Intensive care medicine Books

Book SynopsisThis book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide‐mémoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful companion.

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Book SynopsisThe objective structured clinical examination (OSCE) has become widely employed in intensive care medicine (ICM) exams such as the UK Final Fellowship of Intensive Care Medicine (FFICM), the European Diploma of Intensive Care (EDIC) exam, or the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM). This book is not only an essential tool for the rehearsal of OSCEs in preparation for these exams, but also for American and Indian exams, and any other exams within the field of intensive care medicine. The OSCE is a style of examination that requires the candidate to present specific information in a short space of time matched to a prescriptive mark scheme. This book allows candidates preparing for an ICM OSCE to format their knowledge for this type of examination whilst practising and rehearsing against time. The 60 OSCE stations provide a broad array of topics from past exams ranging across the training ICM curriculums. The mark schemes are presented in a short, punctuated form allowing the candidate access to important points, ideal at the sharp end of an exam campaign. The 5 sets of OSCE exams are designed to run as a set of 12. Each set will have an array of clinical scenarios requiring swift assessment, diagnosis, recommendations for investigations and management, whilst also exploring aspects of pathophysiology. There are a number of data‐interpretation tools that are incorporated into clinical scenarios as well as standalone stations for electrocardiogram and radiology analysis. This book is an important preparatory tool crucial to the armamentarium of any candidate preparing for an ICM exam.

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Book SynopsisChronic pain is a silent epidemic -- it is estimated to affect 20-30% of the population. A good understanding of the disease, diagnosis and management are imperative in providing patient-centred care. A broad range of practitioners will frequently encounter patients with chronic pain. This book covers important topics in chronic pain relevant to many clinicians including, but not limited to, anaesthetists, intensive care professionals, surgical and nursing staff, junior doctors, operating department practitioners, general practitioners and medical students. It makes essential reading for healthcare workers and is also an invaluable first reference for physiotherapists, healthcare managers, psychologists and researchers with a need for an overview of the key aspects of this topic. This book will not only be an invaluable resource for trainee anaesthetists but also for practising anaesthetists with an interest in teaching the basics of chronic pain; it is also a succinct aid for clinical practice. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool. Subjects discussed range from the comprehensive assessment of chronic pain to the multimodal management of chronic pain. It is written in a simple and consistent style that can be easily understood and applied to day-to-day clinical practice. This material will be an important tool for professional exams. It is an ideal companion for candidates who are preparing for their final exams that include the topic of chronic pain and will help to assess their preparation and guide appropriate revision. Questions on chronic pain appear in written and structured oral examinations. This book will be handy for candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), The College of Anaesthesiologists of Ireland (FCAI), the European Society of Anaesthesiology (EDAIC), the European Society of Intensive Care Medicine (EDIC), the Australian and New Zealand College of Anaesthetists (FANZCA), the National Board of Examinations of India (Dip NB), and the American and Canadian board exams, as well as other competitive exams across the globe. Candidates appearing for advanced pain examinations will find this book useful to refresh their knowledge on pain medicine. The authors are consultants in pain medicine with clinical and teaching experience in university hospitals across the UK. They regularly conduct successful pain education courses which consistently attract good feedback. They conduct regular final FRCA and FFPMRCA exam courses attended by candidates from all over the country.

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Book SynopsisPoint-of-care ultrasound has become a vital part of patient assessment in critical care units across the world. Its diagnostic sensitivity and specificity allow clinicians to accurately examine all major organ systems within a matter of minutes. This book provides readers with a comprehensive, accurate and up-to-date practical guide to the use of POCUS in critical care, and features: detailed descriptions of how to perform a multi-system POCUS examination and its advantages over traditional techniques practical details of how to use POCUS in the assessment of shock, trauma and cardiac arrest contributions from leading POCUS specialists accreditation pathways hundreds of images The book is accompanied by an additional image and video clip library which will help readers better understand ultrasound and incorporate it into their daily practice. Point-of-Care Ultrasound in Critical Care is an essential handbook for clinicians working in critical care and anaesthesia. This book is also useful for those working in emergency medicine, internal medicine, surgery, and pre-hospital medicine. With POCUS likely to become a core competency in intensive care medicine over the coming years, this book is the perfect handbook for trainees.Trade Review"With POCUS likely to become a core competency in ICM in the coming years, choosing a practical and easily accessible text is important. This book is comprehensive but accessible, and it is clear the authors have tried hard to make it un-intimidating. I think they have succeeded! There are a great many of us who are unsure where to start with POCUS – FUSIC is a well-known, beautifully packaged programme for most. This book is small enough to put in your bag and will undoubtedly help you improve your practice, even if a mentor is not around. The author list is a veritable rogues gallery of ultrascoundrels. Names such as Marcus Peck and Ashley Miller (co-chairs of the FUSIC committee) and Manni Waraich (neuro POCUS guru) reassure the reader that this is an absolute treasure trove of expert knowledge (in fact, many of the FUSIC committee are included in the list). There are over 40 contributors listed, each one bringing a career’s worth of expertise. A highly useful book which has something for everyone, from beginner to advanced. One of the most comprehensive guides to all elements of critical care POCUS.... Even though there is a wealth of online material covering POCUS, sometimes there’s nothing like a book to refer to. I expect this will be a regular in my work bag." CriticalCareNorthampton.com'Point-of-Care Ultrasound in Critical Care is a delightful review of the constantly evolving realm of point-of-care ultrasound, or POCUS, as it has been colloquially referred. With over 41 contributors, 28 chapters, and 350 pages, the book covers a variety of important point-of-care topics, with early chapters dedicated to the familiar examinations, including echocardiography and lung, abdominal, and vascular ultrasound. These topics are broken into multiple chapters, with early chapters dedicated to view acquisition and later chapters dedicated to assessment and clinical judgement of normal physiology and pathology. As one of the first attempts to encompass a young and everexpanding field, Point-of-Care Ultrasound in Critical Care is an excellent guide to the discipline. For readers across all specialties and experiences, this book will provide a thorough but unintimidating approach to a skillset that will continue to guide the practice of medicine in years to come.' British Journal of Anaesthesia 17/1/2023A must buy for ICU POCUS enthusiasts 'An excellent book with chapters from some of the best sonographers around. Something for beginners and experts and a great collection of images and video clips. Would highly recommend!' Amazon review 'Such a great book. Can’t wait to try out my new POCUS knowledge on the ward! An essential for all medical libraries.' Amazon reviewState of the Art 'The most current literature in this field. I recommend it to everyone working in this field. Even an experienced sonographer will get some pearls for clinical practice.' Amazon review Useful for my ITU rotation ‘Very useful for applying USS skills in Critical Care.' Amazon reviewer If, like me, you are yet to fully master your ultrasound skills, then ‘Point of Care Ultrasound in Critical Care’ edited by Flower and Madhivathan is worth your precious time and cash. Kudos to these editors, and to each of contributing ultrasound gurus: they have ably summarized what ‘luddites’, like me, need…. If your ultrasound skills can be described with the same words that a Francophone colleague used to summarize my French language skills – namely ‘enthusiastic but modest’ – then you are, like me, this book’s target audience. I can happily report that I am now, if not ultrasound fluent, then at least more able to get around… The authors and publishers deserve further kudos because this 28-chapter book is Goldilocks-long (340 pages), and affordably priced... -- Peter Brindley * Journal of Intensive Care Society *Table of ContentsAn introduction to ultrasound 1. The evolution of critical care ultrasound – Luke Flower & Pradeep Madhivathanan 2. Basic ultrasound physics – Abhishek Jha & Pablo Rojas Zamora 3. Image optimization and artefacts – Elliot Smith Echocardiography 4. Focused versus advanced echocardiography – Angus McKnight & Stuart Gillon 5. Fundamentals of transthoracic echocardiography – Richard Fisher 6. Fundamentals of transoesophageal echocardiography – Dan Aston 7. Assessment of the left heart – Filippo Sanfilippo, Luigi La Via & Gianluca Paternoster 8. Assessment of the right heart – Sam Clark 9. Focused valvular assessment – Tim Keady & Sam Clark 10. Assessment of the pericardium and pericardiocentesis – Alejandra Ceballos, Julian Rios Rios & Pradeep Madhivathanan Lung ultrasound 11. Fundamentals of point-of-care lung ultrasound – Hatem Soliman-Aboumarie & Luna Gargani 12. Lung and pleural pathology – Ashley Miller, Marcus Peck & Jonny Wilkinson 13. Ultrasound-guided thoracentesis – Chuen Khaw, Luke Flower & Jim Buckley Abdominal ultrasound 14. Basic hepatic and biliary ultrasound – Jonny Wilkinson, Marcus Peck & Ashley Miller 15. Ultrasound assessment of the renal tract and bladder – Maryam Khosravi 16. Ultrasound-guided abdominal paracentesis – Charlotte Hateley & Arun Sivananthan Vascular ultrasound 17. Basic aortic ultrasound – Jonny Wilkinson, Marcus Peck & Ashley Miller 18. Deep vein thrombosis scanning in critical care – Rosie Baruah, David Hall & Colum O’Hare 19. Ultrasound-guided venous access – Zdenek Bares Neurological ultrasound 20. Transcranial Doppler and optic nerve sheath diameter – Manni Waraich 21. Ultrasound-guided spinal procedures – John Dick & Kay Mak Airway ultrasound 22. Ultrasound to confirm airway placement and guide percutaneous dilatational tracheostomy – Adrian Wong Situational ultrasound 23. POCUS in the assessment of shock – Ashraf Roshdy 24. POCUS assessment of fluid status – Olusegun Olusanya & Ashley Miller 25. POCUS in trauma – Dipak Mistry 26. POCUS in cardiac arrest – Luke Flower & Pradeep Madhivathanan 27. POCUS in intensive care unit acquired weakness – Sunil Patel & Zudin Puthucheary Ultrasound education 28. Ultrasound education in critical care – Jonathan Aron & Sarah Morton Index

