The Intensive Care Unit Manual-2판

Intensive Care Unit Manual is a practical, hands-on, how-to manual that covers the full
spectrum of conditions
encountered in the ICU, guiding you step-by-step from your initial approach to the
patient through diagnosis and
treatment. Compact, affordable, and comprehensive, the ICU Manual puts all the critical
care information you need right
at your fingertips!



New to This Edition
Grasp the latest developments in critical care with extensive updates and revisions to
several key chapters, as well as
brand-new chapters on Alcohol Withdrawal Syndromes; Acute Heart Failure Syndromes;
Noninvasive Ventilation; and more
ICU conditions.
Understand and apply the most important ICU practices, including management of acute
respiratory failure, mechanical
ventilation, invasive hemodynamic monitoring, and the care of patients with special
needs, AIDS, end-stage renal
disease, or end-stage liver disease.
Get convenient access to the full text and image library online at Expert Consult, in
addition to online-only text,
figures, and tables from the Alcohol Withdrawal Syndromes and Acute Heart Failure
Syndromes chapters.
Key Features
Stay at the forefront of critical care with a practice-oriented, relevant, and well-
illustrated account of the
pathophysiology of critical disease, presented in a highly readable format.
Gain valuable insight into the recognition, evaluation, and management of critical
conditions such as respiratory,
hemodynamic, and infectious diseases; management of ICU patients with special clinical
conditions; cardiovascular,
hematologic, and neurological disorders; poisoning and overdoses; trauma and burns; and
much more!

Table of Contents
Section I. Basic Pathophysiologic Principles and Their Application in the Intensive Care
Unit

1. Approach to Acute Respiratory Failure

2. Approach to Mechanical Ventilation

3. Noninvasive Ventilation

4. Liberation and Weaning from Mechanical Ventilation and Extubation

5. Sedation During Mechanical Ventilation

6. Use of Neuromuscular Blocking Agents

7. Assessment and Monitoring of Hemodynamic Function

8. Cardiogenic Shock and Other Pump Failure States

9. Hemorrhagic Shock and Other Low Preload States

10. Septic Shock and Other Low Afterload States

11. Vascular Access Issues and Procedures




Section II. Supportive Care for Intensive Care Unit Patients

12. Approach to Supportive Care and Noninvasive Bedside Monitoring

13. Day-to-Day Management of the Critical Care Patient

14. Nosocomial Infections

15. Nutritional Therapy

16. Nutrition-Related Access Procedures

17. Pharmacokinetic Alterations in the Critically Ill

18. Rational Use of Antimicrobials

19. Rational Use of Blood Products


Section III. Specialized Care for Intensive Care Unit Patients

20. Renal Replacement Therapy

21. Rehabilitation Interventions

22. Swallowing and Communication Disorders

23. Patient with AIDS or the Human Immunodeficiency Virus

24. Cancer Patient with Neutropenia or Thrombocytopenia

25. Care of the Challenge-to-Wean Patient

26. Care of the Patient with End-Stage Renal Disease

27. Care of the Patient with End-Stage Liver Disease

28. Care of the Maternal-Fetal Unit

29. Care of the Patient with Morbid Obesity




Section IV. Problems Arising in the Intensive Care Unit Setting: Evaluation and Management

