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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.
Ideally suited for students in critical care rotations and residents, this concise, practical handbook presents the essentials of medical and surgical critical care in an easy-to-read format. The authors succinctly explain the pathophysiology underlying clinical disorders and the key principles of diagnosis and patient management, emphasizing cost-effective approaches. The Fourth Edition includes Controversies in Critical Care boxes in many chapters, which briefly summarize opposing arguments on controversial points. Other highlights include enhanced discussion of CT for abdominal disorders, new ACLS guidelines, and new material on removable IVC filters, interventional radiologic techniques for GI bleeding, and use of vascular ultrasound.
Essential Data Critical Care Nurses Must Know Endorsed by the American Association of Critical-Care Nurses, this go-anywhere handbook features tables and figures that encapsulate all the information required to give safe and effective care to critically ill patients. Contents include: Critical Care Drug Tables • Normal Values for Laboratory Tests and Physiologic Parameters • Lists of Assessment Components • Cardiac Rhythms: ECG Characteristics and Treatment Guides, Including Sample Rhythm Strips • 12-Lead ECG Changes in Acute Myocardial Ischemia and Infarct • Troubleshooting Guide for Hemodynamic Monitoring Equipment • Indications for Mechanical Ventilation • Weaning Assessment Tool • ACLS Algorithms.
A handbook covering all of the essential topics in Intensive Care Medicine, for those training and practising in the specialty.
This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses' role has become more professionalized, with increasing competences in assessing and managing patients' problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives.
Cardiac Surgery Essentials for Critical Care Nursing, Third Edition is an indispensable resource for new and experienced nurses caring for patients in critical care units immediately following cardiac surgery and in the transitioning to home. With an evidence-based foundation, the Third Edition addresses nursing knowledge to meet the needs of acutely ill patients and strategies to optimizing patient outcomes in this dynamic field. Vital information has been added and updated to reflect significant changes in cardiac surgery as well as four new chapters based on needs of patients, families, and readers. These new chapters address nutritional issues, post ICU-care, psychological and spiritual support, and rehabilitation care post cardiac surgery.
This edition is presented in a totally new and reader-friendly format. The focus of this volume is on holistic management of critically ill adult patients and it builds upon concepts one step at a time – allowing one the opportunity to develop competence at one's own pace.
A new multimedia e-dition package includes the book and CD-ROM plus access to the continuously updated website! The website (http://www.criticalcaretext.com) also offers links to important websites, calculators, the full text online, and all the illustrations--downloadable for presentations. A completely new editorial team presents the radical revision to this leading critical care text, previously edited by Shoemaker et al. Today's best coverage of both adult and pediatric critical care, with contributions from an impressive roster of world experts. In addition to numerous new chapters and many extensively rewritten ones, it features a completely new section on commonly encountered problems and a new, more user-friendly organization. Covers both adult and pediatric critical care. Features the authority of the top names in critical care from around the world, including an outstanding new editorial team as well as authors who are among the most highly respected researchers, instructors, and clinicians in the field. Offers a brand-new section that provides quick access to practical guidance on the problems most frequently encountered in the ICU. Explores hot new topics such as Inter- and Intra-Hospital Transport, Disaster Medicine for the ICU Physician, and Teaching Critical Care. Provides a new, more user-friendly organization. Presents only the most essential references within the text, with the rest provided on the enclosed CD-ROM. Is available in a multimedia package that combines the book with access to a fully searchable, continuously updated web site!. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.
Here’s the most clinically oriented critical care text focusing on the adult patient. In full-color and superbly illustrated with clinical photographs, imaging studies, and management algorithms, and with a broad multidisciplinary focus, this text will help you enhance your skills at any level of training. Stands alone as a clinically oriented comprehensive reference. Completely updated and authorship expanded to reflect the evolution in critical care practice. In color for the first time, with new color schematics and treatment algorithms for greater ease of reference. Utilizes key points lists at the end of chapter, to help you make decisions rapidly and easily. Delivers key references that list other useful resources for information. Includes these seven new chapters to keep you on the cutting edge of your specialty: Assessment of Cardiac Filling and Blood Flow Mechanical Ventilation of Obstructive Airways Disease Mechanical Ventilation of Acute Respiratory Distress Syndrome Severe Sepsis and Multiple Organ Dysfunction Stroke Delirium, Psychosis, Sleep and Depression in the ICU ICU Education
This best-selling resource provides a general overview and basic information for all adult intensive care units. The material is presented in a brief and quick-access format which allows for topic and exam review. It provides enough detailed and specific information to address most all questions and problems that arise in the ICU. Emphasis on fundamental principles in the text should prove useful for patient care outside the ICU as well. New chapters in this edition include hyperthermia and hypothermia syndromes; infection control in the ICU; and severe airflow obstruction. Sections have been reorganized and consolidated when appropriate to reinforce concepts.