Eye Movements In The Critical Care Setting

This book describes the abnormal eye movements encountered in the critical care unit in everyday practice and elaborates on the mechanism and clinical significance behind them. Beginning with a thorough grounding of the basic anatomy and physiology ocular motor system and how they move the eyeballs; chapters explore the pathological descriptions of all the signs that a practicing neurologist, ophthalmologist, or emergency medicine specialist might see in other ICU's, as well as the diagnostic and prognostic evidence to answer the consult questions. Further chapters describe the abnormal ocular movements seen in the Neuro-ICU, Eye Movements in the Critical Care Setting is a comprehensive resource on eye movement in the critical care setting, and a useful guide for the neurologist, ophthalmologist, and emergency medical specialist and residents alike.

This book describes the abnormal eye movements encountered in the critical care unit in everyday practice and elaborates on the mechanism and clinical significance behind them. Beginning with a thorough grounding of the basic anatomy and physiology ocular motor system and how they move the eyeballs; chapters explore the pathological descriptions of all the signs that a practicing neurologist, ophthalmologist, or emergency medicine specialist might see in other ICU's, as well as the diagnostic and prognostic evidence to answer the consult questions. Further chapters describe the abnormal ocular movements seen in the Neuro-ICU, Eye Movements in the Critical Care Setting is a comprehensive resource on eye movement in the critical care setting, and a useful guide for the neurologist, ophthalmologist, and emergency medical specialist and residents alike.

This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses' role has become more professionalized, with increasing competences in assessing and managing patients' problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives.

Surviving critical illness is not always the happy ending we imagine for patients. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated. The Textbook of Post-ICU Medicine: The Legacy of Critical Care discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. The chapters are written by an interdisciplinary panel of leading clinicians and researchers working in the field. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine.

This issue provideds a comprehensive update to Sleep Medicine in the Intensive Care Unit, with editor Vipin Malik assembling a line-up of key topics such as:Sleep Neurobiology and Critical Care Illness,Obesity Hypoventilation Syndrome and Respiratory Failure,Obstructive Sleep Apnea,Non-Invasive Ventilation in Critically Ill Patients,Restless Leg Syndrome,Sleep and Endocrine System,Congestive Heart Failure and Central Sleep Apnea,Circadian Dysrhythmias,Neuromuscular Disorders and Sleep in Critically Ill Patients, Perioperative Issues and Sleep Disordered Breathing, Seizures, and more!

The topics in this issue represent the most current research areas of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Collaborative Pediatric Critical Care Research Network (CPCCRN). The CPCCRN is a national pediatric critical care research network that is charged with investigating the efficacy of treatment and management strategies to care for critically ill and injured children, as well as to better understand the pathophysiological basis of critical illness and injury in childhood. The proposed authors are past and present principal and co-investigators affiliated with the CPCCRN; the proposed topics represent the individual author’s area of clinical and research expertise. Each review article is an up-to-date review of the topic relevant to practicing clinicians and trainees in critical care medicine, with incorporation of the most recently published research findings pertinent to the topic, some of which may be the author’s own. The specific articles are devoted to the following topics: Cardiopulmonary resuscitation in pediatric and cardiac ICU; Approach to the critically ill pediatric trauma patient; Transfusion Decision Making in Pediatric Critical Illness; Pathophysiology and management of ARDS in children; Ventilator associate pneumonias in critically ill children; Mechanical ventilation and decision support in pediatric intensive care; Inflammation, pathobiology, phenotypes and sepsis: From meningococcemia to H1N1-MRSA, to Ebola; Immune paralysis in pediatric critical care; Molecular biology of critical illness; Sedation in pediatric critical illness; Delirium in pediatric critical illness; Challenges of drug development in pediatric intensive care; Potential of All Steroid Hormone Subclasses as Adjunctive Treatment for Sepsis; Morbidity: Changing the outcome paradigm; and End-of-Life and Bereavement Care in Pediatric Intensive Care Units.

2010 AJN Book of the Year Award Winner in Critical Care--Emergency Nursing! Designated a Doody's Core Title! "This evidence-based book is an excellent reference for ensuring high-quality management of the elderly and of their particular needs in the critical care setting." --AJN "[This] book's contents run the gamut of elder problems and care: physiology, pharmacology, nutrition, restraints, substance abuse....it is a compendium that can be used as a text or a resource." --Claire M. Fagin, PhD, RN, FAAN (From the Foreword) This book is an evidence-based, best-practices guide that directs the bedside care of critically ill elders. The book serves as a reference on major clinical issues for nurses working at the forefront of care-from nurses in critical care and step-down units to those in trauma and emergency departments. Nurse educators at all degree levels will also find this book to be useful as a textbook and resource for students. The authors provide evidence-based, practical guidelines for both the complex clinical and management aspects of care. The book offers comprehensive coverage of all the issues caregivers need to be up to date on, including the standards of practice for geriatric care, new technologies, pharmacotherapy, pain management issues, ethical issues, and much more. Key topics discussed: Strategies for patient safety for older patients in the intensive care setting Family responses to critical care of the older adult Infection, sepsis, and immune function Understanding and managing sleep disorders in older patients in the ICU Heart failure in the critically ill older patient Substance abuse and withdrawal in elderly patients