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Book SynopsisAn intensive-care doctor reveals the long-term problems caused by ICUs, and how these can be prevented. Thousands of people are admitted to intensive-care units (ICUs) every day, and this is only increasing with the Covid-19 pandemic. Most of these admissions will be sudden, unexpected, and harrowing — an experience that can alter patients and their families in physical, emotional, and spiritual ways, with effects that endure for years. But there is hope. Dr Ely is a leading ICU doctor. His unconventional methods minimise patients being harmed by the cutting-edge technologies that are saving their lives; post–intensive care syndrome (PICS) is a well-established complication that millions of ICU survivors battle, which Dr Ely aims to eradicate. His cutting-edge studies have convinced doctors around the world to change their ICU practices for the better. Through captivating stories, Dr Ely shows how he and colleagues from around the world have re-introduced humanity into the ICU, creating pathways that bring hope and healing to healthcare. This is the future of medicine, and is a must-read for healthcare professionals, patients, and their families.Trade Review‘A stunning, heartbreaking, and hopeful book, expressing Dr Ely's profound union of compassion and medical skill. Given that most of us will stay in an ICU, attend a loved one there, or even die in one, I hope that many readers demand treatment according to the humane practices Dr Ely has pioneered. I equally hope that every critical-care doctor and hospital administrator reads this beautiful book, puts its protocols into practice, and makes their ICUs more humane and medically effective.’ -- Katy Butler, author of Knocking on Heaven’s Door‘Every Deep-Drawn Breath is an enthralling journey through the ongoing evolution of critical care. In this richly illustrated book, with stories of people who teetered on the edge of death and survived to find their lives forever changed, Dr Ely, a thought leader in his field, reveals hard lessons he’s learned, innovations he’s led, and his compelling, bright vision for the future of medicine.’ -- Dr Ira Byock, active emeritus professor at Dartmouth Geisel School of Medicine, author of Dying Well and The Best Care Possible, founder and chief medical officer of the Institute for Human Caring‘Through rich and remarkable accounts of caring for patients in the ICU, Dr Wes Ely places the humanistic mission of medicine front and centre, where it belongs, in this outstanding book.’ -- Dr Eric Topol, professor at Scripps Research, author of Deep Medicine‘A remarkable book from a legendary physician. Dr Ely revolutionised critical care and now, through stories that are intimate, honest, and brave, he reveals the failings and the great promise of the field. This could not be more timely — in the wake of a pandemic that challenged the humanity of our profession, Ely shows us the road forward. A must read.’ -- Dr Daniela Lamas, author of You Can Stop Humming Now: a doctor’s stories of life, death, and in between‘Every Deep-Drawn Breath is a beautiful, honest gem. If you’re interested in the wild world of the ICU, in the interface between nature and human nature, in how medicine (at its best) learns from good intentions gone awry, in the difference between in vitro and in vivo, or in how a good doctor becomes great, here is the book for you. I’m grateful to Dr Ely for his candour and his storytelling.’ -- Dr B. J. Miller, author of A Beginner’s Guide to the End‘Thanks to Dr Wes Ely and his colleagues, help is on the way for ICU patients, as well as the healthcare professionals who care for them. Every Deep-Drawn Breath is a must read for anyone who may someday be impacted by an ICU, which means all of us.’ -- Dr Jessica Zitter, MPH, author of Extreme Measures‘The ICU is an important, mysterious character in the story of modern medicine, and Every Deep-Drawn Breath is its deeply felt, thoroughly researched biography. With compassion, grit, and grace, Dr Ely takes us into this liminal space and shows us, through the stories of his patients and his life, what it means to mobilise technology to save lives while also confronting the unintended pain and suffering that ICU care can inflict. This book illuminates the humanism, heroism, and humility required to stand with people at life’s edge, and reminds us to seek meaning and purpose in the life we have, a life sustained by each breath we take.’ -- Dr Sunita Puri, author of That Good Night: life and medicine in the eleventh hour‘In this fascinating and eye-opening book, Wes Ely makes the radical argument that we should be helping critically ill patients stay awake and engaged, not routinely sedating them into unconsciousness. Combining dogged research, intense reflection, and page-turning stories, Dr Ely reminds us that we have to treat the patient, not just the disease.’ -- Dr Danielle Ofri, PhD, Clinical Professor of Medicine at NYU School of Medicine, and author of When We Do Harm‘With the storytelling sensibilities of Oliver Sacks and the surgical precision of Atul Gawande, Dr Wes Ely has given us an unforgettable journey of patients and doctors travelling in the disorienting world of intensive care, ultimately leading toward redemption for Dr Ely himself. Required reading for all mortals. If you liked When Breath Becomes Air, you will love this book.’ -- Dr Angelo Volandes, author of The Conversation: a revolutionary plan for end-of-life care‘A treasure trove of hard-won wisdom. Reading Every Deep-Drawn Breath is like getting a backstage pass to the cloistered world of medical science. A gifted storyteller, Wes Ely brings his humanity to every moment, inspiring us to re-examine our own beliefs and re-imagine what is possible. He has seamlessly woven together the private stories behind the very public successes and failures of our well-intentioned ICU care. Illuminating and generous, he revisits with humility the pivotal moments of his career in this wise gift of a book.’ -- Dr Rana Awdish, author of In Shock: my journey from death to recovery and the redemptive power of hope‘Every Deep Drawn Breath deserves a wide and deep readership … it summons physicians to seek relief for their patients’ endemic suffering, but not by standard yet short-sighted procedures that ignore post-ICU torment. On the contrary, doctors must humbly recognise their own limits, indeed their inevitable mistakes. Precisely and ever so admirably, this is what Wes Ely has done.’ -- Ralph C. Wood, Emeritus Professor of Theology and Literature at Baylor University‘Ely, a critical care doctor, debuts with a remarkable look at transformations in ICU care … This humble — and humbling — look at the limits and potential of medicine will stick with readers.’ * Publishers Weekly, starred review *‘In this dynamic, often touching debut, the author chronicles a personal, passionate return to the ethical heart of the Hippocratic oath. In addition to a timeline of the ICU and its history of medical innovations, Ely details a succession of individual bedside narratives … The author effectively illuminates the daily pressures placed on caregivers … Ely also provides a thoughtful exploration of the ICU treatment culture of sedation and immobilisation, and analyses how it can be recentred around a core value of “humanity in doctoring” … As Ely conveys through anecdotes and experience, physicians can maximise their knowledge by focusing on, listening to, and learning from their patients. Meaningful, thought-provoking insight into the world of critical care.’ * Kirkus Reviews *‘An intensely emotive journey through the science and history of the intensive care unit … Every Deep-Drawn Breath is a paragon of humanity that will have lasting positive effects.’ * The Lancet *‘[A] powerful new book … provides true insight into what can be accomplished with humility, perseverance, dedication and above all else, love.’ * Intima: a journal of narrative medicine *‘Timely.’ * St. Louis Post-Dispatch *‘With its vivid observations and heartfelt tone, Every Deep-Drawn Breath is a joy to read. Ely’s passion for his patients leaps from the pages, inspiring readers to channel Ely’s humility and love for life to brighten the future of medicine, and mankind.’ * The Federalist *

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Book SynopsisPatients with difficult airways represent a clinical conundrum for anaesthetists. With a wide variety of presentations in both an elective and emergency setting, all anaesthetists need to be prepared to manage such a situation. This book consists of real-life clinical scenarios, describing how these were managed at the time and on reflection how their management could have been improved. Further discussion emphasises how any associated failures and complications could have been mitigated. Using a combination of up-to-date knowledge, advanced technology and clinical expertise, this book provides an invaluable resource for any specialist managing airways in a clinical environment. This book is an indispensable aide-mémoire for postgraduate doctors, physicians practising in the emergency department, intensive care specialists, anaesthesia associates and allied healthcare professionals in managing patients with a difficult airway.

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Book SynopsisScars and Stains takes readers into the world of intensive care, where split-second decisions and precise skills can forever impact the lives of patients and their families.

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Book Synopsis

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Book SynopsisLong recognized as the leading text in this dynamic field, Rogers’ Textbook of Pediatric Intensive Care provides comprehensive, clear explanations of both the principles underlying pediatric critical care disease and trauma as well as how these principles are applied. Led by Drs. Donald H. Shaffner, John J. McCloskey, Elizabeth A. Hunt, and Robert C. Tasker, along with a team of 27 section editors as well as more than 250 expert global contributors, the fully revised Sixth Edition brings you completely up to date on today’s understanding, treatments, technologies, and outcomes regarding critical illness in children. Contains 120 up-to-date chapters covering everything from hematologic/oncologic disorders to mass casualty incidents to PICU organization and physical design Keeps you current with the latest evidence and practices, including recent advances in electronic monitoring, education, and pandemic management Includes Key Points at the beginning of each chapter along with associated numbered margin icons throughout correlating pertinent sections so you can find what you need, quickly margin icons so you can find what you need quickly Features a vibrant, full-color layout that enhances visual appeal and makes the text easier to navigate Highlights best available evidence for each topic, helping you quickly locate and evaluate significant data Provides an online appendix, available via the eBook that accompanies this text, of critical care equations for quick reference of essential information Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

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Book SynopsisThis is a book for clinician educators. It offers modern, evidence-based practices to use in teaching learners at a range of levels, with an emphasis on concrete strategies that teachers can implement in their own clinical practices as well as in small and large group settings. Medical education is rapidly changing with emerging evidence on best practices and a proliferation of new technologies. As strategies for effectively teaching medical learners evolve, it is important to understand the implications for Pulmonary, Critical Care, and Sleep Medicine (PCCM). This text is structured to allow easy access to the reader. Chapters are organized around level of learner (e.g., medical student to PCCM fellow to practicing physicians) as well as the location of teaching. Given the variety of clinical settings in which PCCM physicians teach, specific consideration of best practices, broad changes in curricular design and pedagogy are considered in different clinical contexts. Each chapter begins with a focus on why the topic is important for clinician educators. A review of the available evidence and relevant medical education theory about the topic follows, with examples from specific studies that provide insight into best practices regarding the concepts and topics discussed in the chapter. For chapters focusing on learners, different environments are considered and similarly, if the focus is on the learning environment, attention is paid to the approach to different learners. Each chapter ends with a summary of the primary points from the chapter and concrete examples of how clinician teachers can put the concepts discussed in the chapter into practice. This is an ideal guide for educators in pulmonary, critical care, and sleep medicine. Trade Review“The entire book is well written and easy to read. The content is clearly outlined and logically arranged. The book very nicely illustrates medical education principles with clinical examples relevant to pulmonary and critical care medicine. … anesthesiologists involved in teaching or learning will welcome this book.” (Cynthia Szalai and Frank Herbstreit, Anesthesia & Analgesia, Vol. 131 (3), September, 2020)Table of ContentsIntroduction.- Section I: Teaching Different Levels of Learners.- Teaching Preclinical Medical Students.- Teaching Clinical Medical Students.- Teaching Residents.- Teaching Fellows.- Section II: Teaching in Different Settings.- Teaching in the Classroom: Large Groups.- Teaching in the Classroom: Small Groups.- Teaching at the Bedside.- Teaching in Clinic.- Teaching on the Wards.- Teaching in the ICU.- Section III: Unique Teaching Strategies.- Teaching Communication Skills.- Teaching with Simulation.- Procedural Teaching.- Distance and Web-Based Learning.- The Role of Feedback in Teaching.- Conclusion.

