9780781770545

Prepared by residents and faculty at the Washington University School of Medicine, this pocket manual contains easy-to-read algorithms for the management of more than 80 medical and surgical problems arising in the intensive care unit. Chapters focus on specific problems and the algorithms provide straightforward approaches to the management of these issues. Coverage includes a section on procedures commonly performed in the intensive care unit. Appendices include common equations in the ICU, drug-drug interactions, and common drug dosages and side effects. "Doody's Core Titles 2009."

Marin H. Kollef, MD, Professor of Medicine, Director, Medical Intensive Care Unit, Director, Respiratory Care Unit, Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri Timothy J. Bedient, MD, Resident Physician, Department of Internal Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri Warren Isakow, MD, Assistant Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri Chad A. Witt, MD, Resident Physician, Department of Internal Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri

Preface	p. xiii
Contributors	p. xv
Acknowledgments	p. xxi
Management of Shock
Introduction to Shock	p. 1
Hypovolemic Shock	p. 5
Severe Sepsis and Septic Shock	p. 9
Cardiogenic Shock	p. 15
Anaphylactic Shock	p. 22
Mechanical Causes of Shock	p. 26
Management of Respiratory Disorders
An Approach to Respiratory Failure	p. 37
Initial Ventilator Setup	p. 42
Upper Airway Obstruction	p. 48
Acute Lung Injury and the Acute Respiratory Distress Syndrome	p. 55
Status Asthmaticus	p. 63
Acute Exacerbations of Chronic Obstructive Pulmonary Disease	p. 71
Sleep-Disordered Breathing in the Intensive Care Unit	p. 77
Pulmonary Hypertension and Right Ventricular Failure in the Intensive Care Unit	p. 82
Pleural Disorders in the Intensive Care Unit	p. 90
Weaning of Mechanical Ventilation	p. 101
Noninvasive Positive Pressure Ventilation	p. 105
Cardiac Disorders
Acute Myocardial Infarction	p. 109
Cardiac Arrhythmias and Conduction Abnormalities	p. 120
Aortic Dissection	p. 133
Acute Decompensated Heart Failure	p. 139
Hypertensive Emergencies	p. 146
Electrolyte Abnormalities
Electrolyte Abnormalities	p. 153
Acid-Base Disorders
Metabolic Acid-Base Disorders	p. 179
Respiratory Acid-Base Disorders	p. 190
Endocrine Disorders
Thyroid Disorders	p. 195
Adrenal Insufficiency in Critical Illness	p. 199
Diabetic Ketoacidosis and Hypersomolar Hyperglycemic State	p. 204
Glucose Control in the ICU	p. 209
Oncologic Emergencies
Oncologic Emergencies	p. 216
Thermoregulation
Temperature Alterations	p. 226
Toxicology
Toxicology	p. 233
Infectious Diseases
Central Nervous System Infections	p. 251
Community-Acquired Pneumonia	p. 257
Nosocomial Pneumonia	p. 260
Cellulitis/Fasciitis/Myositis	p. 266
Bacteremia and Catheter-Related Bloodstream Infections	p. 271
Invasive Fungal Infection	p. 275
Infections in the Immunocompromised Host	p. 281
Prevention of Infection in the Intensive Care Unit	p. 288
Renal Disorders
Acute Kidney Injury	p. 292
Renal Replacement Therapy	p. 304
Hepatic Diseases
Acute Fulminant Hepatic Failure	p. 310
Hyperbilirubinemia	p. 320
End-Stage Liver Disease	p. 323
Gastrointestinal Disorders
Upper Gastrointestinal Bleeding	p. 327
Lower Gastrointestinal Bleeding	p. 337
Acute Pancreatitis	p. 344
Neurologic Disorders
Status Epilepticus	p. 350
Acute Ischemic Stroke	p. 357
Elevated Intracranial Pressure	p. 361
Aneurysmal Subarachnoid Hemorrhage	p. 367
Intracerebral Hemorrhage	p. 372
Coma	p. 376
Declaration of Brain Death	p. 382
Delirium and Sedation	p. 386
Acute Spinal Cord Disorders	p. 393
Neuromuscular Disorders in the Critically III	p. 397
Traumatic Brain Injury	p. 401
Neurologic Approach to Central Nervous System Infections	p. 405
Hematopoietic Disorders
Thrombocytopenia in the Intensive Care Unit	p. 410
Acute Management of the Bleeding Patient/Coagulopathy	p. 415
Transfusion Practices	p. 427
Hypercoagulable States	p. 433
Pregnancy
Preeclampsia and Eclampsia	p. 439
Surgical Problems
Trauma Care for the Intensive Care Unit	p. 446
The Acute Abdomen	p. 453
Management of the Organ Donor	p. 459
Nutrition in the Intensive Care Unit
Nutrition in the Intensive Care Unit	p. 463
Procedures
Arterial Catheterization	p. 473
Central Venous Catheterization	p. 477
Endotracheal Intubation	p. 483
Percutaneous Tracheostomy	p. 488
Chest Tube Insertion	p. 491
Paracentesis	p. 495
Lumbar Puncture	p. 498
Thoracentesis	p. 503
Pulmonary Artery Catheterization	p. 507
Pericardiocentesis	p. 512
End-of-Life Issues
End-of-Life Care in the Intensive Care Unit	p. 516
Appendices
Common Equations and Rules of Thumb in the Intensive Care Unit	p. 522
Drug-Drug Interactions	p. 526
Common Drug Dosages and Side Effects	p. 531
Index	p. 551
Table of Contents provided by Ingram. All Rights Reserved.

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The Washington Manual of Critical Care

The Washington Manual of Critical Care

0781770548

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