30. Airways: Emergency Airway Management

31. Alcohol Withdrawl Syndromes

32. Allergies to Antibiotics

33. Arrhythmias (Bradycardias)

34. Arrhythmias (Tachycardias)

35. Barotrauma and Chest Tubes

36. Change in Mental Status

37. Delirium: Diagnosis, Prevention and Treatment

38. Diarrhea Developing in the Intensive Care Patient

39. Electrolyte Disorders

40. Ileus

41. Increased Intracranial Pressure

42. Pressure Ulcers: Prevention and Management

43. Skin Rashes

44. Sleep Disturbances in the Intensive Care Unit

45. Thrombocytopenia

46. Transfusion Reactions

47. Ventilator Alarm Situations

48. Weakness Developing in Intensive Care Unit Patient


Section V. Presenting Problems for Intensive Care Unit Admission

Cardiovascular

49. Advanced Cardiac Life Support (ACLS) and Therapeutic Hypothermia

50. Acute Coronary Syndromes: Acute Myocardial Infarction and Unstable Angina

51. Thoracic Aortic Aneurysms and Dissections

52. Decompensated Congestive Heart Failure

53. Hypertensive Crisis and Management of Hypertension

54. Pericardial Tamponade


Environmental

55. Hypothermia and Hyperthermia

56. Smoke Inhalation and Carbon Monoxide Poisoning

57. Drug Overdoses and Toxic Ingestions


Gastrointestinal

58. Acute Pancreatitis

59. Acute Liver Failure

60. Lower Gastrointestinal Bleeding and Colitis

61. Upper Gastrointestinal Bleeding


Hematologic

62. Hemolytic Anemia

63. Idiopathic and Thrombotic Thrombocytopenias


Infections

64. Acute Central Nervous System Infections

65. Community Acquired Pneumonia

66. Necrotizing Fascitis and Related Soft Tissue Infections


Neurologic

67. Acute Neuromuscular Weakness

68. Brain Death and Management of Potential Organ Donors
69. Neurological Assessment and Prognosis After Cardiopulmonary Arrest

70. Status Epilepticus

71. Stroke



Obstetric

72. Obstetric and Postobstetric Complications


Respiratory

73. Acute Lung Injury and Acute Respiratory Distress Syndrome

74. Alternate Modes of Ventilation for Acute Lung Injury

75. Acute Respiratory Failure Due to Asthma

76. Acute Respiratory Failure Due to Chronic Obstructive Pulmonary Disease

77. Deep Venous Thrombosis and Pulmonary Embolism

78. Diffuse Alveolar Hemorrhage

79. Massive Hemoptysis

80. Obesity Hypoventilation Sydrome


Renal/Metabolic/Endocrine

81. Acute Kidney Injury and Rhabdomyolysis

82. Diabetic Ketoacidosis, Hyperglycemic Hyperosmolar State, and Alcoholic Ketoacidosis

83. Metabolic Acidoses and Alkaloses

84. Disorders of Water Homeostasis: Hyponatremia and Hypernatremia

85. Thyroid and Adrenal Disorders in the ICU



Surgical-General

86. Perioperative Approach to the High-Risk Surgical Patient

87. Management of Postoperative and Other Acute Pain



Surgical-Specialized

88. Cardiac Surgery

89. Craniotomy

90. Major Abdominal Surgery: Postoperative Considerations

91. Major Tissue Flaps

92. Major Vascular Procedures

93. Perioperative Care of the Morbidly Obese Patient

94. Thoracic Surgical Patient


Trauma

95. Approach to the Trauma Patient

96. Major Orthopedic Procedures

97. Abdominal Trauma

98. Extremity and Major Vascular Trauma

99. Head Trauma

100. Thoracic Trauma

101. Spinal Injury


Section VI. Professionalism and Interpersonal and Communication Skills

102. Professionalism and Ethical Issues

103. Intensive Care Unit Teamwork and Collaborative Practice

104. Family Centered Care and Communication with Families of Intensive Care Unit Patients

105. Palliative and End of Life Care

106. Providing Culturally Competent Care

107. Sleep deprivation and sleepiness in medical housestaff and appropriate
countermeasures



Systems-Based Practice

108. Medical Errors and Patient Safety

109. Documentation and Risk Management

110. Long-Term Acute Care in the Spectrum of Critical Care Medicine

111. Rapid Response Systems: Rapid Response Teams and Medical Emergency Teams

112. Telemedicine Applied to the Intensive Care Unit

113. Transporting the Intensive Care Unit Patient


Appendix

A. Oxygen-hemoglobin dissociation curves

B. Tidal Volume Ratios (VD/VT)

C. Pallative Drug Therapy for Terminal Withdrawal of Mechanical Ventilation

D. Acid-Base Map

E. Algorithms

F. Adult Diabetic Ketoacidosis (DKA) Treatment Protocol