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Book SynopsisThe definitive treatment on the medical evacuation and management of injured patients in both peace- and wartime. Edited by eminent experts in the field, this text brings together medical specialists from all four branches of the armed services. It discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail, including such general surgical casualties as abdominal wounds and soft tissue, vascular, maxillofacial, head and spinal cord injuries, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and more. Over 80 illustrations provide a review of transport equipment and both medical and surgical treatment. A must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health service physicians.Table of ContentsIntroduction.- Aeromedical Evacuation: A Historical Perspective.- Military Casualty Evacuation: MEDEVAC.- Civilian Air Medical Transport.- Aircraft Considerations for Aeromedical Evacuation.- Preparation for Long-Distance Aeromedical Evacuation.- Aeromedical Patient Staging.- Military Aeromedical Evacuation Nursing.- Critical-Care Air Transport: Patient Flight Physiology and Organizational Considerations.- Aeromedical Evacuation of Patients with Abdominal, Genitourinary, and Soft Tissue Injuries.- Orthopedic Patients.- Aeromedical Evacuation of the Neurosurgical Patient.- Otorhinolaryngology Head and Neck Surgery Patients.- Care of Ophthalmic Casualties.- Peripheral Vascular Casualties.- Aeromedical Evacuation of Cardiothoracic Casualties.- Burn Casualties.- Patients Requiring Mechanical Ventilation.- Medical Casualties.- Aeromedical Evacuation of Patients with Contagious Infections.- Aeromedical Evacuation of Obstetric and Gynecological Patients.- Overview of Pediatric and Neonatal Transport.- Aeromedical Evacuation of Psychiatric Casualties.

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Book SynopsisThis comprehensive third edition provides robust support to clinicians providing perioperative care for patients. Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This book offers evidence and experience-based information, advice, and guidelines on all aspects of perioperative medicine. Care around surgeries in many major clinical areas are included, including cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and so on. This new edition has been updated throughout with the latest literature, more visual content (tables and algorithms), and eleven new chapters on topics such as: chronic pain, congestive heart failure, hormone therapy and transgender patients, and postoperative hypoxemia. This new edition focuses on high value care in order to improve outcomes, including minimizing complications and readmissions. It also provides streamlined key points for caring for patients with medical diagnoses that may be especially complicated around surgery. This resource is invaluable for practicing physicians (including medical consultants, surgeons, and anesthesiologists) and other professionals who aim to optimize care of surgical patients.Trade ReviewTable of ContentsIntroduction.- The Preoperative Evaluation.- Perioperative Medication Management.- Anesthesia Fundamentals.- Cardiovascular Risk Stratification.- Ischemic Heart Disease.- Congestive Heart Failure.- Atrial Fibrillation.- Hypertension.- Valvular Heart Disease.- Implantable Cardiac Devices.- Diabetes.- Stress Dose Steroids.- Thyroid Disease.- Hormone Therapy and Transgender Patients.- Liver Disease.- Inflammatory Bowel Disease.- Chronic Anticoagulation.- Disorders of Hemostasis.- Thrombophilias.- Thrombocytopenia.- Anemia.- Sickle Cell Disease.- Venous Thromboembolic Disease.- Cerebrovascular Disease.- Epilepsy and Seizure Disorders.- Parkinson’s Disease.- Spinal Cord Injury.- Chronic Pain.- Pulmonary Risk Assessment and Management.- Asthma and COPD.- Obstructive Sleep Apnea / Obesity Hypoventilation Syndrome.- Pulmonary Hypertension.- Special Topics in Lung Disease: Restrictive, Myesthenia Gravis.- Chronic Kidney Disease.- Acute Kidney Injury.- Rheumatoid Arthritis.- Systemic Lupus Erythematosus.- Gout and Pseudogout.- Decision-Making Capacity.- Elderly Patients and Frailty.- Nutrition.- Patients with Solid Organ Transplant.- Substance Use and Dependence.- Postoperative Evaluation and Care.- Postoperative Fever.- Postoperative Delirium.- Postoperative Ileus.- Postoperative Hypoxemia.- Postoperative Tachycardia.- Postoperative Emergencies.- Postoperative Electrolyte Abnormalities.- Acute Pain Management Pearls.- Surgical Procedures Overview.

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Book SynopsisThis comprehensive book provides an in-depth examination of a broad range of procedures that benefit from ultrasound guidance in the point-of-care setting. It covers common procedures such as ultrasound-guided central and peripheral venous access to regional nerve blocks, temporary pacemaker placement, joint aspirations, percutaneous drainage, a variety of injections and airway management. Chapters examine a variety of topics critical to successful ultrasound procedures, including relevant sonoantomy, necessary equipment, proper preparation, potential complications, existing evidence and how to integrate these procedures into clinical practice. For each procedure, the book includes step-by-step instructions and discusses the advantages of ultrasound guidance over traditional techniques. Providing rich procedural detail to help in clinical decision making, The Ultimate Guide to Point-of-Care Ultrasound-Guided Procedures is an indispensable, go-to reference for all health care providers who work in a variety of clinical settings including primary care, emergency department, urgent care, intensive care units, pediatrics, pre-hospital settings and those who practice in the growing number of new ultrasound programs in these specialties. Trade ReviewTable of Contents1. Introduction.- 2. Physics of ultrasound.- 3. General principles of ultrasound guided procedures.- 4. Ultrasound procedural guidance safety considerations.- 5. Peripheral venous and arterial access.- 6. Central vascular access.- 7. Challenging vascular access procedural and procedure rescue.- 8. Joint aspiration.- 9. Therapeutic injections in the point of care setting.- 10. Upper extremity regional blocks for the point of care patient.- 11. Neck and torso regional blocks for the point of care patient.- 12. Lower extremity regional nerve blocks for the point of care patient.- 13. Integration of ultrasound guided procedures into clinical practice.- 14. Quality assurance and improvement.- 15. Documentation, coding and billing for ultrasound guided procedures.

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Book SynopsisThis book serves as the primary reference for precision medicine in the fields of pulmonary, critical care and sleep medicine by documenting principles written by experts in several aspects of precision medicine. It combines fundamental concepts of the field with state-of-the-art studies and how they translate into individual preventive, diagnostic and therapeutic plans. Precision medicine is focused on the integration of individual variability with disease prevention and treatment principles derived from population studies. This concept has risen to prominence in recent years in parallel with advances in genetics, molecular diagnostics and novel target-specific therapies. This fundamental shift in the approach to treatment has broad implications in how we prevent, diagnose and treat disease. Describing key concepts of precision medicine and relating these to pulmonary, critical care and sleep disorders is essential to educate relevant stakeholders and increase the impact of pulmonary precision medicine. The book is organized into seven sections: introduction; genetics; biomarkers; precise phenotyping; mobile health, wearables and telemedicine; precision therapeutics; and enabling widespread adoption of precision medicine. The chapters are organized with an introduction to the specific theme, followed by its basic concepts. They then delve into how these basic concepts relate to the larger theme of precision medicine, new precision medicine approaches to dealing with these problems, and key takeaway points. Liberally illustrated with images, figures, and tables, the text is thorough and intuitive for clinicians and researchers to learn the processes and applications of precision medicine. This is an ideal guide for clinicians to learn new precision medicine concepts in the fields of genetics, genomics, mobile health, and how they apply to their practice and their patients, as well as researchers seeking a basic understanding of precision medicine to assist in designing future research studies. Table of ContentsIntroduction.- Differential Diagnosis of Diffuse Pulmonary Disorders Using Genetics.- Genetics and Pharmacogenetics of Asthma.- Genetics and Pharmacogenetics of COPD.- The Evolution of Precision Medicine in Cystic Fibrosis.- Genetics of Idiopathic Pulmonary Fibrosis.- Genetics of Lung Cancer.- Chest Imaging for Precision Medicine.- Biobanking for Pulmonary, Critical Care, and Sleep Medicine.- Biomarkers in Obstructive Airway Diseases.- Biomarkers in Interstitial Lung Diseases.- Molecular Diagnostics in Pulmonary Infections.- Biomarkers in Critical Care Illness: ARDS and Sepsis.- Lessons for Precision Medicine from Lung Cancer.- COPD Phenotyping.- Precision Medicine in Pulmonary Hypertension.- Identifying Subtypes of Obstructive Sleep Apnea.- Precision Medicine in Critical Illness: Sepsis and Acute Respiratory Distress Syndrome.- Mobile Applications and Wearables for Chronic Respiratory Diseases Monitoring.- Personal Environmental Monitoring.- Tele-ICU in Precision Medicine: It’s Not What You Do It’s How You Do It.- Lung Transplantation and Precision Medicine.- Precision in Mechanical Ventilation.- Precision Medicine for Cigarette Smoking Addiction.- Implementing COPD Precision Medicine in Clinical Practice .- Precision Medicine For All: Minority Health .- Education for the Practice of Precision Medicine in PCCSM: Creating Tomorrow’s Workforce.- Summary and Future Applications of Precision Medicine in Pulmonary, Critical Care and Sleep Medicine.

