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This book brings together personal narratives from critical care medicine specialists around the world. Most of these physicians started in critical care at or before the exponential increase in technological modalities to reverse or sustain organ function, have seen patient care both ways, and have worked as many as 30 years or more at the bedside. The narratives are organized around such themes as : how and why these physicians entered the discipline of critical care; what was critical care like in the beginning; how they have experienced the flood of innovations in critical care; why they decided to retire (or not); and what their retirement options have been (or not). Composed by influential critical care medicine specialists, The Intensivist’s Challenge: Aging and Career Growth in a High-Stress Medical Specialty is a valuable resource bringing together a discussion of the nature and problems of aging as they apply to physicians in a high-stress occupation, while assessing the value of clinical experience at the bedside in a world increasingly full of soulless technology.
This title presents key studies that have shaped the practice of critical care medicine. Selected using a rigorous methodology, the studies cover topics including: sedation and analgesia, resuscitation, shock, ARDS, nutrition, renal failure, trauma, infection, diabetes, and physical therapy
Evidence-Based Practice of Critical Care, edited by Drs. Clifford S. Deutschman and Patrick J. Neligan, provides objective data and expert guidance to help answer the most important questions challenging ICU physicians today. It discusses the clinical options, examines the relevant research, and presents expert recommendations on everything from acute organ failure to prevention issues. An outstanding source for "best practices" in critical care medicine, this book is a valuable framework for translating evidence into practice. Gain valuable evidence-based recommendations on key topics such as acute organ failure, infection, sepsis and inflammation, and prevention issues pointing the way to the most effective approaches. Get an overview of each question, an outline of management options, a review of the relevant evidence, areas of uncertainty, existing management guidelines, and authors’ recommendations. Navigate a full range of challenges from routine care to complicated and special situations. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches.
This practical title presents 18 challenging cases in paediatric critical care, complete with case histories and evidence-based, up-to-date learning points and clinical tips. Each chapter has commentary from an expert who identifies and explains the key points and controversies of the case.
For readers of Atul Gawande and Jerome Groopman, a book of beautifully crafted stories about what life is like for patients kept alive by modern medical technology. Modern medicine is a world that glimmers with new technology and cutting-edge research. To the public eye, medical stories often begin with sirens and flashing lights and culminate in survival or death. But these are only the most visible narratives. As a critical care doctor treating people at their sickest, Daniela Lamas is fascinated by a different story: what comes after for those whose lives are extended by days, months, or years as a result of our treatments and technologies? You Can Stop Humming Now, Lamas explores the complex answers to this question through intimate accounts of patients and their families. A grandfather whose failing heart has been replaced by a battery-operated pump; a salesman who found himself a kidney donor on social media; a college student who survived a near fatal overdose and returned home, alive but not the same; and a young woman navigating an adulthood she never thought she'd live to see -- these moving narratives paint a detailed picture of the fragile border between sickness and health. Riveting, gorgeously told, and deeply personal, You Can Stop Humming Now is a compassionate, uncompromising look at the choices and realities that many of us, and our families, may one day face. "Gripping, soaring, inspiring."-Atul Gawande, author of Being Mortal
This practical title presents 18 challenging cases in critical care, complete with case histories and evidence-based, up-to-date learning points and clinical tips. Each chapter has commentary from an expert who identifies and explains the key points and controversies of the case.
An ideal resource for intensivists caring for trauma victims in the ICU, Trauma Intensive Care provides point-of-care guidelines for establishing the priorities of care, minimizing complications, and returning patients to the best possible functional outcome.
Drs. Honiden and Siner have put together a comprehensive issue on Critical Care as it relates to Chest Medicine. Articles include:Recent advances in management of Acute respiratory distress syndrome, Simulation training for critical care, Telemedicine (E-ICU issues), Adverse event reporting/quality improvement in the ICU, ICU Mobility, Hospital-acquired infections/resistant organisms/emerging pathogens, Circadian rhythm disturbance and sleep in the ICU environment, Advances in Sepsis Research, Controversies in ICU nutrition, and more!
Infection Control in the Intensive Care Unit has been entirely rewritten in this second edition. All statements are justified by the best available evidence, avoiding unsubstantiated expert opinion. The book contains a new section dedicated to the microbiology of the critically ill; specifically, how to process and interpret surveillance cultures to distinguish the ‘normal’ from the ‘abnormal’ carrier state. There are five totally new chapters dealing with evidence-based infection control molecular techniques for outbreak analysis; clinical virology in neonatal, paediatric and adult intensive care; the six basic principles of the therapy of an infection; and the role of the pharmacist in infection control. Attention is given to special topics such as nutrition, gut mucosal protection, and the control of antimicrobial resistance. The addition of enteral to parenteral antimicrobials contributes to the control of multi-resistant micro-organisms. This completely revised second edition is a must-have for anyone requiring in-depth knowledge in the ever expanding field of infection control.
Since its first publication in 1936, Sabiston Textbook of Surgery has been regarded as the preeminent source for definitive guidance in all areas of general surgery. The First South Asia edition continues the rich tradition of quality that has made this classic text synonymous with the specialty and a part of generations of surgery residents and practitioners. Meticulously updated throughout, this classic text concisely covers the breadth of material needed for certification and practice of general surgery. Detailed, full-color intraoperative illustrations and high-quality video clips capture key teaching moments, allowing you to better understand the basic science of surgery, make the most informed decisions and achieve optimal outcomes for every patient. Key Features - Understand the underlying science and its clinical application to make informed surgical decisions and achieve optimal outcomes. - Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. - Get the depth of coverage you need in an easily accessible, single volume organized by organ and along traditional lines beginning with principles common to surgical specialties including fluid and electrolyte management, metabolic support, and wound healing. Subsequent sections review the management of injury, transplantation, oncology, breast, endocrine, and abdominal procedures. - Explore topics encountered by general surgery residents in training as well as in-depth coverage of subspecialty areas including head and neck, thoracic, vascular, urology, neurosurgery, pediatrics, and gynecology. - Visually grasp and retain difficult concepts thanks to a full-color design featuring an abundance of illustrations, intraoperative photographs, video clips and tables as well as more schematic diagrams that facilitate the comprehension of surgical techniques and procedures.