Intensiv medicin

Schock, Lungenversagen, Multiorganversagen: Bei zahlreichen intensivmedizinischen Krankheitsbildern sind extrakorporale organunterstützende Verfahren lebensnotwendig. Oft handelt es sich um hochkomplexe Systeme, für deren Implantation, Bedienung und Überwachung ein fundiertes Fachwissen benötigt wird. Wenn Sie sich dieses aneignen möchten, dann greifen Sie zu diesem Manual. Lernen Sie Schritt für Schritt, beginnend mit Begriffserklärungen und der Nomenklatur, die verschiedenen Verfahren zur Herz-Kreislauf- und Lungenunterstützung kennen: V-A ECMO, V-AV ECMO, V-V ECMO, ECCO2 R, periphere ventrikuläre Assist Devices (PVADs) sowie extrakorporale Reanimation (eCPR). Die zahlreichen, exzellenten Abbildungen und Übersichten, gepaart mit Inhalten, die sich auf das Wesentliche konzentrieren, erleichtern das Verstehen und Merken der komplexen Zusammenhänge. Aus der Praxis für die Praxis geschrieben - für alle, die ärztlich oder pflegerisch auf einer Intensivstationtätig sind.

The backbone of in-patient care is the hospital ward, and I believe that this will remain so in the future. Shortcomings in the staffing, organization and layout of the conventional ward have been recog­ nized for a long time, but there have been few changes and not all these have benefited the patient. The evolution of specialized treat­ ment centres for poliomyelitis, thoracic surgery, burns and so on, showed the need for a new staffing structure-a re-organization of patient care and of secondary importance, new forms of accom­ modation. These regional or referral centres serve large populations or areas and are collectively known as specialized intensive care (or therapy) units. The idea of using similar principles of staffing, organ­ ization and facilities to serve each large district hospital came much later (1959) and was first applied in the United States. Thus, the general intensive care unit was born, a unit which would treat critically ill patients irrespective of the nature of their disease, in sharp contrast to the specialized intensive care unit. The staffing structure and technologies of the two are however similar. Special­ ized intensive care consists of a single speciality or two specialities, for example thoracic surgery and thoracic anaesthesia. General intensive care cannot be a speciality because it embraces the whole of acute medicine, acute surgery, accident surgery, toxicology and many more individual specialities. This very diversity makes it difficult to organize, but interesting to perform.

This book offers an essential guide to managing the most-debated hot topics of practical interest in anesthesia and intensive care. Part I reviews the state of the art in issues concerning both intensive care medicine and anesthesia, such as perioperative medicine, acute liver failure, anesthesia monitoring and ERAS in hepatic surgery. Part II focuses on microbiome in critically ill patients, on COVID-19 aspects and related issues, on sepsis in pediatric patients and ventilatory management in obese patients. Written by leading experts and including updated references, it provides a comprehensive, easy-to-follow update on anesthesia and intensive care. The book clearly explains complex topics, offering practicing clinicians valuable insights into the latest recommendations and evidence in the field while, at the same time, making it a vital resource for students new to the fields of anesthesia and intensive care.

ECMO (extracorporeal membrane oxygenation) is a crucial form of support for patients with respiratory failure, severe ARDS, COVID-19, and cardiogenic shock whose use has been increasing exponentially around the world. The ECMO Book offers a comprehensive yet approachable framework for understanding the principles of extracorporeal support as well as the subtleties related to the care of patients needing ECMO. Dr. Jeffrey DellaVolpe provides authoritative, consistent guidance on all aspects of ECMO, making complex information understandable and accessible and helping you increase your knowledge of and proficiency with this multifaceted therapy. Establishes the context of ECMO in the care of critically ill patients (patient selection, indications, contraindications), progressing from basic science information through advanced ECMO concepts.  Explores physiologic fundamentals and builds on these concepts by applying them to extracorporeal support, equipping you with a sound framework for how those principles can be applied in the day-to-day management of patients with severe cardiac and respiratory failure.  Covers key topics such as blood flow titration, sweep gas titration, ventilator management on ECMO, and anticoagulation and bleeding management.  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.Â