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Book SynopsisThis book offers valuable guidance to neurointensivists, other neurocritical care staff, and those desiring to develop a neurocritical care unit via a thorough discussion of neurological emergencies and neurocritical care unit organization.This comprehensive volume begins with a review of acute neurological emergencies as managed clinically in the neurocritical care unit. Topics include acute cerebrovascular, neurological, and neurosurgical disorders. The unique aspect of this book is its description of the organization of the neurocritical care unit. We focus on how other services in the hospital interact with and assist neurocritical care operations, telemedicine/telestroke, and neurocritical care personnel and their roles. A review of expected outcomes of neurocritical care conditions is also included.Neurointensivists, neurocritical care unit staff leadership, hospital administrators, and those interested in developing a neurocritical care unit will find Neurointensive Care Unit: Clinical Practice and Organization to be an invaluable guide.Trade Review“This book accomplishes a major feat in that it strives to deliver a high-quality neurocritical care textbook to a much larger audience than a traditional text would appeal to. ... it will appeal to intensivists and nonintensivists alike.” (Mark A. Burbridge, Anesthesia & Analgesia, Vol. 131 (5), November, 2020)Table of ContentsSection 1: Review of the Clinical Standards for Acute Neurological EmergenciesAcute Cerebrovascular Emergencies:• Ischemic stroke• Subarachnoid Hemorrhage• Intracranial hemorrhage• Cerebral venous thrombosisAcute Neurosurgical Emergencies:• TBI• Spinal Cord• Oncological Emergencies• Surgical Emergencies Acute Neurological Emergencies:• Status epilepticus• Infectious Encephalitis and Meningitis• Autoimmune Encephalitis• Neuromuscular disorders• Acute Causes of EncephalopathySection 2: Identified Systems of CareOutside Access Triage• Triage officer models• Telemedicine• Tertiary/specialty care requestsTriage within Institution• Operating room• Emergency department• Neurology and neurosurgery floors• Patients with acute neurological emergencies and other primary medical needs from other services Services Interacting with Neurocritical Care Unit• Neurology • Neurosurgery• Neurointerventional services• Emergency departmentNursing careSpecial services• Continuous EEG monitoring• Multimodality monitoring• Ultrasound-TCD and bedside• Cardiology• Infection control• Pharmacy• Neuroradiology• Airway management• Ethical and legal issuesExit Strategies• Patients who recover• Patient with partial recovery• Economics of neurocritical care units• Physician billing and RVUs• Economic impact of physician substitutes• Economic impact of house staff

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Book Synopsis"This book contains a collection of the most recent insights regarding maternal morbidity and mortality and optimization of the care processes during acute critical illness.The volume represents a practical resource to be used in real-time by medical practitioners faced with a woman who is critically ill during pregnancy and the peripartum period. By providing concise tools for disease identifiers and management flow-charts, the Editors aimed to increase awareness and improve processes of care for this population. Many care paradigms for obstetric patients are currently unstandardized, unfocused and often do not follow a pre-determined path.Each chapter will provide the practitioner with updated information on how to identify specific critical conditions and how to manage them once they have been identified, to enhance recognition and readiness. This book should be used as a resource to improve the quality of care administered to obstetric patients, to reduce fragmented care processes and to improve interdisciplinary co-ordination and communication, with the overall aim of decreasing maternal morbidity and mortality. Therefore, this book represents an invaluable guide to specialists in critical care, anesthesia and obstetrics as well as to intensive care nurses and midwives." Table of ContentsPart I. Epidemiology.- Preventable maternal deaths.- Identifying the critically ill parturient.- Maternal near miss.- Maternal ICU admission.- Part II. The coagulation system.- Physiology of hyper and hypocoagability during pregnancy.- Severe peripartum hemorrhage.- Fluid management.- Management and prevention of thromboticand embolic phenomena during pregnancy- DVT, AFE and PE.- Part III. The cardiovascular system.- Normal changes in cardiovascular physiology during pregnancy.- Exacerbation of pre-existing heart disease (valves, IHD).- Cardiomyopathy of pregnancy.- Pulmonary Hypertension.- POCUS - point of care ultrasound in critical illness.- ECMO.- Part IV. The immune system.- Physiological changes of the immune system during pregnancy.- Hypertension, eclampsia and pre-eclampsia.- Viral infections during pregnancy - HIV, Zika, H1N1, Dengue (including isolation and ICU management).- Infection during early pregnancy and septic abortions.- Infections in Late Pregnancy and Puerperium.- Part V. The respiratory system.- Physiological changes in the airway and the respiratory system .- Airway management.- Lung ultrasound – advanced.- Management of ventilation.- Part VI. The neuromuscular system.- Physiology and monitoring of the brain during pregnancy.- Management of maternal stroke.- Neurological crises (e.g. status epilepticus).- Part VII. Maternal cardiac arrest.- Maternal Cardiac Arrest.- Post-resuscitaton care and targeted temperature management.- The brain dead mother - ethics and physiology.- Part VIII. The renal system.- Renal physiology during pregnancy.- Kidney failure and RRT.- Part IX. The endocrine and metabolic systems.- Nutrition.- Acute fatty liver of pregnancy, liver failure and transplant.- Part X. Surgical dilemmas in critically ill women.- Trauma during pregnancy.- Intra-abdominal surgery.- Brain surgery.- Maternal critical care during disasters.- Part XI. Medications and complications.- Drugs.- Pain management.- Anaphylaxis.

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Book SynopsisThe aim of this book is to educate and train practitioners in the safe and professional use of diagnostic ultrasound imaging in the visualization and interpretation of various cerebral conditions not only in neurointensive care, but also in the operating room and, in general, cardiothoracic and neurocritical care settings. It is chiefly intended for anaesthetists and intensivists with a basic knowledge of ultrasound physics, but also for neurosurgeons and neurologists.All chapters were coordinated by the Editors, with experiences in hands-on courses on Echography and Doppler of the Brain, and prepared by international experts. The book covers from basic principles to estimation of intracranial pressure and cerebral perfusion. The topics cover emergency department and prehospital brain US as part of POCUS and US multiorgan evaluation to general intensive care, neurointensive care and anesthesia, including special populations as pregnant and children and setting as LMIC. Clinical scenarios complete the book. An innovative and unique guide that equips readers to perform bedside and non-invasive assessments for a range of cerebrovascular diseases.Trade ReviewTable of ContentsPart I. Technology, views and normal echo anatomy.- Physical principles probe/Technology.- Basic anatomy with TCCD and vessels.- Windows and practical approach: the MoTOr.- ONSD.- Limitations and pitfalls.- The minimal, intermediate and advanced skills: how to boost your competencies.- Part II. PI, FV, Autoregulation, Cr Cl.- Intracranial pressure.- Brain US for cerebral perfusion.- Part III. Pathology and clinical applications: Emergency department.- Emergency department and prehospital brain US as part of POCUS and US multiorgan evaluation.- Part IV. Liver failure, metabolic coma, sepsis.- Meningitis, stroke.- Cardiac arrest.- ARDS (protective ventilation), ECMO.- Part V. Intracerebral haematomas, midlineshift, hydrocephalus.- SAH Vasospasm.- Brain US in the neurologic settings.- Brain death.- Part VI. Pathology and clinical applications: Applications in neurosurgery.- Applications in neurosurgery.- Applications in low middle income countries.- Part VII. Pathology and clinical applications: specific considerations.- Pediatric population.- Pregnant patients.- Part VIII. Pathology and clinical applications: Intraoperative applications.- Non cardiac surgery.- Cardiac surgery.- Part X. Pathology and clinical applications.- Clinical cases images: clinical scenarios.

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Book SynopsisThis concise, accessible book covers anesthesia for hepatico-pancreatic-biliary (HPB) surgery and transplantation, based on randomized clinical trials, meta-analyses, case series, reports, and hands-on experience. The anatomy, physiology, pathophysiology and clinical consequences are discussed, and the close ties between HPB resection and transplant anesthesia are explored. The content reflects current real-world practice, as liver and pancreatic transplant surgeries have substantially improved in terms of blood-loss reduction, fast tracking and reduced risk. The book also addresses anesthetic aspects in connection with the recently introduced and rapidly expanding practice of laparoscopic surgery; with enhanced recovery; and with pancreatic surgery. Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation is intended for aspiring HPB and transplant anesthetists, anesthesia trainees, and consultants with experience in HPB anesthesia who want to see whether or not they’re up to date on the current standards. Trade Review“The editors and publishers have aimed this book at a wider audience than just those specializing in liver transplant and specialist hepatobiliary anesthesia. … This book is at its best when recounting the authors’ real-world practice, which feels up-to-date and evidence-based. Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation will be a welcome addition to the shelves of the world’s transplant centers, but it should also find a home on less lofty shelves.” (Nicholas Weston and David W. Hewson, Anesthesia & Analgesia, Vol. 132 (6), June, 2021)“This book makes an excellent read not only for the budding hepato-pancreato-biliary anaesthetists amongst us, but also as a worthy aide memoire for those experienced in HPB anaesthesia who want to see whether they are up to date with the current standards.” (Ned Gilbert-Kawai, EJA European Journal of Anaesthesiology, Vol. 38 (5), 2021)Table of Contents​Part 1: Anatomy and Physiology of the Liver.- 1. Anatomy of HepatoPancreatoBiliary Surgery and Liver Transplantation Relevant to Anaesthesia.- 2. Anatomy and physiology of the liver.- Part 2: Liver transplantation.- 3. Pathophysiology behind cardiopulmonary complications of cirrhosis and portal hypertension.- 4. Liver Transplantation: Graft Variables.- 5. Surgical aspects of liver transplantation.- 6. PRE-ASSESSMENT FOR HEPATO-PANCREATO-BILIARY AND LIVER TRANSPLANT SURGERY.- 7. The Role of Cardiopulmonary Exercise Testing (CPET) in the Preoperative Assessment of Patients for Hepatico-Pancreatic-Biliary (HPB) Surgery and Liver Transplantation (LT).- 8. ANAESTHESIA for LIVER TRANSPLANTATION.- 9. How does the aetiology of primary liver disease affect anaesthesia for liver transplantation.- 10. Haemodynamic monitoring during liver transplant surgery.- 11. Point of care viscoelastic haemostasis monitoring during liver transplant surgery.- 12. HOW TO REDUCE BLEEDING AND BLOOD TRANSFUSION DURING LIVER TRANSPLANTATION.- 13. Fast tracking in liver transplant programme.- 14. Acute kidney injury in hepatico-pancreatic-biliary surgery and liver transplantation .- 15. Use of Extracorporeal Membrane Oxygenation during Liver Transplantation.- 16. Liver preservation with extracorporeal perfusion.- 17. Veno-venous bypass in liver transplantation.- Part 3: Liver resection.- 18. Biology of liver tumors and outcomes of liver surgery.- 19. Anaesthesia for Live Donor Hepatectomy.- 20. Strategies for low central venous pressure in liver resection surgery.- 21. ENHANCED RECOVER AFTER HPB SURGERY.- 22. Postoperative analgesia in liver resection surgery.- Part 4: Pancreas.- 23. Anatomy of liver resection surgery.- 24. Perioperative anaesthetic considerations for the Whipple procedure and other pancreatic surgeries.- 25. Anaesthetic management for patients undergoing pancreas transplantation.- Part 4: Paediatric.- 26. Anaesthesia for Paediatric Liver Surgery.- 27. Anaesthesia for Paediatric Liver Transplantation.- 28. Anaesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation Communication between HPB anaesthetists: meetings, websites and forums.

