Intensiv medicin

The rapid advancements in artificial intelligence technology have paved the way for the use of machine learning applications in health care. These applications address existing challenges in the emergency department such as triage and disposition, early detection of conditions and outcomes, emergency department operations, and therapeutic interventions. Artificial intelligence can be used in three ways in the context of emergency and critical care. The first one is to build risk stratification prediction models in critical care. The second use of AI involves utilizing unsupervised machine learning techniques to divide the varied population into homogeneous subgroups. The third use of AI is for reinforcement learning algorithms to prescribe treatment regimens in a sequential way. The dynamic treatment regime (DTR) model uses reinforcement learning to estimate a set of decision rules, one for each step of intervention. It specifies how to tailor treatments to patients considering their treatment and covariate histories. DTR lowers model complexity and is considered more appropriate for medical epidemiology. This book is a vital tool for all researching or studying the role of AI in emergency medicine. It aims to equip students and experts with the advanced topics and upcoming concepts in this subject.

Serious injury refers to physical trauma caused to a body by an external force that requires immediate medical attention or hospitalization. Falls, burns, acts of violence, road accidents, natural disasters, faulty products, and extreme sports may result in severe injuries. Serious injuries may, but not necessarily lead to permanent disability, impairment or disfigurement. Severe injuries not only involve the physical impact on the body of a patient, but it also affects emotional and mental health. These mental health issues can further have a negative impact on the rate of recovery. The mental health issues which can be caused due to a severe injury include post-traumatic stress disorder (PTSD), anxiety and depression. Post-traumatic stress disorder (PTSD) is a mental health condition that is triggered by a shocking event. This condition develops when the symptoms of trauma persist for weeks and months after the stressful event. Cognitive behavioral therapy (CBT) is a treatment therapy, which is used for a variety of mental health conditions such as anxiety disorders, depression, and PTSD. It helps people change their thought patterns in order to influence their behaviors and emotions. This book presents researches on various new diagnostic and therapeutic approaches for the care of severely injured patients. From theories to research to practical applications, clinical studies related to all contemporary topics of relevance to this area of medicine have been included herein.

Anesthesiology is a branch of medicine involved in the total perioperative care of patients before, during and after a surgical procedure. It is closely related to intensive care medicine that seeks to provide life support, resuscitation, invasive monitoring, and end-of-life care to critically ill patients. Anesthesiology within the domain of intensive care involves dealing with patients who are suffering from severe trauma or infections, as well as the patients recovering from a major surgery. It also involves assessing the patients in order to determine whether the patient will be able to survive the stress of the surgery and anesthesia. This book unravels the recent studies in the field of anesthesiology and intensive care medicine. It strives to provide a fair idea about the challenges and concerns associated with these fields. With state-of-the-art inputs by acclaimed experts of this field, this book targets medical students and professionals.

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.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old (¿80 years) patients in the ICU.The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric ¿syndromes¿ like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis.The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives. This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process.

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.

Covering everything from preoperative evaluation to neonatal emergencies to the PACU, Coté, Lerman and Anderson’s A Practice of Anesthesia in Infants and Children, 7th Edition, features state-of-the-art advice on the safe, effective administration of general and regional anesthesia and sedation strategies for young patients. This text reviews underlying scientific information, addresses preoperative assessment and anesthesia management in detail, and provides guidelines for postoperative care, emergencies, and special procedures. Comprehensive in scope and thoroughly up to date, this edition delivers unsurpassed coverage of every key aspect of pediatric anesthesia.Presents must-know information on standards, techniques, and the latest advances in pediatric anesthesia from global experts in the field.Contains thoroughly updated content throughout, with new contributors to lend a fresh perspective, updated figures and tables, and the latest information on perioperative fluid management, pharmacology, interventional devices, resuscitation, and more.Covers key topics such as anesthetizing children with cancer, neonatal and pediatric emergencies, the obese child and bariatric surgery, interventional devices for children with congenital heart defects, cardiopulmonary resuscitation, simulation in pediatric anesthesia, patient safety and quality assurance, and more.Features an extensive video library of pediatric anesthesia procedures, particularly difficult airway management strategies, new positioning devices, cardiac assist devices in action, management of burn injuries, how to perform ultrasound-guided regional anesthesia blocks and techniques, and much more.Essentials chapters provide focused input from expert subspecialty pediatricians who share the latest information concerning hematology, pulmonology, oncology, hepatology, nephrology, and neurology.Includes a laminated pocket reference guide with essential, practical information, and key references at the end of each chapter that provide a quick summary for review.An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.

