Critical Care Sedation

This book provides a comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the advantages and limitations of each drug and device using clear flowcharts, diagrams and tables. Furthermore, it explores the new drugs and – above all – new sedation delivery systems, particularly those for administering volatile anesthetics on ICUs. This book is a valuable and practical resource for anesthesists, intensivists and emergency physicians interested in sedation.

This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Sedation is a necessary component of care for critically ill and injured individuals. Sedatives assist in coping with mechanical ventilation and other invasive devices, and help patients tolerate procedures and noxious stimuli in the intensive care unit. Sedatives are also useful in the control of agitation and delirium. In addition to fundamental humane reasons, calming patients with sedatives provides physiologic benefits, such as reducing oxygen consumption expended during restlessness, and prevents dislodgement of life-preserving tubes and catheters. When administering sedatives to manage critically ill patients, clinicians must be cognizant of the many complex issues surrounding their use. This issue, edited by Consulting Editor, Dr. Jan Foster, provides current updates in this area, including new guidelines and a focus on delirium.

The fully updated second edition of this popular handbook concisely summarises all current knowledge about delirium in critically ill patients and describes simple tools the bedside clinician can use to prevent, diagnose and manage delirium. Chapters discuss new developments in assessing risk and diagnosis, crucial discoveries regarding delirium and long-term cognitive outcomes, and dangers of sedation and death. Updated management advice reflects new evidence about antipsychotics and delirium. This book explains how to minimise the risks of delirium, drugs to avoid, drugs to use and when to use them, as well as current theories regarding pathophysiology, different motoric subtypes leading to missed diagnosis, and the adverse impact of delirium on patient outcomes. While there are still unanswered questions, this edition contains all the available answers. Illustrated with real-life case reports, Delirium in Critical Care is essential reading for trainees, consultants and nurses in the ICU and emergency department.

This two-volume book offers a comprehensive guide to anesthetic management and critical care management in neurosurgical and neurological patients. This first volume focuses on neuroanesthesia. The book begins with basic information on neuroanesthesia, extensively discussing the anatomy of the brain and spine, physiology and relevant pharmacology. Special considerations for pregnant, pediatric and geriatric patients are covered in separate chapters. Each neurosurgical condition is discussed in a standard format relevant for neurosurgical patients, and each chapter, prepared by experts in the field, includes ample illustrations and flowcharts. Information is also provided on the latest evidence-based approaches, robotic surgery and gene therapy. The book offers a valuable resource for all residents, fellows and trainees in the fields of neuroanesthesia and anesthesia; it will also benefit practitioners and consultants.

From AACN experts comes a resource dedicated to helping you oversee or care for critical care patients in any practice setting. This comprehensive critical care nursing textbook addresses serious and potentially life-threatening patient conditions with a foundation rooted in the critical thinking process: the comprehension, analysis, synthesis, and application of knowledge. Endorsed by the American Association of Critical-Care Nurses (AACN), the largest specialty nursing organization in the United States, for the most authoritative coverage available. Thorough discussions of each body system emphasize advanced concepts, presenting physiology in an application format that examines the clinical implications of physiological science. Coverage of assessment focuses on interpreting abnormal findings and linking those findings to diagnosis and intervention. Appropriate interventions are discussed from an interdisciplinary, evidence-based perspective. Hundreds of new, full-color illustrations and design clarify important concepts and improve the book's usability. Complex, unfolding case studies are presented in all disease chapters, accompanied by review questions with a comprehensive answer key. Multidisciplinary Plans of Care provide at-a-glance information for common ICU conditions. Nutrition boxes appear in each relevant chapter, offering guidelines for patient needs with specific illnesses. Research-Based Practice Guidelines boxes and Promoting Evidence-Based Practice features appear throughout the text whenever applicable to present the latest research-supported nursing assessment and intervention practices. Drug boxes include common classifications of critical care drugs for specific disorders, including drug, actions, dosage, and special considerations. Applying the Technology features help you apply the latest technology to patient care. NIC Interventions boxes list NIC intervention labels appropriate for the conditions discussed in a chapter.

The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.