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Book SynopsisThis book focuses on the technical, cognitive, and behavioral skills needed to implement an extracorporeal membrane oxygenation (ECMO) simulation program. It describes these programs on the individual, team, and hospital system level, and includes the history of ECMO simulation, its evolution to its current state, and future directions of technology and science related to ECMO simulation. Divided into six sections, chapters describe both the theoretical as well as the practical aspects of ECMO simulation, including a pictorial guide to setting up an ECMO simulation circuit and how to recreate ECMO emergencies. It is a pragmatic guide that emphasizes the necessary practical items and discussions necessary to plan, set-up, orchestrate, and debrief ECMO simulations for different types of learners in different Comprehensive Healthcare Simulation: ECMO Simulation - A Theoretical and Practical Guide is part of the Comprehensive Healthcare Simulation Series, and this book is intended for educators, simulation technologists, and providers involved in ECMO programs who recognize the value of simulation to improve ECMO outcomes.Table of ContentsSECTION I: HISTORY OF ECMO & ECMO SIMULATION.- 1. ECMO from Conception to Execution.- 2. Simulating ECMO: Rationale and Genesis.- SECTION II: EDUCATIONAL THEORY BEHIND ECMO SIMULATION.- 3.The Critical Role of Simulation in ECMO Education.- 4. A Conceptual Framework for Development of a Simulation-Enhanced ECMO Training Program: Use of a Zone-Based Framework.- 5. Brain-Based Learning.- 6. Designing an ECMO Simulation Curriculum.- SECTION III: TECHNOLOGY FOR ECMO SIMULATION.- 7. Innovations and Options for ECMO Simulation.- 8. Physiologic Modeling.- 9. Immersive Technologies in ECMO Simulation.- SECTION IV: OTHER TOPICS FOR ECMO SIMULATION.- 10. Interprofessional Education and ECMO Simulation.- 11. Optimizing ECMO Teams: What Every ECMO Educator Needs to Know about the Latest Advances in Team Science.- SECTION V: PRACTICAL CONSIDERATIONS.- 12: Current Training Recommendations for ECMO Providers and Specialists.- 13: The Role of Simulation in Starting a New ECMO Program.- 14. Using Simulation to Develop an ECMO Transport Program.- 15. Debriefing ECMO Simulations: Special Considerations.- 16. Controversies on Certification of ECMO Practititioners Using Simulation.- 17. Research in ECMO Simulation: A Review of the Literature.- 18. Faculty Development for ECMO Simulation.- 19. Quality Improvement.- SECTION VI: SPECIAL CONSIDERATIONS FOR DIFFERENT ECMO POPULATIONS.- 20. Neonatology.- 21. ECMO Simulation in Infants, Children, and Adolescents.- 22. ECMO Simulation in Patients with Cardiac Disease.- 23. Surgical Considerations.- 24. Nursing Aspects of ECPR and ECMO Training.- 25. ECMO Simulation in the Adult Population - Proning, Awakening Breathing Trials, and Mobilization.- 26. The Role of Simulation in Training of ECMO Specialists.- SECTION VI: PRACTICAL GUIDE.- 27. A Practical and Pictorial Guide for Creating ECMO Simulation.

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Book SynopsisThis evidence-based guide is the first of its kind to outline the surgical and perioperative management of patients with anatomical anomalies and support clinical decision-making under these difficult circumstances. Presented in a simple, accessible format and organized by anatomical area, this book contains all the essential topics required by trainees and practitioners to assess the patient quickly, diagnose anatomic anomalies, determine the feasibility and safety of the planned surgical and anesthetic procedures, and arrange for advanced consults and care, if needed. Newer techniques for surgical and anesthetic management of patients with anatomic anomalies are presented to facilitate practitioners’ development of their skills. Chapters include the latest ultrasound techniques and images, as well as case studies.Physicians, nurses, and trainees involved in the surgical, anesthetic, perioperative, or critical care of patients will find this guide to be their go-to resource in the OR, lab, or pain clinic.Table of ContentsSection I: Head and Neck.- 1. Anatomy of the Head and Neck.- 2. Challenges of Dental Surgery and Oral and Maxillofacial Surgery in Patients with Anatomical Anomalies.- 3. Airway Management.- Section II: Thorax and Its Contents.- 4. Head and Neck Variations: Vessels.- 5. Head and Neck Variations: Soft Tissue, Nerves, and Bones.- 6. Common Congenital Syndromes and Disease States Impacting Regional Anesthesiology Techniques.- 7. Thoracic Aorta and Its Variants.- Section III: Abdominal Cavity.- 8. Anatomy of the Gastrointestinal System.- 9. Anomalies of the Gastrointestinal Tract.- 10. Surgical Anatomy of the Hepatobiliary System.- 11. Surgical Anatomy, Anomalies, and Normal Variants of the Pancreas.- 12. Anatomy of the Genitourinary System.- 13. Urologic Anomalies and Surgical Implications.- 14. Duodenal Fossae.- 15. Acquired Spinal Disorders Anatomy.- 16.- Neuraxial and Peripheral Nerve Block Placement in Patients with Anatomical Anomalies.- Section IV: Upper and Lower Extremities.- 17. Upper Extremity Variations.- 18. Anomalies of the Foot and Ankle.- 19. Upper and Lower Extremity Vascular Variations.- Section V: Vascular Access and Anesthesia.- 20. Vascular Access and Anesthesia for Patients with Cardiac Anatomic Anomalies. 

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Book SynopsisIntubating critically ill patients is a process that requires a well-thought-out, step-by-step plan, specific to each patient. This book teaches the steps necessary to predict, prepare, perform, and provide pre and post-intubation care. The focus of the book is not on how to intubate, but rather all the steps leading up to and after the tube goes in. From the EMS stretcher to the ICU bed, this book has easily accessible, practical information for these tenuous patients, and answers the who, what, where, when and how of airway management. Included are specific chapters on special patient populations outlining the process of intubating patients with neurologic injury, cardiovascular compromise, sepsis, trauma and those with obesity Intubating the Critically Ill Patient: A Step-by-Step Guide for Success in the ED and ICU is an essential resource for physicians, medical students, and allied health professionals in emergency medicine and intensive care settings.Table of ContentsChapter 1: Who Needs Intubation?Georgia J. McRoy, MDChapter 2: When to Pull the Trigger?Zachary Kendrick, MDChapter 3: Preparing Yourself for IntubationDenise Rios, ACNP Chapter 4: Preparing the PatientDanielle Stevens, MD Chapter 5: Preparing Your TeamAdriana Povlow, MD Chapter 6: The RSI PotpourriAmanda L. Fowler, PharmD, BCPS Chapter 7: Should you RSI? Jessica Solis-McCarthy, MD Chapter 8: Now the Tube Is In: Post-Intubation SedationColleen Barthol, PharmD Chapter 9: The Cardiac PatientJordon B. Bonomo, MD, FCCM, FNCS Chapter 10: The Obese PatientBrad Dengler, MD Chapter 11: Intubating the Neurologically Injured PatientShaheryar Hafeez, MD Chapter 12: Intubating the Septic Patient: Avoiding the Crash and Burn Rahul K. Shah, MD

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Book SynopsisThe goal of the first edition of Interventional Critical Care: A Manual for Advanced Care Practitioners was to fill a knowledge gap of the advanced practice provider (APP) specifically regarding the skills and understanding of critical care procedures in response to the rapidly expanding participation of APPs in critical care. Written by experts in the field, this successor edition adds to the content of the first by expanding upon ultrasonography areas to include more direct hemodynamic evaluations as well as the newer “e”FAST. It also explores the specialty of Urology to include more complex interventions. As billing and coding are necessary, the authors added appropriate CPT codes for each of the appropriate chapters. Most chapters have been completely re-written and updated from the first edition and have different authors – thereby a different perspective and experience level. Interventional Critical Care 2nd Edition serves as a valuable reference for physicians and advanced practice providers in daily practice in the ICU, OR and/or ED setting.Table of ContentsThe Multi-Disciplinary ICU Team.- Process Improvement & Patient Safety.- The Administrative Process.- Coding and Billing for Procedures.- Airway Management in the ICU.- Rescue Airway Devices and Techniques.- Cricothyroidotomy.- Percutaneous Dilatational Tracheostomy, Open Surgical Tracheostomy and Management of Tracheostomy Tubes.- Diagnostic and Therapeutic Bronchoscopy.- REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) Catheter.- Arterial Line Access and Monitoring.- Central Venous Catheterization with and without ultrasound guidance.- Hemodialysis Catheter Insertion.- Intraosseous Access Techniques in the ICU.- Pulmonary Artery Catheter Insertion.- Tourniquet Application and Topical Hemostatics.- Pericardiocentesis.- Temporary Transvenous and Transcutaneous Pacemakers.- Intra-Aortic Balloon Pump Counterpulsation.- Resuscitative Thoracotomy.- Extra Corporal Membrane Oxygenation and Extracorporal Life Support.- Thoracentesis.- Tube Thoracostomy.- Inferior Vena Cava Filters Insertion in the Critically Ill.- External Ventricular Drain Placement.- Intraparenchymal Fiber-optic Intracranial Pressure Monitoring.- Lumbar Puncture and Drainage.- Enteral Access.- Percutaneous Endoscopic Gastrostomy tube placement.- Paracentesis.- Abdominal Compartment Syndrome.- Abdominal Compartment Syndrome and Decompressive Laparotomy.- Bedside Laparoscopy in the Intensive Care Unit.- Diagnostic Peritoneal Lavage.- Foley Catheterization - Basic to Challenging.- Catherization of Atypical Urinary Reservoirs and Clot Evacuation.- Miscellaneous Urologic Problems.- Fracture Management: Basic Principles, Immobilization, and Splinting.- Fracture Management: Advanced Principles of Procedures for Stabilization.- Compartment Syndrome & Fasciotomies.- Wound Management in the ICU.- Escharotomy.- Extended Focused Abdominal Sonography in Trauma – eFAST.- Bedside Cardiac Ultrasound In The Intensive Care Unit.

