Intensive Care, An Illustrated Colour Text

Intensive Care

An Illustrated Colour Text

By Michael Avidan, MBBCh, FCA, Associate Professor of Anesthesiology and Surgery, Division Chief, CT Anesthesiology and CT Intensive Care, Washington University School of Medicine, St Louis, MO, USA; Kara M. Barnett, MD, Resident in Anesthesiology and Critical Care, The Hospital of the University of Pennsylvania, PA, USA; Laureen L. Hill, MD, MBA, Vice Chairman, Department of Anesthesiology; Associate Professor, Anesthesiology and CT Surgery, Washington University School of Medicine, St. Louis, MO, USA; Lara Hopley, MBBCh, DA(SA), FCA(SA), Senior Clinical Lecturer, Department of Anaesthesiology, Faculty of Medicine and Health Sciences, University of Auckland; Consultant Anaesthetist, Division of Anaesthesia and Perioperative Medicine, Auckland City Hospital, Auckland, New Zealand; Nicola Jones, MD, Infectious Disease Physician, Nuffield Department of Clinical and Laboratory Sciences, Department of Microbiology, John Radcliffe Hospital, Oxford, UK; and Johan M. van Schalkwyk, MB, BCh, FCP(SA)(Critical Care), Perioperative Physician, Department of Anaesthesia and Perioperative Medicine, Auckland District Health Board, Auckland, New Zealand


INTRODUCTION * The history of intensive care * What is intensive care?

SAFETY AND QUALITY IN THE ICU * Evidence-based intensive care * Critical care transport * Drug interactions

EVALUATION OF THE ICU PATIENT * Clinical excellence * Monitoring in the ICU

ICU PROCEDURES The airway in the ICU * Vascular access in the ICU * Fibreoptic bronchoscopy in the ICU * Cerebrospinal fluid, lumbar puncture and lumbar drain

ORGAN SUPPORT * Mechanical ventilation * Renal replacement therapy * Mechanical circulatory support

HOMEOSTASIS * Circulation * Oxygen delivery * ICU acid?basics * Carbon dioxide * Thermal disorders

FOOD, SALT AND FLUIDS * Feeding and starving in the ICU * Electrolyte abnormalities * Fluid therapy in the ICU * Blood and blood components

ORGAN SYSTEMS: CENTRAL NERVOUS SYSTEM * Neurological assessment * Central nervous system injury * Weakness in the ICU * Seizures * Altered mental states * Analgesia in the ICU * ICU sedation * Organ donation

ORGAN SYSTEMS: CARDIOVASCULAR SYSTEM * Monitoring the cardiovascular system * Ischaemic heart disease * Heart failure in the ICU * Arrhythmia * Pacing * Cardiac surgery * Pulmonary hypertension * Valvular and congenital heart disease

ORGAN SYSTEMS: RESPIRATORY * Respiratory failure * Asthma * Chronic obstructive pulmonary disease * The ICU chest X-ray

ORGAN SYSTEMS: GASTROINTESTINAL/RENAL * Renal failure * Gastrointestinal bleeding * Gastrointestinal motility disorders * Cholecystitis/pancreatitis * Liver failure

ORGAN SYSTEMS: ENDOCRINE * Endocrine function in the ICU * Diabetes mellitus in the ICU * Endocrine emergencies

HAEMATOLOGICAL * Clotting and bleeding: a delicate balance * Thrombosis in the ICU * Bleeding in the ICU

INFECTION * Prevention and treatment of infections * Sepsis and septic shock* Central nervous system infection * Pneumonia * Infections associated with prosthetic material in the ICU * The immunocompromised patient in critical care * Tropical medicine * Clever bugs and defunct drugs

SPECIAL TOPICS * Inflammation * Burns * Obstetric critical care * Toxicity: poisonings and overdoses * Deliberate attacks: chemicals, radiation and bioterrorism * Advanced cardiac life support * Ethics: limiting and withdrawing treatment * Trauma