Algorithms in Critical Care Medicine
Will be published approx. on 20. January 2025
Book
Paperback/Softback
572 pages
978-93-6616-199-0 (ISBN)
Description
Emergency clinical medicine and intensive care are areas where complex conditions present with overlapping clinical manifestations. Symptoms of several life-threatening conditions are often similar, while the therapeutic options are diametrically opposite. Understanding the variability is crucial for quick initiation of appropriate therapy at the right time.
In medical emergencies, an algorithmic approach to investigations, differential diagnosis and treatment is often adopted. It is regularly the case that the endpoint of one algorithm results in clinical conditions which themselves need another algorithmic approach. Subsequently, there is a need for all algorithms to end seamlessly and lead to destination algorithms.
This book seeks to fill the gap that exists in providing seamless algorithms. Its algorithms begin with a syndromic approach, and lead to disease specific algorithms.
These algorithms have been curated and edited by senior practitioners in intensive care who, with their years of teaching and work experience, have translated clinical science into a practical framework.
This collection of algorithms will be of help in emergency rooms, high-dependency units, and intensive care units, as well as any location or facility where patients with acute presentations are cared for.
In medical emergencies, an algorithmic approach to investigations, differential diagnosis and treatment is often adopted. It is regularly the case that the endpoint of one algorithm results in clinical conditions which themselves need another algorithmic approach. Subsequently, there is a need for all algorithms to end seamlessly and lead to destination algorithms.
This book seeks to fill the gap that exists in providing seamless algorithms. Its algorithms begin with a syndromic approach, and lead to disease specific algorithms.
These algorithms have been curated and edited by senior practitioners in intensive care who, with their years of teaching and work experience, have translated clinical science into a practical framework.
This collection of algorithms will be of help in emergency rooms, high-dependency units, and intensive care units, as well as any location or facility where patients with acute presentations are cared for.
More details
Language
English
Place of publication
New Delhi
India
Target group
Professional and scholarly
Dimensions
Height: 271 mm
Width: 210 mm
Thickness: 20 mm
Weight
1300 gr
ISBN-13
978-93-6616-199-0 (9789366161990)
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 Classification
Persons
Srinivas Samavedam MD DNB FRCP FNB EDIC FICCM DMLE MBA
Chief Intensivist, Department of Critical Care, Ramdev Rao Hospital, Hyderabad, Telangana, India; Associate Editor, IJCCM
Ganshyam M Jagathkar MBBS MD FNB FICCM MBA
Director, Department of Critical Care, Medicover Hospitals, Hyderabad, Telangana, India
Chief Intensivist, Department of Critical Care, Ramdev Rao Hospital, Hyderabad, Telangana, India; Associate Editor, IJCCM
Ganshyam M Jagathkar MBBS MD FNB FICCM MBA
Director, Department of Critical Care, Medicover Hospitals, Hyderabad, Telangana, India
