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Now in its third edition, 'Intensive Care: A Concise Textbook' continues to provide an excellent introductory text to the practice of critical care medicine. Extensively revised, expanded and updated, the format of the new edition has been radically altered to make the text more readable and the information even more accessible. Comprehensive yet concise, the book provides a sound working knowledge of the discipline, is packed with information and is extensively referenced. Current evidence based guidelines for managing critically ill patients with complex pathophysiology and multisystem involvement are highlighted throughout.
Audience
Trainees in intensive care medicine
Contents
1 PLANNING, ORGANIZATION AND MANAGEMENT:
Introduction;
Levels of care and facilities required to deliver a critical care service;
Designing critical care areas;
Management of the critical care service
2 OUTCOME AND COSTS:
Mortality, long-term survival and quality of life;
costs;
End-of-life decision-making, withholding and withdrawing treatment;
Severity scoring systems
3 APPLIED CARDIOVASCULAR AND RESPIRATORY PHYSIOLOGY:
Oxygen delivery;
Cardiac output;
Oxygen content;
Pulmonary ventilation and gas exchange;
Mixed venous oxygen tension;
Lung volumes;
Lung mechanics and work of breathing;
Control of breathing
4 ASSESSMENT AND MONITORING OF CARDIOVASCULAR FUNCTION:
Heart rate;
Blood pressure;
Pre-load;
Cardiac output and myocardial function;
Assessment of tissue perfusion and oxygenation
5 SHOCK, SEPSIS AND MULTIPLE-ORGAN FAILURE:
Definition;
Causes;
Pathophysiology;
Clinical features of shock;
Monitoring and laboratory investigations in shock;
Management;
Multiple-organ failure;
Adjunctive therapy in shock, sepsis and organ failure;
Anaphylactic shock;
Pulmonary embolism
6 ASSESSMENT AND MONITORING OF RESPIRATORY FUNCTION:
Measurement of lung volumes;
Assessing airways obstruction;
Maximum mouth pressures;
Flow-volume and pressure-volume loops;
Measuring the work of breathing;
Non-invasive monitoring of ventilation;
Monitoring inspired and expired gas composition;
Measurement of respiratory gas exchange;
Blood gas analysis and acid-base disturbances;
Determination of oxygen content;
In vivo blood gas measurement;
Other indices of pulmonary oxygen transfer and lung function
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