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Book SynopsisThe latest edition of this handbook is a concise yet comprehensive guide for attending physicians, fellows, residents, and students who cover the ICU. The chapters follow an outline format and are divided by organ system, including neurologic disorders and cardiovascular disorders, and special topics, such as environmental disorders, trauma, and toxicology. The handbook includes thoroughly updated chapters from the previous edition, alongside completely new content.Written by an authority in the field, the Handbook of Critical and Intensive Care Medicine, Fourth Edition is a valuable one-stop reference for every practitioner engaged in Critical Care Medicine across the world. Trade ReviewTable of Contents

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Book SynopsisThe 2nd edition of this book describes the recent techniques, strategies, and drugs that have been demonstrated by multicenter randomized trials to influence survival in critically ill, defined as those who have acute failure of at least one organ, due to either a pathological condition or a medical intervention, and require intensive care treatment. Each chapter focuses on a specific procedure, device, or drug. The scope is accordingly wide, with coverage of topics as diverse as noninvasive mechanical ventilation, protective ventilation, prone positioning, intravenous salbutamol in ARDS, high-frequency oscillatory ventilation, mild hypothermia after cardiac arrest, daily interruption of sedatives, tranexamic acid, diaspirin cross-linked hemoglobin, albumin, growth hormone, glutamine supplementation, tight glucose control, supranormal oxygen delivery, and hydroxyethyl starch in sepsis. The topics selection was performed with the help of hundreds of specialists from dozens of countries; they expressed via web if they agreed or not with these topics and if they used them in their daily clinical practice. The clear text is supported by "how to do" sections and "key point" boxes that provide easily accessible practical information. Written by acknowledged international experts, Reducing Mortality in Critically Ill Patients is of interest for a wide variety of specialists, including intensivists, emergency doctors, and anesthesiologists.Table of ContentsThe process of consensus building.- Non-invasive ventilation.- High Flow Nasal Cannulae.- Restrictive inspiratory oxygen fraction.- Mechanical ventilation.- Early tracheostomy.- Pharmacological Managment of cardiac arrest.- Non pharmacological Managment of cardiac arrest.- Avoidance of deep sedation.- Hydrocortisone in sepsis; Goal directed therapy.- Levosimendan in cardiogenic shock and low cardiac output syndrome.- Drugs in myocardial infarction.- Tranexamic acid in trauma patients.- Procalcitonin-guided antibiotic discontinuation.- Selective decontamination of digestive tract.- Nutrition.- ECMO.- Ultrasound.- Alternative medicine.- Interventions increasing mortality.- Conflicting.- Latest evidences.

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Book SynopsisThe Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.Table of ContentsPart I. Respiratory Issues.- Part II. ARDS.- Part III. Biomarkers.- Part IV. Fluids.- Part V. Hemodynamic Management.- Part VI. An unknown pandemics.- Part VII. Covid-19 associated coagulopathy.- Part VIII. Sepsis.- Part IX. Bleeding & Transfusion.- Part X. Prehospital Intervention.- Part XI. Neurological Aspects.- Part XII. Organ Donation.- Part XIII. Oncology.- Part XIV. Severe Complications.- Part XV. Prolonged Critical Illness.- Part XVI. Organizational and Ethical Aspects.- Part XVII. Artificial intelligence in the ICU.- Index.

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Book SynopsisThis book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further.This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.Table of ContentsFrailty.- Delirium.- Preoperative Evaluation.- Psychiatric Disorders in Older Adults.- Medication Management.- Palliative Care and End-of-Life Issues.- Hospital Medicine.- Screening Tools for Geriatric Assessment by Specialists.- Cardiothoracic Surgery.- Emergency Medicine.- Geriatric Trauma and Emergency General Surgery.- Special Evidence-Based Considerations in Geriatric Gynecologic Care: Pelvic Floor Disorders.- Geriatric Cross-Cutting Issues in Ophthalmology.- Geriatric Orthopaedic Surgery.- Rehabilitation.- Urology.- Vascular Surgery.- Rheumatology.- Cardiovascular Disease.- Endocrinology.- Gastroenterology.- Infection and Immunity in Older Adults.- Kidney Disease.- A Geriatric Perspective on Oncology Care.- Pulmonary and Critical Care Medicine.- Behavioral Neurology.- Geriatric Dermatology.

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Book SynopsisThis book focuses on the placement of vascular access devices under emergent conditions, including the techniques and devices needed to achieve successful device deployment in even the most critically-ill patient.Up-to-date references and evidence for best practices are provided, informing both the novice and experienced healthcare provider. Each chapter is meticulously researched, including individual chapters focusing upon peripheral intravenous, intraosseous, central venous, and ultrasound-guided catheter placement. Device selection and emergent decision-making are discussed at length, including such crucial determinants as infusion flow rates, device limitations, issues with medication incompatibility, complications of line placement, and the relative indications and contraindications associated with various vascular access approaches.Emergent Vascular Access is an essential resource for any healthcare provider who places or manages vascular access devices in critically-ill patients, including emergency and ICU physicians, residents, rapid response providers, EMS paramedics, patient care technicians, medical students, and nurses.Table of ContentsChapter 1. What is Emergent Vascular Access?.- Chapter 2. The Anatomy of Vascular Access.- Chapter 3. The Physiology and Physics of Vascular Access.- Chapter 4. Types of Vascular Access Devices.- Chapter 5. Peripheral Intravenous (PIV) Devices.- Chapter 6. Central Venous Catheter Devices.- Chapter 7. Intraosseous Devices.- Chapter 8. Alternative Vascular Access Solutions.- Chapter 9. What is Difficult Vascular Access (DVA)?.- Chapter 10. Decision-Making in Emergent Vascular Access.- Chapter 11. High-Risk Presentations (e.g., Cardiac Arrest, Shock, etc.).- Chapter 12. The Future of Emergent Vascular Access.

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Book SynopsisThis book provides a concise yet comprehensive overview on the use of opioids in the ICU, offering practical, real-world recommendations on opioid utilization and alternative therapies. The text explains the physiology and assessment of pain and the need for analgesia in the ICU, details the pharmacology of opioids and their use in providing analgesia, sedation, and comfort for patients during critical illness, and summarizes advanced pharmaceutical and surgical approaches to pain management and procedural applications that can supplement, minimize, or replace opioids for the ICU patient. The book also includes algorithms and step-by-step approaches on navigating the delicate balance between the relief of suffering and the adverse effects of opioids, as well as a dedicated section on the management of critically ill patients with preexisting opioid tolerance. Written by experts in the field, Opioid Use in Critical Care: A Practical Guide is a valuable resource for ICU providers who treat and manage critically ill patients with opioids.Table of Contents1 Epidemiology of Opioid Use 2 Assessment of Pain in the ICU 3 Pharmacology and Pharmacokinetics of Opioids in the ICU4 Opioid Analgesics Interactions with other Drugs5 Side Effects of Opioid Analgesic Therapy 6 Rational Selection and Utilization of Opioid Analgesics in Critical/Acute Care7 Monitoring of Opioid Analgesic Use and its Effects in Acute Care 8 Opioid Tolerance and Hyperalgesia in the ICU9 Strategies to Prevent and Treat Opioid Tolerance and Hyperalgesia in the ICU, I10 Strategies to Prevent and Treat Opioid Tolerance and Hyperalgesia in the ICU, II11 Interaction of Opioids with Sedative Practices in the ICU 12 Acute Pain Management in Patients with Opioid Dependence13 Management of Opioid Overdose 14 Use of Opioid Analgesics in Post-Surgical and Trauma Patients 15 Post intensive Care Syndrome and the Potential Long-Term Effects of Pain and Opioid Therapy in the ICU16 Special ICU Populations: Opioids in Neurocritical Care 17 Special ICU Populations: Opioids in Geriatrics18 Special ICU Populations: Opioids in Obstetrics, Labor & Delivery

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Book SynopsisBuilding on the success of the previous edition, this review book includes all of the original content plus several new chapters dedicated to the education and implementation of transthoracic echocardiography and point-of-care ultrasonography. Chapters feature board review-style questions and answers to assist readers with board exam preparation. This book also includes the most up-to-date echocardiography content and practice guidelines. This book fills an educational gap in the perioperative and critical care echocardiography landscape. It addresses essential perioperative and critical care echocardiography topics in an accessible manner for those who provide acute care and resuscitation in any environment, including the operating room, intensive care unit, and the emergency department. Essential Echocardiography, 2nd edition, is expertly written for the practitioner with limited knowledge of echocardiography preparing for either the Examination of Special Competence in Basic Perioperative TEE (Basic PTEeXAM) or the Examination of Special Competence in Critical Care Echocardiography (CCEeXAM).Table of ContentsA. Section 1: Basic Perioperative and Critical Care Echocardiography 1. Introduction to Basic Perioperative and Critical Care Echocardiography: Examination, Certification, Indications and Contraindications 2. Transesophageal Echocardiography: Probe Manipulation, Essential Views 3. Point-Of-Care Transthoracic Echocardiography: Probe Manipulation, Positioning, Essential Views 4. Basic Ultrasound Physics, Doppler Ultrasound, and Hemodynamic Assessment 5. Knobology and Image Optimization B. Section 2: Echocardiographic Assessment 6. Left Ventricular Systolic Function 7. Regional Ventricular Function 8. Mitral Valve 9. Aortic Valve 10. Right Heart 11. Atria 12. Diastology 13. Thoracic Aorta 14. Pericardium 15. Perioperative Rescue Echocardiography 16. Imaging Artifacts, Normal Anatomic Variants, and Common Misdiagnoses 17. Intracardiac Masses, Devices, and Foreign Bodies 18. Adult Congenital Heart Disease C. Section 3: Critical Care Ultrasonography 19. Abdominal and Vascular Ultrasound 20. Volume Assessment and Fluid Responsiveness 21. Lung Ultrasonography 22. Shock and Cardiac Arrest 23. Ultrasound for Vascular Access