Content
SECTION 1: SYNDROMIC APPROACH
1. Hypoxia
2. Shock
3. Chest Pain
4. Shortness of Breath
5. Oliguria
6. Rhabdomyolysis
7. DIC
8. Altered Sensorium
9. Anaphylaxis
SECTION 2: SYSTEMWISE APPROACH
PART 1: RESPIRATORY
10. Type 2 Respiratory Failure
11. Pneumothorax
12. Acute Exacerbation of Asthma
13. Acute Exacerbation of Chronic Obstructive Pulmonary Disease.
14. Acute Respiratory Distress Syndrome
15. Severe Community-acquired Pneumonia
16. Bronchopleural Fistula
17. Weaning
18. Ventilator-associated Pneumonia/Hospital-acquired Pneumonia/ Healthcare-associated Pneumonia
19. Massive Hemoptysis
20. Pneumonia in an Immunocompromised Host
21. Pleural Effusions in Intensive Care Unit
22. Algorithm for Dyspnea in ER: USG-based Approach
PART 2: CARDIOVASCULAR/HEMODYNAMICS
23. ST-segment Elevation Myocardial Infarction
24. Non-ST-segment Elevation Myocardial Infarction
25. Algorithm for Acute Coronary Syndrome Evaluation and Unstable Angina
26. New-onset Atrial Fibrillation
27. New-onset Ventricular Arrhythmia
28. Symptomatic Bradyarrhythmias
29. Cardiac Tamponade
30. Pulmonary Thromboembolism
31. Cardiogenic Shock
32. Sudden Cardiac Death
33. Pulmonary Hypertension
34. Cardiac Failure
35. Right Heart Failure
36. Native Valve Infective Endocarditis
37. Prosthetic Valve Endocarditis
38. Hypertensive Crisis
39. Aortic Dissection
40. Acute Cardiogenic Pulmonary Edema
PART 3: CNS
41. Ischemic Stroke
42. Hemorrhagic Stroke
43. Subarachnoid Hemorrhage
44. Management of Severe and Non-severe Traumatic Brain Injury
45. Traumatic Spinal Cord Injury
46. Acute Flaccid Paresis
47. Acute Inflammatory Demyelinating Polyneuropathy
48. Myasthenia Gravis
49. Status Epilepticus and Super-refractory Status Epilepticus
50. Delirium in Intensive Care Unit
51. Community-acquired Meningitis
52. Nosocomial Meningitis
53. Neurogenic Shock
54. New-onset Weakness in the Intensive Care Unit
55. Cerebral Venous Thrombosis
PART 4: GASTROENTEROLOGY/HEPATOLOGY
56. Massive Upper Gastrointestinal Bleed
57. Acute Severe Pancreatitis
58. Dysmotile Gut in Critical Care Settings
59. Enteral and Parenteral Nutritional Support in Intensive Care Unit
60. Total Parenteral Nutrition
61. Fulminant Hepatic Failure
62. Enteral Nutrition
63. Decompensated Cirrhosis Management
64. Drug-induced Liver Injury
65. Spontaneous Bacterial Peritonitis
66. Diarrhea in Intensive Care Unit
67. Lower Gastrointestinal Bleeding
PART 5: RENAL
68. Acute Kidney Injury
69. Acute-on-chronic kidney disease
70.Pyelonephritis
71. Urinary Tract Infection
72.Hematuria
73.Polyuria
PART 6: TRAUMA
74. Polytrauma
75. Chest Trauma
76. Penetrating Abdominal Trauma
77. Nonpenetrating Abdominal Trauma
78. Cervical Trauma
79. Pelvic Trauma
80. Vascular Injuries Management
81. Burns
82. Inhalational Injury
83. Drowning
84. Suicidal Hanging
PART 7: METABOLIC ISSUES
85. Hyponatremia
86. Hypernatremia
87. Hypokalemia
88. Hyperkalemia
89. Hypocalcemia
90. Hypercalcemia
91. Hypophosphatemia
92. Hypomagnesemia
93. Hypermagnesemia
94. Hyperammonemia
95. Hyperchloremia
96. Hypothermia
97. Hyperthermia
PART 8: ENDOCRINE
98. Diabetic Ketoacidosis Management Protocol
99. Hyperglycemic Hyperosmolar Nonketotic Syndrome
100. Myxedema Coma
101. Thyrotoxicosis.
102. Adrenal Insufficiency
PART 9: BLOOD GAS ANALYSIS
103. Arterial Blood Gas
104. Metabolic Alkalosis
105. Respiratory Acidosis
106. Respiratory Alkalosis
PART 10: TOXICOLOGY
107. Approach to Unknown Poisoning
108. Organophosphorus (OP) Poisoning
109. Hair Dye Poisoning: Super Vasmol Overdose
110. Zinc or Aluminum Phosphide Poisoning
111. Corrosive Poisoning
112. Calcium Channel Blocker/Beta-blocker Toxicity
113. Snake Envenomation
114. Paracetamol Poisoning
