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Ultrasound has revolutionized a physician's ability to make urgent and emergent diagnoses at the bedside, and has changed the management of many acute injuries and conditions. This is a practical, concise introduction to what is rapidly becoming an essential tool for all critical care physicians: bedside emergency ultrasound. The Manual covers the full spectrum of conditions diagnosed using ultrasound and gives practical guidance in how to use ultrasound for common invasive procedures. Major applications are introduced using focused diagnostic questions and reviewing the image-acquisition skills needed to answer them. Images of positive and negative findings are presented, and scanning tips for improving image quality. The second edition has been substantially revised and expanded, with new images, updated literature reviews, new applications and clinical algorithms. New chapters cover additional procedures, musculoskeletal and pediatric applications, and the use of ultrasound in resuscitation. This text is invaluable for emergency physicians at all levels.
PART I: RRT Section SECTION 1: AKI and Introduction to RRT Introduction to Renal Replacement Therapy 1. Managerial Aspects of Setting Up Renal Replacement Therapy in Intensive Care Unit 2. Acute Kidney Injury: Epidemiology and Causes SECTION 2: RRT: Basic Principles 3. Principles of Renal Replacement Therapy: Practical Applications 4. Types of Renal Replacement Therapy in ICU 5. Indications for Renal Replacement Therapy in ICU: Renal and Nonrenal 6. Initiation of Renal Replacement Therapy SECTION 3: RRT Components 7. RRT Hardware: Cannulas and Dialysis Membranes 8. CRRT: Know the Machine 9. Dialysate Fluids and Replacement Fluids in Continuous Renal Replacement Therapy SECTION 4: Management during RRT 10. Sustained Low-efficiency Extended Daily Dialysis in ICU 11. CRRT Prescription in ICU Patients 12. Anticoagulation in Continuous Renal Replacement Therapy 13. Transportation of Patients Who are on Continuous Renal Replacement Therapy 14. Monitoring during Continuous Renal Replacement Therapy 15. High-volume CRRT 16. Switch Over From or Termination of Continuous Renal Replacement Therapy SECTION 5: Issues during RRT 17. Complications during Renal Replacement Therapy 18. Troubleshooting in Renal Replacement Therapy 19. Nutrition during Renal Replacement Therapy 20. Drug Dosing in Patients Receiving Renal Replacement Therapy SECTION 6: Renal Replacement Therapy: Special Considerations 21. Dyselectrolytemia and Renal Replacement Therapy in Critically Ill Patients 22. Continuous Renal Replacement Therapy in Specific Situations/Diseases 23. Renal Replacement Therapy and Pregnancy 24. Acute Peritoneal Dialysis in ICU 25. Renal Replacement Therapy in Poisonings: Basic Principles 26. Hemoperfusion for the Treatment of Poisoning. 27. Therapeutic Apheresis 28. Extracorporeal Therapies in Sepsis 29. Renal Replacement Therapy in Children 30. Quality Assurance for Renal Replacement Therapy 31. Multiple Choice Questions on Renal Replacement Therapy PART II: ECMO Section SECTION 7: ECMO: Basic Principle Extracorporeal Membrane Oxygenation: Introduction 32. ECMO: Definition, Type, and Variants 33. ECMO Physiology 34. Indications and Contraindications of Extracorporeal Membrane Oxygenation 35. Know the Extracorporeal Membrane Oxygenation Machine: Circuit and Hardware SECTION 8: ECMO Component 36. Cannulation in Extracorporeal Membrane Oxygenation 37. Circuit Priming and ECMO Initiation 38. Extracorporeal Membrane Oxygenation Circuit Diagram SECTION 9: ECMO: Administrative Issues 39. Development of ECMO Program 40. Communication, Consent, and Ethical Issues during ECMO 41. Cost Reduction Strategy during ECMO SECTION 10: Management during ECMO 42. Anticoagulation Management during Extracorporeal Membrane Oxygenation: Heparin and Alternatives 43. Mechanical Ventilation in Patients Undergoing ECMO 44. Managing Pain, Anxiety and Psychological Issues during Extracorporeal Membrane Oxygenation 45. Blood and Component Therapy during ECMO: When and Why? 46. Proning and Mobilization on ECMO 47. Monitoring during Extracorporeal Membrane Oxygenation 48. Procedures during ECMO Emergency and Nonemergency 49. ECMO Weaning, Trial Off, and Decannulation 50. Post Extracorporeal Membrane Oxygenation 51. Extracorporeal Membrane Oxygenation and Sepsis in Intensive Care Unit SECTION 11: Extracorporeal Membrane Oxygenation: Complication 52. Infection Control Issues during Extracorporeal Membrane Oxygenation 53. Managing Complication during Extracorporeal Membrane Oxygenation 54. Managing Left Ventricular Distension during VA ECMO 5...