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Book Synopsis​This book functions as a comprehensive manual for emergency care providers who are treating critically ill COVID-19 patients. Beginning with an overview of the COVID-19 infection and an examination of the patients who received critical care from hospital emergency departments around the country, this book provides clinicians with a guide to best-practices in everything from personal protection while deploying critical care to COVID-19 patients to evaluation and diagnosis of the illness. Subsequent chapters break down care of various comorbidities seen in COVID-19 patients and the care offered to patients suffering from the illness in a multitude of ways. Closing chapters examine how emergency departments can best prepare for potential surges in COVID-19 patients as the illness continues to develop, providing important information on how to best protect hospital employees and best care for future patients in a constantly shifting landscape.Due to the rapid onset of the illness and strong-hold the pandemic had on the lives and careers of healthcare professionals, Critical Care of COVID-19 in the Emergency Department fills a critical gap in the literature available on this topic.Table of Contents1. Overview of the COVID-19 InfectionGina Hurst, Jayna Gardner-Gray, Jacqueline Pflaum-Carlson, Jeff Coursen2. Management of the undifferentiated critically ill COVID-19 patientsQuincy K. Tran 3. Personal Protection during Patient Care & ProceduresMark Sutherland, David Gordon, Michael Winters4. Evaluation and Diagnosis of COVID IllnessDanny VanValkinburg, Brian T. Wessman 5. Non-Invasive Respiratory Support for COVID-19Josiah Smith, Nicholas Goodmanson, Matthew Niehaus6. Mechanical Ventilation in the COVID-19 PatientKatelin Morrissette, Skyler Lentz, Jarrod Mosier7. ECMO and Rescue Therapies for Severe HypoxemiaEmily Ball, Keith Azevedo, Jonathon Marinaro8. COVID-19: Cardiac Arrest ManagementCasey T. Carr, Torben K. Becker9. COVID-19 Related Cardiac IllnessChristopher J. Hogan10. COVID Vascular IllnessTimothy J. Ellender, Joseph R Shiber11. COVID-19 Renal IllnessesMarie-Carmelle Elie, Kruti Shah12. COVID Hepatic IllnessKimberly Boswell 13. Hematologic Emergencies in Patients with Covid-19Jessica Waters, Rory Speigel, Michael T. McCurdy14. COVID Neurologic IllnessesDavid Poliner, Wan-Tsu Wendy Chang15. Pharmacological Agents for COVID-19 PatientsDonald Johnson, Randi Searcy, Beranton Whisenant16. Point of Care Echocardiography in the COVID-19 patientDaniel Haase, William Teeter, Jaskirat Gill, Adnan Javed17. Inter-Hospital Transport of the Critically Ill COVID-19 PatientAdam B. Schlichting, Zeid Kalarikkal, Nicholas M. Mohr18. Surge PlanningDaniel Eraso, Brian Wright19. Surgical EmergenciesT. Shane Hester

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Book SynopsisThe surge in COVID-19 cases leading to hospitalizations around the world quickly depleted hospital resources and reserves, forcing physicians to make extremely difficult life-or-death decisions on ventilator allocation between patients. Leaders in academia and industry have developed numerous ventilator support systems using both consumer- and industry-grade hardware to sustain life and to provide intermediate respiratory relief for hospitalized patients. This book is the first of its kind to discuss the respiratory pathophysiology underlying COVID-19, explain ventilator mechanics, provide and evaluate a repository of innovative ventilator support devices conceived amid the pandemic, and explain both hardware and software components necessary to develop an inexpensive ventilator support device. This book serves both as a historical record of the collaborative and innovative response to the anticipated ventilator shortage during the COVID-19 pandemic and as a guide for physicians, engineers, and DIY'ers interested in developing inexpensive transitory ventilator support devices.Table of ContentsHistory of ventilator devices.- Ventilator splitters: requirements and feasibility.- SARS CoV-2 transmission and innovative protective barriers.- What is a bridge ventilator and why is it needed?.- Fundamental requirements for a bridge ventilator.- Categorization for emergency ventilators amid COVID-19 pandemic.- Mechanics of resuscitation bag.- How to compress a bag: an overview of mechanical and pneumatic methods.- Choosing the right motor: considerations and concerns.- Re-purposing positive airway pressure machines (CPAP and BiPAP) for ventilators.- The role of non-invasive ventilation to treat COVID-19 induced lung disease.- Categorization of non-invasive ventilators amid the COVID-19 pandemic.- An appraisal of FDA-approved emergency ventilator designs.- DIY: A detailed guide to build your own bridge ventilator.- Regulatory considerations for ventilator production.- Post-regulatory concerns: liability, risk mitigation, and more.

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Book SynopsisThis book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients’ long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they’ve learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care. Table of Contents1 Historic perspective and relevant evolutionary landmarks in trauma care.- 2 The definition of postinjury Multiple Organ Failure.- 3 The pathomechanism of postinjury MOF.- 4 Genomic considerations related to postinjury MOF.- 5 The epidemiology of postinjury MOF.- 6 The relevance of traumatic shock and its treatment on the epidemiology of MOF.- 7 The relevance of the timing of surgical interventions.- 8 The population at risk, predictors of MOF.- 9 Postinjury MOF with and without infection.- 10 The principles of treatment, modern therapeutic targets.- 11 Central nervous system.- 12 Respiratory failure.- 13 Cardiac failure.- 14 Liver failure.- 15 Gastrointestinal failure, clinical presentations and treatment.- 16 Kidney failure.- 17 Bone marrow failure.- 18 MOF management in low resource settings.- 19 MOF in pregnancy and its relevance to Eclampsia.- 20 MOF in paediatric patients.- 21 Summary of randomised controlled trials with significant effect on MOF outcomes.- 22 Iatrogenic causes leading to MOF.- 23 Short term outcomes, what has changed during the last 40 years?.- 24 Long term outcomes and functional outcomes.- 25 Future directions.

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Book SynopsisThis book aims to give a comprehensive overview of the current challenges and solution posed to the health care professionals who need to use mechanical ventilation to treat their patients.Mechanical ventilation is a cornerstone of the treatment of critically ill patients, as also dramatically underlined by the recent COVID-19 pandemic. The topic is not simple to approach, since it requires integration of multiple data which, in turn, result from complex interplays between patient’s condition and ventilatory settings. While technological development empowered advanced monitoring and decision support, these also increase the burden of data on the practitioners. Furthermore, considering that sometimes mechanical ventilation is seen under two, apparently opposite, approaches, “physiology vs. protocols”, the book aims to reconcile these two aspects. And this has been done by each author following the above trajectory in their chapters. The exposure of the topic begins from the “pathophysiology” (i.e. the “physiology of the disease”) so that the reader can better understand the concept and rationale of any given approach. At the same time, any rationale or hypothesis (for as much as supported by physiology) must hold at the proof of clinical research and evidence, which is summarized in each chapter.In summary, the purposes is that the readers understand not only which is the best clinical practice to adopt but also why and which mechanisms this is based upon and how to approach a novel issue they might encounter. The book – addressed to physicians, nurses and respiratory therapist – features chapters on “novel” or “hot” topics like, obviously, COVID-19, ECMO, but also MV in low resource setting.Table of ContentsPart 1. Techniques.- Chapter 1. Basic physiology of respiratory system: gas exchange and respiratory mechanics.- Chapter 2. A short history of Mechanical Ventilation.- Chapter 3. Airway management in critically ill.- Chapter 4. Controlled mechanical ventilation: modes and monitoring.- Chapter 5. Assisted ventilation: pressure support and bilevel ventilation modes.- Chapter 6. Monitoring the patient during assisted ventilation.- Chapter 7. Neurally Adjusted Ventilatory Assist.- Chapter 8. roportional Assist Ventilation.- Chapter 9. Non-invasive ventilation: indications and caveats.- Chapter 10. High-flow Nasal Cannula.- Chapter 11. Nursing of mechanically ventilated and ECMO patient.- Chapter 12. Closed Loop ventilation modes.- Chapter 13. Aiway pressure release ventilation.- Part 2. Clinical Scearios.- Chapter 14. Acute Respiratory Failure and Acute Respiratory Distress Syndrome.- Chapter 15. Ventilator Induced Lung Injury and Lung Protective Ventilation.- Chapter 16. Mechanical ventilation in the heathy lung: OR and ICU.- Chapter 17. PEEP setting in ARDS.- Chapter 18. Ventilation in brain injured patient.- Chapter 19. Invaisve and noninvasive ventilation in patient with cardiac failure.- Chapter 20. COPD and severe asthma.- Chapter 21. Ventilation in the obese patient.- Chapter 22. Weaning the simple and complex patients.- Chapter 23. Noninvasive ventilation in COVID-19.- Chapter 24. Invasive Ventilation in COVID-19.- Chapter 25. Mechanical ventilation in different surgical settings.- Chapter 26. Following up the patients at long term.- Chapter 27. Mechanical Ventilation in limited resource settings.- Chapter 28. Mechanical Ventilation during patient's trasferral.- Part 3. Adjuncts to MV.- Chapter 29. Prone Position.- Chapter 30. Veno-Venous ECMO and ECCO2R.- Chapter 31. Mechanical Ventilation setting during ECMO.- Part 4. Monitoring.- Chapter 32. Ultrasound assesment of the respiratory system.- Chapter 33. Electrical Impedance Tomography.- Chapter 34. Esophageal pressure monitoring.- Chapter 35. Lung Volumes and volumetric capnography.- Chapter 36. Radiological monitoring.- Chapter 37. Clinical vignettes (waveforms).- Chapter 38. Teaching Mechanical ventilation: on line resources and simulation.