115. Paraquat Poisoning
116. Recreational Drug Overdose
PART 11: SKIN AND SOFT TISSUE
117. Lupus Flare
118. Catastrophic Antiphospholipid Syndrome
119. TTP/HUS/MAHA
120. Stevens-Johnson Syndrome: Toxic Epidermal Necrolysis
121. Necrotizing Fasciitis
122. Generalized Rash and Purpura in Intensive Care Unit
PART 12: HEMATOLOGY
123. Pancytopenia
124. Hemophagocytic Lymphohistiocytosis
125. Thrombocytopenia
126. Anemia
127. Deranged Prothrombin Time/Activated Partial Thromboplastin Time
128. Hemolytic Crisis
129. Tumor Lysis Syndrome
130. Mismatched Blood Transfusion
PART 13: INFECTIONS
131. Approach to a Patient with Fever and Thrombocytopenia
132. Fever with Jaundice
133. Fever in an Immunocompromised Host
134. Patient with Fever and Rash in the ICU
135. Fever with Altered Sensorium
136. Fever of Unknown Origin in Neutropenia
137. Pyrexia of Unknown Origin
138. MDR/XDR Infections
139. Septic Shock
140. New-onset Fever in Intensive Care Unit
PART 14: AIRWAY
141. Post-extubation Stridor
142. Difficult Airway Management
143. Emergency Airway Access
PART 15: OBSTETRICS
144. Jaundice in Pregnancy
145. Thrombocytopenia in Pregnancy
146. Hypertension in Pregnancy
147. Trauma Management of Pregnant Patient
148. Shock during Pregnancy
149. Cardiac Arrest in Pregnancy
150. Ovarian Hyperstimulation Syndrome
151. Pregnancy-related Acute Kidney Injury
152. Peripartum Cardiomyopathy
153. Postpartum Hemorrhage
PART 16: CHECKLISTS
154. Intra-hospital Transport of Critically Ill
155. Intubation
156. Extubation
157. Bedside Percutaneous Tracheostomy
158. Intercostal Drainage
159. Proning
160. Central Venous Line Cannulation
161. Arterial Cannulation
162. Brain Death Declaration
163. Ends-of-Life
164. Venovenous Extracorporeal Membrane Oxygenation
165. High Peak Pressure on Ventilator
166. Low Minute Ventilation
167. High Membrane Pressure on RRT
1. Hypoxia
2. Shock
3. Chest Pain
4. Shortness of Breath
5. Oliguria
6. Rhabdomyolysis
7. DIC
8. Altered Sensorium
9. Anaphylaxis
SECTION 2: SYSTEMWISE APPROACH
PART 1: RESPIRATORY
10. Type 2 Respiratory Failure
11. Pneumothorax
12. Acute Exacerbation of Asthma
13. Acute Exacerbation of Chronic Obstructive Pulmonary Disease.
14. Acute Respiratory Distress Syndrome
15. Severe Community-acquired Pneumonia
16. Bronchopleural Fistula
17. Weaning
18. Ventilator-associated Pneumonia/Hospital-acquired Pneumonia/ Healthcare-associated Pneumonia
19. Massive Hemoptysis
20. Pneumonia in an Immunocompromised Host
21. Pleural Effusions in Intensive Care Unit
22. Algorithm for Dyspnea in ER: USG-based Approach
PART 2: CARDIOVASCULAR/HEMODYNAMICS
23. ST-segment Elevation Myocardial Infarction
24. Non-ST-segment Elevation Myocardial Infarction
25. Algorithm for Acute Coronary Syndrome Evaluation and Unstable Angina
26. New-onset Atrial Fibrillation
27. New-onset Ventricular Arrhythmia
28. Symptomatic Bradyarrhythmias
29. Cardiac Tamponade
30. Pulmonary Thromboembolism
31. Cardiogenic Shock
32. Sudden Cardiac Death
33. Pulmonary Hypertension
34. Cardiac Failure
35. Right Heart Failure
36. Native Valve Infective Endocarditis
37. Prosthetic Valve Endocarditis
38. Hypertensive Crisis
39. Aortic Dissection
40. Acute Cardiogenic Pulmonary Edema
PART 3: CNS
41. Ischemic Stroke
42. Hemorrhagic Stroke
43. Subarachnoid Hemorrhage
44. Management of Severe and Non-severe Traumatic Brain Injury
45. Traumatic Spinal Cord Injury
46. Acute Flaccid Paresis
47. Acute Inflammatory Demyelinating Polyneuropathy
48. Myasthenia Gravis
49. Status Epilepticus and Super-refractory Status Epilepticus
50. Delirium in Intensive Care Unit
51. Community-acquired Meningitis
52. Nosocomial Meningitis
53. Neurogenic Shock