The second edition of this book describes the clinical indications of NIV in patients hospitalized with high-risk infections as well as in the prehospital management of mass casualty incidents, including chemical or biological disasters and pandemics. In recent decades, we have learned the impact that different pandemics and mass casualty disasters can outcome in terms of health resource use, health costs and human lives. The development of respiratory failure in these patients, either infectious or non-infectious causes, has led to develop employment plans related both to invasive or noninvasive mechanical ventilation during acute respiratory failure.In this book authors evaluate a rational basis for indications, specific noninvasive mechanical ventilation indications in hospitalized patients (tuberculosis, bacterial, virus, etc.) and prehospital applications (mass casualty: chemical, biological disaster), equipment (ventilators, interfaces) and plan organization for health systems: how and when apply NIV. A critical review of already published studies is described as well as implications and how will be the future according to international expert opinions.Therefore, this updated edition represents a useful scientific reference point according to what it has been experienced in the last pandemics, with respect to the growing role that NIV has and must have in the world.

Life with a partner whose Neurotype is different than yours is filled with moments that are surprising, unique, and sometimes challenging. If one of you is on the autism spectrum and the other is Neurotypical, this Aspergers books is a helpful and inclusive guide to understanding the nature of your relationship.This book is designed with you in mind, featuring expert advice from relationship inside, you'll find engaging scenarios of couples experiencing similar challenges, combined with practical, evidenced-based solutions that address the needs and perspectives of both partners equally.You'll discover:Game-changing strategies to make everyday life with adhd easier for both you and your childA closer look at adhd and how it affects the brainHow to make sure you get the right diagnosis and the disorders commonly mistaken for adhdHow to help your child make friends and improve social skills, including how adhd impacts your child's social developmentTechniques to help your child manage intense emotions without tantrumsThis book is more than just a personal account of one woman's struggles. It's a lifeline for those who feel alone in their own chaotic thoughts and emotions. And it's a beacon of hope for those who are just starting to navigate the world of autism.

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!

This book provides insights into the care of cancer patients in the intensive care unit in a comprehensive manner. It provides an evidence-based approach to practitioners and postgraduate students to understand about the critical care needs of the patients suffering from malignancies. It helps the readers to develop critical thinking and encourage discussion towards improving the overall care of the patients and their families as their optimal management requires expertise in oncology, critical care, and palliative medicine and there is a dearth of books explaining about the special requirements and critical care needs of cancer patients.Each chapter is prepared by an expert in the field and contains well-prepared illustrations, flowcharts and relevant images. Chapters include latest evidence-based information which is useful for the readers.The book is useful for residents, fellows and trainees in the field of onco-anaesthesia, onco-critical care, onco-surgery, critical care and anaesthesia; practitioners and consultants in anaesthesia and onco-anaesthesia as well as intensivist, critical care experts and postgraduates in nursing.

Obsessive Compulsive Disorder (OCD) can be a debilitating condition that affects millions of people worldwide. But it doesn't have to control your life. If you're looking for a comprehensive guide to managing and overcoming OCD, look no further than this self-help book. With chapters covering everything from seeking help and managing symptoms to building a support system and celebrating milestones, this book offers practical advice and strategies for anyone looking to take control of their OCD. Whether you're struggling with obsessions, compulsions, or both, the cognitive and behavioral techniques outlined in these pages can help you break free from the cycle of OCD and live a fulfilling life. Written in an engaging and accessible style, this book is the perfect resource for anyone who wants to learn more about OCD and how to manage it. Whether you're new to the world of OCD or you've been struggling with it for years, this book offers a roadmap to recovery and a brighter future. With insights from experts in the field and inspiring stories from people who have overcome OCD themselves, this book is an essential read for anyone who wants to overcome the challenges of OCD and live a life beyond it.

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.