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Book SynopsisThis book aims to give a comprehensive overview of the current challenges and solution posed to the health care professionals who need to use mechanical ventilation to treat their patients.Mechanical ventilation is a cornerstone of the treatment of critically ill patients, as also dramatically underlined by the recent COVID-19 pandemic. The topic is not simple to approach, since it requires integration of multiple data which, in turn, result from complex interplays between patient’s condition and ventilatory settings. While technological development empowered advanced monitoring and decision support, these also increase the burden of data on the practitioners. Furthermore, considering that sometimes mechanical ventilation is seen under two, apparently opposite, approaches, “physiology vs. protocols”, the book aims to reconcile these two aspects. And this has been done by each author following the above trajectory in their chapters. The exposure of the topic begins from the “pathophysiology” (i.e. the “physiology of the disease”) so that the reader can better understand the concept and rationale of any given approach. At the same time, any rationale or hypothesis (for as much as supported by physiology) must hold at the proof of clinical research and evidence, which is summarized in each chapter.In summary, the purposes is that the readers understand not only which is the best clinical practice to adopt but also why and which mechanisms this is based upon and how to approach a novel issue they might encounter. The book – addressed to physicians, nurses and respiratory therapist – features chapters on “novel” or “hot” topics like, obviously, COVID-19, ECMO, but also MV in low resource setting.Table of ContentsPart 1. Techniques.- Chapter 1. Basic physiology of respiratory system: gas exchange and respiratory mechanics.- Chapter 2. A short history of Mechanical Ventilation.- Chapter 3. Airway management in critically ill.- Chapter 4. Controlled mechanical ventilation: modes and monitoring.- Chapter 5. Assisted ventilation: pressure support and bilevel ventilation modes.- Chapter 6. Monitoring the patient during assisted ventilation.- Chapter 7. Neurally Adjusted Ventilatory Assist.- Chapter 8. roportional Assist Ventilation.- Chapter 9. Non-invasive ventilation: indications and caveats.- Chapter 10. High-flow Nasal Cannula.- Chapter 11. Nursing of mechanically ventilated and ECMO patient.- Chapter 12. Closed Loop ventilation modes.- Chapter 13. Aiway pressure release ventilation.- Part 2. Clinical Scearios.- Chapter 14. Acute Respiratory Failure and Acute Respiratory Distress Syndrome.- Chapter 15. Ventilator Induced Lung Injury and Lung Protective Ventilation.- Chapter 16. Mechanical ventilation in the heathy lung: OR and ICU.- Chapter 17. PEEP setting in ARDS.- Chapter 18. Ventilation in brain injured patient.- Chapter 19. Invaisve and noninvasive ventilation in patient with cardiac failure.- Chapter 20. COPD and severe asthma.- Chapter 21. Ventilation in the obese patient.- Chapter 22. Weaning the simple and complex patients.- Chapter 23. Noninvasive ventilation in COVID-19.- Chapter 24. Invasive Ventilation in COVID-19.- Chapter 25. Mechanical ventilation in different surgical settings.- Chapter 26. Following up the patients at long term.- Chapter 27. Mechanical Ventilation in limited resource settings.- Chapter 28. Mechanical Ventilation during patient's trasferral.- Part 3. Adjuncts to MV.- Chapter 29. Prone Position.- Chapter 30. Veno-Venous ECMO and ECCO2R.- Chapter 31. Mechanical Ventilation setting during ECMO.- Part 4. Monitoring.- Chapter 32. Ultrasound assesment of the respiratory system.- Chapter 33. Electrical Impedance Tomography.- Chapter 34. Esophageal pressure monitoring.- Chapter 35. Lung Volumes and volumetric capnography.- Chapter 36. Radiological monitoring.- Chapter 37. Clinical vignettes (waveforms).- Chapter 38. Teaching Mechanical ventilation: on line resources and simulation.

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Book SynopsisThe Annual Update compiles reviews of the most recent developments in clinical intensive care and emergency medicine research and practice in one comprehensive book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in intensive care and emergency medicine, anesthesia, surgery, internal medicine, and pediatrics.Table of ContentsSepsis and the Immune Response.- The role of mitochondria in the immune response in critical illness.- Immunomodulation by tetracyclines in the critically ill: an emerging treatment option?.- Hit early: blocking interleukin-1 in the treatment of COVID-19 pneumonia.- Hemoadsorption therapy during ECMO: emerging evidence.- Respiratory Issues.- The forgotten circulation and transpulmonary pressure gradients.- Oxygen: origin, pathophysiology, and use in the critically ill.- Nebulized therapeutics for COVID-19 pneumonia in critical care.- Mechanical Ventilation.- Positive end-expiratory pressure in invasive and non-invasive ventilation of COVID-19 ARDS.- Personalized mechanical ventilation setting: slow is better!.- Spontaneous breathing in acute respiratory failure.- Laryngeal injury: impact on patients in the acute and chronic phases.- Fluids and Electrolytes.- Fluid responsiveness as a physiologic endpoint to improve successful weaning.- Tidal volume challenge test: expanding possibilities.- Fluid management in COVID-19 ICU patients.- Electrolytes in the ICU.- Renal Failure.- Hemodynamic alterations during continuous renal replacement therapy: is it all about fluid?.- How to prolong filter life during continuous renal replacement therapy?.- Prevention of acute kidney injury after cardiac surgery.- Circulatory Shock.- Contrast enhanced renal ultrasound: an emerging technique for assessment of renal perfusion in critically ill patients.- Focused clinical hemodynamic assessment in septic shock.- Vasopressor choice and timing in vasodilatory shock.- Cardiac arrest.- Advanced life support update.- Brain injury biomarkers for predicting outcome after cardiac arrest.- Neurocritical care and Neuromonitoring.- The emerging role of the microbiota in neurocritical care.- Brain-multiorgan cross-talk in critically ill patients with acute brain injury.- The importance of neuromonitoring in non-brain injured patients.- Artificial intelligence.- Artificial intelligence in critical care medicine.- Artificial intelligence in infection management in the ICU.- Quality of care.- Acute medical rehabilitation in intensive care.- Sepsis performance improvement programs: from evidence towards clinical implementation.

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Book SynopsisThis book provides healthcare professionals in Critical Care setting an easy consultation guide to fight against COVID-19. The book is divided into sections: Fundamentals of COVID-19, Pneumological critical care, Neurological manifestations, Cardiovascular manifestations, Renal manifestations, Haemostasis and coagulation, Other multi-organs involvement, Principles of therapy. Each section includes: · brief pathophysiology of COVID-19 (ventilation, neurological, cardiovascular, etc.); · principles of management (enriched with flowcharts and figures); · principles of therapy; · tips and key messages. Readers can find the most updated advices on how to face the ongoing pandemic: from principles of conventional oxygen therapy, assisted and invasive mechanical ventilation in critically ill COVID-19 patients to the complications sometimes underestimated. Tables and flowcharts provided are based on current knowledge in COVID-19 to help the clinician managing COVID-19 patients by a multiple-organs prospective. Written by international key opinion leaders of each field, the book represents a point of reference for all professionals involved in the management of COVID-19 pandemic.Table of Contents

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Book SynopsisThis comprehensive update of the previous two successful editions covers both basic and advanced anesthesia topics. These include pharmacology, procedures, monitoring, equipment, subspecialty anesthesia, safety, professionalism, pain management, and more.Chapters are concise, easy-to-read, and authored by faculty specialized in medical education. They feature case studies designed to help apply theoretical knowledge to real patient situations, as well as questions and answers. A convenient resource for medical students, student registered nurse anesthetists, and student anesthesiologist assistants in any student of anesthesia will find this unique book useful.Table of ContentsPart I Introduction to Anesthesiology 1 How to Be a “Star” Student, Career Options, and the Match 2 History of Anesthesia and Introduction to the Specialty Part II Pharmacology 3 Pharmacology Principles 4 Pharmacology of Intravenous Anesthetic Agents and Analgesics 5 Pharmacology of Inhalational Anesthetics 6 Pharmacology of Local Anesthetics 7 Pharmacology of Adjunct Agents Part III Preoperative Considerations 8 Preoperative Patient Evaluation 9 Airway Evaluation and Management 10 The Anesthesia Machine 11 Anesthesia Equipment and Monitors Part IV Intraoperative Considerations 12 Anesthetic Techniques: General, Sedation, MAC 13 Anesthetic Techniques: Regional 14 Electrolytes and Acid-Base Analysis 15 Fluids and Transfusion Therapy 16 Peripheral, Arterial, and Central Lines and Gastric Tube Placement 17 Intraoperative Problems Part V Systems Physiology and Anesthetic Subspecialties 18 Physiology and Anesthesia for Cardiac and Thoracic Surgery 19 Physiology and Anesthesia for Neurologic, ENT, and Ophthalmologic Surgery 20 Obstetrics 21 Physiology and Anesthesia for General and Bariatric Surgery 22 Anesthesia for Urological Surgery 23 Pediatric Surgery 24 Physiology and Anesthesia for Elderly Patients 25 Ambulatory Surgery 26 Out-of-OR (OOR) Procedures 27 Trauma and Orthopedic Surgery Part VI Postoperative Considerations 28 Perioperative Acute and Chronic Pain Management 29 Postoperative Anesthesia Care Unit (PACU) and Common Postoperative Problems 30 Introduction to Critical Care Part VII Special Topics 31 Anesthesiology as a Perioperative Medicine Specialty 32 Professionalism, Safety, and Teamwork 33 Quality Assurance, Patient and Provider Safety 34 Ethical and Legal Issues in Anesthesia 35 Clinical Simulation in Anesthesia Education 36 Anesthesia in Adverse Environments Appendix A: ASA Difficult Airway Algorithm Appendix B: Malignant Hyperthermia Appendix C: Useful Formulae Appendix D: Clinical Algorithms

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