The Clinical Handbook For Surgical Critical Care

The Clinical Handbook for Surgical Critical Care, Second Edition covers all aspects of acute and emergency care for the critically ill or injured patient who may be in the ICU and/or CCU. This new edition is separated into chapters by organ systems, and takes a look at the critical disease states associated with these organs. All chapters follow th

This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.

A unique question-and-answer book for surgical residents and trainees that covers all surgical aspects of critical care and acute or emergency medicine This is a comprehensive, one-of-a-kind question-and-answer text for medical professionals and apprentices concentrating on the growing subspecialty of surgery in critical care and emergency surgery. Covering all surgical aspects of critical care and acute or emergency surgery, it is an ideal learning and review text for surgical residents and trainees who care for these patients and those taking the Surgical Critical Care Board Examination. Edited by highly experienced professionals, and written in an engaging style, Surgical Critical Care and Emergency Surgery: Clinical Questions and Answers focuses exclusively on the unique problems and complexity of illnesses of the critically ill and injured surgical patient, and covers the specialist daily care such patients require. It reflects the latest advances in medical knowledge and technology, and includes fully revised and updated questions throughout, with additional topics addressed in a new companion website. Unique question-and-answer book on the growing specialty of critical care and acute surgery Ideal for US boards candidates Covers trauma and burns as well as critical care 8 page full-color insert showing high quality surgical photos to aid study Supplementary website including additional questions Surgical Critical Care and Emergency Surgery, Second Edition is an excellent resource for medical students, residents, fellows, and surgeons, as well as those in non-surgical specialties.

The surgical patient may exhibit a variety of subtle and not so subtle clues that a problem, or in the words of the authors "a hole", is present. Therefore, when evaluating and managing the critically ill patient, the critical care surgeon must proceed through a series of three questions: Where is the hole? How do I repair the hole? and the most critical question, Why is the hole there? The Clinical Handbook for Surgical Critical Care is a guide to answering these questions, bringing into focus the importance of "why is the hole there?" and exploring how to effectively make it disappear. Since much of surgical critical illness is secondary to either inadequate circulation, pathological inflammation, or both, the authors pay particular attention to the recognition of these conditions associated with particular disease states. The authors examine the pathophysiology that underlie these disease states and then the physical examination, monitoring, and laboratory results that lead to a diagnosis. They discuss appropriate management of the deranged physiology and provide the supporting evidence for treatment. The Clinical Handbook for Surgical Critical Care serves as a manual for reviewing and contrasting organ physiology during normal and pathological states and recognizing the pathophysiological states related to surgical disease and procedures. It gives you a clear understanding of the link between deficits in the circulation and pathological inflammation that is key to a successful outcome.

As surgical critical care continues to evolve, this handbook provides the framework for the surgical intensivist, and focuses specifically on the surgical considerations encountered in the care of the critically ill patient. Drawing from decades of experience at one of the world's busiest and most innovative trauma/ surgical intensive care units, the handbook systematically addresses all aspects of surgical critical care. Chapters are presented in an easy-to-access, bullet point format, with each chapter ending in a practical algorithm and review of recent literature. This text will serve as a guide, learning tool, and reference manual for all levels of practitioners, from aspiring student to seasoned attending. Contents:Background:Critical Care Responsibility in Healthcare ReformInitial Approach to the Trauma PatientSystems-based Approach to the Critically Ill Surgical PatientSystem-Based Management:Central Nervous SystemCardiovascularRespiratoryRenalGastrointestinalHematologyInfectious DiseaseICU Procedures:Principles of UltrasoundEchocardiographyCentral Venous CannulationArterial CannulationTube ThoracostomyLumbar PunctureInferior Vena Cava FilterPercutaneous TracheostomyPercutaneous Endoscopic GastrostomyDifficult Urinary CatheterizationBedside LaparotomySpecial Populations:PediatricGeriatricBariatricCardiothoracicObstetricsSpecial Issues:BurnHypothermiaOrthopaedicsPharmacologyFree Flap MonitoringEthics of Surgical Critical Care Readership: Surgical Intensivists (ICU Doctors). Key Features:Specific to surgical critical careBullet point format for easy accessCumulative knowledge/ experience from a world-renown center (Denver Health Medical Center)Keywords:Surgical Critical Care;Trauma;Acute Care Surgery

This text provides a high level, comprehensive but concise review of adult surgical critical care. It can be used to review complex topics of critical illness in surgical patients, as a reference tool, or as preparation for a board examination. It is focused on the surgical patient including high yield facts, evidence-based guidelines, and critical care principles. To remain succinct, it concentrates on surgically relevant care. Further, the text is written with an expectation that reader already possesses a basic understanding of critical care pathophysiology and clinical practices such as those acquired during residency. Organized by organ system, each section contains several chapters addressing relevant disorders, monitoring and treatment modalities, and outcomes. Principles of Adult Surgical Critical Care will be of use to intensivists caring for surgical patients regardless of parent training domain. Additionally, this work is intended to be used by surgical critical care fellowship trainees as well as other advanced practice providers such as nurse practitioners and physician assistants who provide care in ICUs and emergency departments alike.

