2020s; from strict bedrest to early mobilization: a history of physiotherapy in the ICU; visiting hours and the changing place of family in the ICU; and more.