Now completely revised to bring you up to date with the latest advances in the field, Critical Care Medicine: Principles of Diagnosis and Management in the Adult, 5th Edition, delivers expert, practical guidance on virtually any clinical scenario you may encounter in the ICU. Designed for intensivists, critical care and pulmonology residents, fellows, practicing physicians, and nurse practitioners, this highly regarded text is clinically focused and easy to reference. Led by Drs. Joseph Parrillo and Phillip Dellinger, the 5th Edition introduces numerous new authors who lend a fresh perspective and contribute their expertise to that of hundreds of top authorities in the field.
Includes new chapters on current applications of bedside ultrasound in the ICU, both diagnostic and procedural; mechanical assist devices; and extra-corporeal membrane oxygenation (ECMO)
Contains new administrative chapters that provide important information on performance improvement and quality, length of stay, operations, working with the Joint Commission, and more
Features new videos and images that provide visual guidance and clarify complex topics
Keeps you up to date with expanded chapters on echocardiography in the ICU and valvular heart disease, including TAVR
Includes separate chapters on mechanical ventilation of obstructive airway disease and acute respiratory distress syndrome (ARDS) – including the many recent changes in approach to positive end expiratory pressure setting in ARDS
Covers key topics such as patient-ventilator synchrony and non-invasive ventilation for treating chronic obstructive pulmonary disease patients with acute respiratory failure
Reflects the recent literature and guidance on amount of fluids, type of fluid, vasopressor selection, mean arterial pressure target, and decision on steroid use in septic shock
Provides questions and answers in every chapter, perfect for self-assessment and review
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices
Section 1: CRITICAL CARE PROCEDURES, MONITORING, AND PHARMACOLOGY 1. Cardiac Arrest and Cardiopulmonary Resuscitation 2. Airway Management in the Critically Ill Adult 3. Assessment of Cardiac Filling and Blood Flow 4. Arterial, Central Venous, and Pulmonary Artery Catheters 5. Cardiac Pacing 6. Pericardial Tamponade: Clinical Presentation, Diagnosis, and Catheter-Based Therapies 7. Percutaneous Assist Devices 8. Echocardiography 9. General Principles of Mechanical Ventilation 10. Ventilatory Management of Obstructive Airway Disease 11. Mechanical Ventilation in Acute Respiratory Distress Syndrome 12. Bronchoscopy and Lung Biopsy in Critically Ill Patients 13. Noninvasive Respiratory Monitoring 14. Bedside Tracheostomy in the Intensive Care Unit 15. Chest Tube Thoracostomy 16. Multimodality Intracranial Monitoring 17. Gastrointestinal Endoscopy 18. Bedside Ultrasound in the Critically Ill Patient 19. Continuous Renal Replacement Therapy 20. Use of Sedatives, Analgesics, and Neuromuscular Blockers 21. The Effect of Critical Illness on Pharmacokinetics and Pharmacodynamics
Section 2: CRITICAL CARE CARDIOVASCULAR DISEASE 22. Shock: Classification, Pathophysiology and Approach to Management 23. Cardiogenic Shock 24. Severe Sepsis and Septic Shock 25. Cardiac Tamponade 26. Traumatic Shock: Nonsurgical Management 27. Severe Heart Failure 28. Anaphylaxis and Anaphylactic Shock 29. Acute Coronary Syndromes and Acute Myocardial Infarction 30. Valvular Heart Disease 31. Cardiac Arrhythmias 32. Hypertensive Crises 33. Acute Aortic Dissection 34. General Principles of Postoperative ICU Care 35. Postoperative Management of the Cardiac Surgery Patient
Section 3: CRITICAL CARE PULMONARY DISEASE 36. Acute Respiratory Failure 37. Life-Threatening Asthma 38. Chronic Obstructive Pulmonary Disease 39. Hypoventilation and Respiratory Muscle Dysfunction 40. Pneumonia: Considerations for the Critically Ill Patient 41. Weaning from Mechanical Ventilation 42. Pulmonary Embolism 43. Pulmonary Hypertension 44. Massive Hemoptysis 45. Pneumothorax and Barotrauma 46. Toxic Gas, Fume, and Smoke Inhalation
Section 4: CRITICAL CARE INFECTIOUS DISEASE 47. Nosocomial Infection in the Intensive Care Unit 48. Principles Governing Antimicrobial Therapy in the Intensive Care Unit 49. Antifungal and Antiviral Therapy 50. Critically Ill Immunosuppressed Host: Infectious Complications 51. Specific Infections with Critical Care Implications
Section 5: RENAL DISEASE AND METABOLIC DISORDERS IN THE CRITICALLY ILL 52. Acute Kidney Injury 53. Chronic Kidney Disease 54. Acid-Base, Electrolyte, and Metabolic Abnormalities 55. Acute Diabetic Emergencies, Glycemic Control, and Hypoglycemia 56. Adrenal Insufficiency in the Critically Ill Patient 57. Thyroid Disorders
Section 6: NEUROLOGIC DISEASE IN THE CRITICALLY ILL 58. Coma 59. Neurologic Criteria for Death in Adults 60. Stroke 61. Myasthenia Gravis and Guillain-Barre Syndrome 62. Seizures in the Critically Ill 63. Head Injury
Section 7: PHYSICAL AND TOXIC INJURY IN THE CRITICALLY ILL 64. Critical Care Management of the Severely Burned Patient 65. Poisonings 66. Hypothermia, Hyperthermia, and Rhabdomyolysis
Section 8: ADMINISTRATIVE, ETHICAL, AND PSYCHOLOGICAL ISSUES IN THE CARE OF THE CRITICALLY ILL 67. Performance Improvement and Severity Scores in Critical Care 68. Ethical Considerations in Managing Critically Ill Patients 69. Delirium, Sleep, and Mental Health Disturbances in Critical Illness 70. Intensive Care Unit Administration and Education
Section 9: OTHER CRITICAL CARE DISORDERS AND ISSUES IN THE CRITICALLY ILL 71. Diagnosis And Management of Liver Failure In the Adult 72. Gastrointestinal Bleeding 73. Acute Pancreatitis 74. Hemorrhagic and Thrombotic Disorders 75. Use of Blood Components in the Intensive Care Unit 76. Intensive Care of the Cancer Patient 77. Critical Care Medicine in Pregnancy 78. Nutrition Support
Joseph E. Parrillo, MD, FCCM, Chairman, Heart and Vascular Hospital, Hackensack University Medical Center; Professor of Medicine, Rutgers New Jersey Medical School, Hackensack, New Jersey and R. Phillip Dellinger, MD, MS, Professor of Medicine, Cooper Medical School of Rowan University; Director, Critical Care, Cooper University Hospital, Camden, NJ
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