This handbook considers topics that have general application to the critically ill patient. Basic pathophysiology and understanding of its role in critical care monitoring and management are covered, followed by a close look at trauma related and non-trauma related entities likely to afflict the critically ill surgical patient. The authors consist of practitioners who are experts in their field. They represent the team approach to critical care management where members from the divisions of anesthesia, internal medicine, respiratory medicine, infectious disease and surgical specialties all contribute in formulating intervention, assessment and management plans for the critically ill surgical patient. By emphasising the surgical conditions requiring critical care, The Surgical Critical Care Handbook will serve as a quick and easy reference for any medical trainee or practitioner aspiring to join the ICU. Contents:ForewordAbout the EditorList of ContributorsGeneral Considerations:Preoperative Assessment of the High-Risk Surgical Patient (Robert Chen and Jameel Ali)Shock: Cardiovascular Dynamics, Endpoints of Resuscitation, Monitoring, and Management (Jameel Ali)Gas Exchange (Zoheir Bshouty)Perioperative Respiratory Dysfunction (Jameel Ali)Mechanical Ventilation in the ICU (Robert Chen and Jameel Ali)Nutrition in the Surgical ICU Patient (Mohammed Bawazeer & Jameel Ali)Management of the Anticoagulated Injured Patient (K Pavenski)Pneumonia in the Surgical Intensive Care Unit (Mohammed Bawazeer and Jameel Ali)Hypothermia and Hyperthemia (John B Kortbeeks)Thrombo-Embolism in the ICU Patient (Daniel Roizblatt, Andrew Beckett and Jameel Ali)Broad Principles of Antibiotic Usage and Surgical Antimicrobial Prophylaxis (Jameel Ali and Addison K May) The Coagulopathic Trauma Patient and Massive Transfusion Protocol (Jameel Ali, Sandro Rizoli and Katerina Pavenski)Geriatric Issues and the ICU (Richard M Bell and Victor Hurth)Ethical Issues in the Surgical ICU (Marshall Beckman, John Weigelt, Jameel Ali and Richard M Bell)Specific Surgical Disorders (TRAUMA):Priorities in Multiple Trauma Management (Jameel Ali)Thoracic Trauma (Mark W Bowyer and Jameel Ali)Abdominal Trauma (Jameel Ali)Head Injury (Jameel Ali, Lyne Noël de Tilly and R Loch Macdonald)Spine and Spinal Cord Injury (Safraz Mohammed, Shelly Wang and Jameel Ali)Pelvic Fractures (Jameel Ali and Jeremie Larouche)Extremity Fractures (Jeremy Hall and Jeremie Larouche)Extremity Compartment Syndromes (Mark W Bowyer)Burns, Cold Injury and Electrical Injury (Karen M Cross and Joel S Fish)Multiorgan Dysfuntion Syndrome in the Surgical Patient (P Dhar and G Papia)Specific Surgical Disorders (NonTRAUMA):Intra-abdominal Sepsis (Shuyin Liang and Joao B de Rezende-Neto)Bowel Obstruction (Dave D Paskar and Neil G Parry)Mesenteric Ischemia (John B Kortbeek)Upper GI Hemorrhage (Brad S Moffat, Sarah Knowles and Neil G Parry)Lower Gastrointestinal (GI) Hemorrhage (Jonathan Hong and Marcus Burnstein)Acute Pancreatitis (John B Kortbeek)Colorectal Disorders (Jonathan Hong, D Kagedan and Marcus Burnstein)The Bariatric Surgical Patient (Andrew Smith, Jameel Ali and Timothy D Jackson)The Transplant Patient (Andrew S Barbas and Anand Ghanekar)Soft Tissue Infection in Critical Care (Sami Alissa, Nawaf Al-Otaibi and James Mahoney)The Pediatric Surgical ICU Patient (Arthur Cooper, Pamela Feuer, Logeswary Rajagopalan, Ranjith Kamity and Mary Joan Marron-Corwin) Readership: Intensivists and surgeons including trauma specialists.