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.
Reihe
Sprache
Verlagsort
Verlagsgruppe
Zielgruppe
Für Beruf und Forschung
Critical care surgeons and nurses; medical academic professionals, residents, and students
Illustrationen
45 s/w Abbildungen
45 Illustrations, black and white
Maße
Höhe: 229 mm
Breite: 152 mm
Gewicht
ISBN-13
978-1-85070-633-5 (9781850706335)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Klassifikation
Foreword
BASIC PRINCIPLES
Historic Concepts of Shock
Current Concepts
The Surgeon in Critical Care
THE CIRCULATION
Cardiovascular Physiology
Hemodynamic Monitoring
Cardiovascular Drugs
Hypoperfusion States
INFLAMMATION
Physiology
Normal Immunology
Pathological Systemic Inflammation: Physiology
Pathological Systemic Inflammation: Diagnosis and Treatment
Wound Healing Disorders
THE PULMONARY SYSTEM
Introduction
Lung Volume
Pulmonary Monitoring
Drug Therapy
Lung Dysfunction
Mechanical Ventilation
Extracorporeal Pulmonary Support
THE RENAL SYSTEM
Basic Physiology
Monitoring of Renal Function
Drugs
Fluids and Electrolytes
Renal Failure and Selected Metabolic Disturbances
THE GASTROINTESTINAL/NUTRITIONAL SYSTEM
Basic Gastrointestinal Physiology
Gastrointestinal Monitoring
Gastrointestinal Medications
Gastrointestinal Dysfunction
Nutritional Physiology
Nutritional Therapy
THE CENTRAL NERVOUS SYSTEM
Introduction
Anatomy
Physiology
Physical Examination
Etiology of Coma
CNS Malfunction
THE INTEGUMENT/BURNS
Functions of the Skin
The Effects of Hypoperfusion on Burn Injury
The Effects of Inflammation on Burn Injury
Resuscitation
Inhalation Injury
Infection in Burn Patients
Nutritional Support
Muscle Injury with Burns
THE HEMATOPOIETIC SYSTEM
Normal Coagulation
Effects of Hypoperfusion on Coagulation
Effects of Inflammation on Coagulation
Disorders of Coagulation
Massive Transfusion
Hypothermia
Transfusion of Blood Products
INTENSIVE CARE UNIT INFECTIOUS DISEASE
Introduction and Epidemiology
Intravascular Catheter Infection
Opportunistic Infection in the ICU
Antibiotics
SYNOPSIS
BIBLIOGRAPHY
INDEX