Every moment counts when treating an emergency event. Emergency Management in Anesthesia and Critical Care provides quick access to essential information for rapidly identifying and treating complex medical emergencies. Its compact size makes this reference easy to carry in a pocket in the OR, ICU, ED, or critical care setting. An outline format with consistent headings and a logical organization puts vital content at your fingertips. It is also an ideal tool for developing and conducting crisis simulation scenarios to prepare for emergencies before they happen. Convenient outline format features consistent headings, including Treatment, Physiology and Pathophysiology, Signs and Symptoms, Differential Diagnosis, and Suggested Readings. Easy-to-read, uniform, and concise writing style makes this text a valuable resource for practicing clinicians, educators, and students. Quick-reference format is ideal for use during simulations. Coverage of common major critical events offers anesthetists quick access to vital information in the operating room. Expert author team includes leading experts in anesthesia and critical care.

In this issue of Critical Care Clinics, guest editors Drs. Lauren R. Sorce and Joy D. Howell bring their considerable expertise to the topic of Pediatric Critical Care. Top experts in the field cover key topics such as point-of-care ultrasound for pediatric critical care providers; transfusion strategies in the 21st century; global pediatric critical care; workforce diversity; and more. Contains 13 relevant, practice-oriented topics including pediatric redeployment: unique challenges created by COVID-19; ECMO then and now; PCCM in 21st century and beyond; pediatric critical care outcomes; cardiac output monitoring; and more.  Provides in-depth clinical reviews on pediatric 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.

This book analyzes the main topics of Palliative Care in Cardiac Intensive Care Units (CICU), from the changing epidemiology of patients admitted to the ICU, to the main clinical and ethical issues. The changing epidemiology of patients has led to new and emerging patient needs at the end of life. Care has shifted from acute coronary syndrome patients towards elderly patients, with a high prevalence of non-ischemic cardiovascular diseases and a high burden of non-cardiovascular comorbid conditions: both increase the susceptibility of patients to developing life-threatening critical conditions. These conditions are associated with a significant symptom burden, high mortality rate, and increased length of stay.The main new challenges involve shared decision-making, symptom control (pain, dyspnea, etc.), and ethical issues (withholding/withdrawing life sustaining treatments, deactivation of implanted cardiac devices, palliative sedation), all of which necessitate formal education on end-of-life care. Written by opinion leaders in their respective fields, who share their experience with improving the cultural and clinical competence of medical/nursing teams, this volume is chiefly intended for cardiologists, anesthesiologists, palliative care doctors and nursing staff.

With concise, full-color coverage of this rapidly enlarging field, Critical Care Handbook of the Massachusetts General Hospital, Seventh Edition, is your go-to guide for practical, complete, and current information on medical and surgical critical care. Edited by Drs. Edward A. Bittner, Lorenzo Berra, Peter J. Fagenholz, Jean Kwo, Jarone Lee, and Abraham Sonny, this user-friendly handbook is designed for rapid reference, providing reliable, hospital-tested protocols that reflect today's most advanced critical care practices. An at-a-glance outline format and portable size make it an essential manual for medical students, residents with rotations in ICUs, and physicians and nurses who work in critical care.

This comprehensive textbook is essential reading for doctors preparing to complete their training in Intensive Care Medicine. Covering areas such as neurological impairment and injury, perioperative care, infection and immunity, and transport, it is a valuable resource, packed full of practical advice, for all doctors training in the specialty.

In this issue of Critical Care Clinics, guest editors Drs. Lori Shutter and Deepa Malaiyandi bring their considerable expertise to the topic of Neurocritical Care, a rapidly growing specialty of complex care. Top experts in the field provide up-to-date articles on important clinical trials and evidence-based care of the critically ill patient with neurological injury. Contains 16 practice-oriented topics including current management of acute ischemic stroke; status epilepticus: a neurological emergency; neurotrauma and ICP management; neuropharmacology in the ICU; artificial intelligence and big data science in neurocritical care; and more.  Provides in-depth clinical reviews on neurocritical 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.