54. New-onset Weakness in the Intensive Care Unit
55. Cerebral Venous Thrombosis
PART 4: GASTROENTEROLOGY/HEPATOLOGY
56. Massive Upper Gastrointestinal Bleed
57. Acute Severe Pancreatitis
58. Dysmotile Gut in Critical Care Settings
59. Enteral and Parenteral Nutritional Support in Intensive Care Unit
60. Total Parenteral Nutrition
61. Fulminant Hepatic Failure
62. Enteral Nutrition
63. Decompensated Cirrhosis Management
64. Drug-induced Liver Injury
65. Spontaneous Bacterial Peritonitis
66. Diarrhea in Intensive Care Unit
67. Lower Gastrointestinal Bleeding
PART 5: RENAL
68. Acute Kidney Injury
69. Acute-on-chronic kidney disease
70.Pyelonephritis
71. Urinary Tract Infection
72.Hematuria
73.Polyuria
PART 6: TRAUMA
74. Polytrauma
75. Chest Trauma
76. Penetrating Abdominal Trauma
77. Nonpenetrating Abdominal Trauma
78. Cervical Trauma
79. Pelvic Trauma
80. Vascular Injuries Management
81. Burns
82. Inhalational Injury
83. Drowning
84. Suicidal Hanging
PART 7: METABOLIC ISSUES
85. Hyponatremia
86. Hypernatremia
87. Hypokalemia
88. Hyperkalemia
89. Hypocalcemia
90. Hypercalcemia
91. Hypophosphatemia
92. Hypomagnesemia
93. Hypermagnesemia
94. Hyperammonemia
95. Hyperchloremia
96. Hypothermia
97. Hyperthermia
PART 8: ENDOCRINE
98. Diabetic Ketoacidosis Management Protocol
99. Hyperglycemic Hyperosmolar Nonketotic Syndrome
100. Myxedema Coma
101. Thyrotoxicosis.
102. Adrenal Insufficiency
PART 9: BLOOD GAS ANALYSIS
103. Arterial Blood Gas
104. Metabolic Alkalosis
105. Respiratory Acidosis
106. Respiratory Alkalosis
PART 10: TOXICOLOGY
107. Approach to Unknown Poisoning
108. Organophosphorus (OP) Poisoning
109. Hair Dye Poisoning: Super Vasmol Overdose
110. Zinc or Aluminum Phosphide Poisoning
111. Corrosive Poisoning
112. Calcium Channel Blocker/Beta-blocker Toxicity
113. Snake Envenomation
114. Paracetamol Poisoning
115. Paraquat Poisoning
116. Recreational Drug Overdose
PART 11: SKIN AND SOFT TISSUE
117. Lupus Flare
118. Catastrophic Antiphospholipid Syndrome
119. TTP/HUS/MAHA
120. Stevens-Johnson Syndrome: Toxic Epidermal Necrolysis
121. Necrotizing Fasciitis
122. Generalized Rash and Purpura in Intensive Care Unit
PART 12: HEMATOLOGY
123. Pancytopenia
124. Hemophagocytic Lymphohistiocytosis
125. Thrombocytopenia
126. Anemia
127. Deranged Prothrombin Time/Activated Partial Thromboplastin Time
128. Hemolytic Crisis
129. Tumor Lysis Syndrome
130. Mismatched Blood Transfusion
PART 13: INFECTIONS
131. Approach to a Patient with Fever and Thrombocytopenia
132. Fever with Jaundice
133. Fever in an Immunocompromised Host
134. Patient with Fever and Rash in the ICU
135. Fever with Altered Sensorium
136. Fever of Unknown Origin in Neutropenia
137. Pyrexia of Unknown Origin
138. MDR/XDR Infections
139. Septic Shock
140. New-onset Fever in Intensive Care Unit
PART 14: AIRWAY
141. Post-extubation Stridor
142. Difficult Airway Management
143. Emergency Airway Access
PART 15: OBSTETRICS
144. Jaundice in Pregnancy
145. Thrombocytopenia in Pregnancy
146. Hypertension in Pregnancy
147. Trauma Management of Pregnant Patient
148. Shock during Pregnancy
149. Cardiac Arrest in Pregnancy
150. Ovarian Hyperstimulation Syndrome
151. Pregnancy-related Acute Kidney Injury
152. Peripartum Cardiomyopathy
153. Postpartum Hemorrhage
PART 16: CHECKLISTS
154. Intra-hospital Transport of Critically Ill
155. Intubation
156. Extubation
157. Bedside Percutaneous Tracheostomy
158. Intercostal Drainage
159. Proning
160. Central Venous Line Cannulation
161. Arterial Cannulation
162. Brain Death Declaration
163. Ends-of-Life
164. Venovenous Extracorporeal Membrane Oxygenation
165. High Peak Pressure on Ventilator
166. Low Minute Ventilation
167. High Membrane Pressure on RRT