This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings. More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based on both current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion.
The South Asian Edition of The Washington Manual of Critical Care provides a multidisciplinary, clinically oriented approach to the management of patients in critical care. The book discusses the complete range of critical care subspecialties, including cardiology, pulmonology, gastroenterology, neurology, toxicology, nephrology, infectious disease, various procedures,and much more. This will serve as a bedside quick reference guide to the intensive care physicians. Tables and illustrations help provide a quick and easy bedside reference and give a practical approach to the management of these patients. Readers will find comprehensive and current information for the diagnosis and management of some of the most common illnesses and problems encountered in the critical care setting. This book willbe very helpful for the preparation of various critical care exit examinations in the country and abroad. Key Features: Addition of 2 new chapters relevant to South Asia and Indian subcontinent; Tropical fever in ICU, and Extracorporeal therapy in ICU. Extensive coverage of neuro critical care disorders, sepsis, shock, and infectious diseases in terms of updated guidelines, common drugs used, and the latest antibiotic policies in the Indian subcontinent. In the Toxicology section addition of organophosphate poisoning and anti-snake venom (ASV). Provides overviews of various procedures performed, and the physiological and pharmacological aspects of critical care. Includes concise, easy-to-read diagnosis and treatment algorithms for common conditions, and bibliographical references for additional, in-depth reading.
This book is a complete guide to the use of ultrasound in critical care. Beginning with an overview of ultrasound and its applications, the next chapters discuss basic physics of ultrasound, modes of ultrasonography, and Doppler imaging. The following sections cover the use of ultrasound in different critical care situations including for vascular access, in acute respiratory distress syndrome, for cardiac evaluation, in neurocritical care, in the ICU, and more. The book concludes with clinical case scenarios and guidance on infection control and legal issues in ICU sonography. The comprehensive text is further enhanced by more than 300 ultrasound images, figures and tables to assist learning. Key points Comprehensive guide to the use of ultrasound in critical care Includes discussion on basic physics and modes of ultrasound Provides clinical case scenarios and guidance on infection control Features more than 300 ultrasound images, figures and tables
This practical guide provides a multidisciplinary, clinically oriented approach to the management of patients in intensive care. The book discusses the complete range of specialties, including cardiology, pulmonology, gastroenterology, neurology, toxicology, and much more. Each condition is presented in a step by step process, covering pathophysiology, signs and symptoms, diagnosis, treatment, and other considerations such as age/developmental issues. The comprehensive appendices section covers essential data and assessment for the management of critically ill patients including discussion on drugs, dosages and side effects, clinical scores, indices and equations, normal biochemical values, ICU rounds and more. The text is highly illustrated with clinical images, diagrams and tables, and includes recent articles and current guidelines on management of sepsis and deep vein thrombosis (DVT). Key points Practical guide to management of patients in intensive care Covers complete range of specialties, presented in a step by step, clinically oriented approach Comprehensive appendices section covers drugs, clinical scores, biochemical values and much more Includes recent articles and current guidelines on management of sepsis and DVT
The second edition of this highly successful book includes up-to-date notes on the step-wise management of clinical emergencies encountered in everyday intensive care units (ICU). Each thoroughly revised chapter provides concise information for point-of-care treatment, making it a practical guide clinicians can refer to on a daily basis at work or while traveling, or just to expand their knowledge. Volume 1 of ICU Protocols covers topics in pulmonology, cardiology, neurology, gastroenterology, nephrology and infectious diseases. The endocrine and metobolic systems, oncology, trauma, toxicology, envenomation and thermodysregulation, obstetrics, and perioperative care are covered in the second volume of ICU Protocols. This two-volume book is a must-read for intensivists, critical care specialists, junior trainees and residents working in ICUs. It is also relevant as course material for workshops on critical care, and essential for all hospital-based libraries. “This book provides junior trainees with an introduction to the management of problems common to the critical care unit.” David J Dries, Doody’s Book Reviews, March, 2013, for the first edition of ICU Protocols.
Critical Care Ultrasound Manual is a concise step-by-step guide on the assessment of ultrasounds. It trains critical care physicians in applying Rapid Assessment by Cardiac Echo (RACE) and Focused Assessment with Sonography in Trauma (FAST) to sonography principles. Animated video clips of procedures assist the reader in comprehending the content covered in the manual. Focus on helping readers obtain rapid practical information to assist management decisions. User-friendly layout. Explanatory diagrams, ultrasound images enhance the learning experience. DVD showing video clips of procedures cross-referenced in the book. Practical tips and cautions are highlighted in Boxes. MCQs on each chapter allow readers to analyse what they've learnt. The Appendices provide a checklist to assist interpretation of transthoracic echocardiogram in a systematic way, and a chapter on Doppler principles for those who wish to prepare the way for Doppler measurements.