CVVH, CVVHD and CVVHDF: These terms will soon no longer be a "e;black box"e; for you! This book is aimed at physicians and nurses in intensive care units who want to both apply and understand continuous renal replacement procedures. Step-by-step, the functionalities and characteristics of all common renal replacement procedures, such as continuous veno-venous hemofiltration, hemodialysis, and hemodiafiltration, are explained in a comprehensible manner, and the clinical implications of the parameters to be set are described. A separate chapter is devoted to the topic of citrate anticoagulation, an understanding of which is essential when using continuous renal replacement procedures. With this knowledge, the most suitable therapy can be selected for each patient and optimally adapted to the patient's needs.

For decades heavily sedated ICU patients were assumed to be asleep.  However, in the past 20 years, physiologic and epidemiologic studies have established sleep is frequently disrupted in the ICU.  The inter-relationship between ICU sleep, delirium, and survivorship has come to the forefront of ICU practice.  We now routinely aim for lighter sedation, delirium assessment has become standardized, and knowledge regarding the ICU factors leading to Post- Intensive Care Syndrome (PICS) has evolved. The importance of sleep in routine ICU management was codified for the first time in SCCM's 2018 PADIS guidelines.  This state of the art book summarizes current knowledge regarding sleep during critical illness and recovery and how the risk factors, recognition, and outcomes associated with sleep in the ICU differ from those of healthy adults. Chapters address sleep quality in both the research environment and during routine care, the factors that disrupt sleep architecture and circadian biology in the ICU setting, medications that alter sleep architecture and those that can be used to improve it, the relationship between sleep and sedation and between sleep and delirium, and current strategies that can be used to improve sleep in the vulnerable ICU population. Written by experts in the field, Sleep in Critical Illness is a valuable resource for all members of the ICU interprofessional team including critical care physicians, nurses, physician assistants, pharmacists, and respiratory therapists as well as clinicians who consult in the ICU and post-ICU settings. 

This book provides a comprehensive and concise, review of the fundamental concepts and clinical indications for Transcranial Doppler (TCD) imaging.  An overview of the physics of ultrasonography as it pertains to TCD is presented, as well as neuroanatomy and cerebrovascular physiology in healthy and diseased states.  Recommended protocols for neuroimaging are reviewed and serves as a guide for existing neurovascular laboratories and medical systems seeking to develop laboratories that are in need of a guide to establish their own protocols. The most common, relevant and challenging clinical conditions where TCD is incorporated to assist with patient management are discussed.  In addition, chapters provide a framework for building a neurovascular laboratory, including necessary equipment, steps to obtain national accreditation by accrediting bodies, and reimbursement procedures for tests performed.  The book concludes with "e;clinical pearls"e; and "e;tricks of the trade"e;, which serve as a commentary to guide physicians and neurosonologists on best-practices for TCD acquisition and interpretation.

This book provides healthcare professionals in Critical Care setting an easy consultation guide to fight against COVID-19. The book is divided into sections: Fundamentals of COVID-19, Pneumological critical care, Neurological manifestations, Cardiovascular manifestations, Renal manifestations, Haemostasis and coagulation, Other multi-organs involvement, Principles of therapy. Each section includes:nbsp;        brief pathophysiology of COVID-19 (ventilation, neurological, cardiovascular, etc.); nbsp;        principles of management (enriched with flowcharts and figures); nbsp;        principles of therapy; nbsp;        tips and key messages. Readers can find the most updated advices on how to face the ongoing pandemic: from principles of conventional oxygen therapy, assisted and invasive mechanical ventilation in critically ill COVID-19 patients to the complications sometimes underestimated. Tables and flowcharts provided are based on current knowledge in COVID-19 to help the clinician managing COVID-19 patients by a multiple-organs prospective.Written by international key opinion leaders of each field, the book represents a point of reference for all professionals involved in the management of COVID-19 pandemic.