Advances In Critical Care Bedside Procedures

This handbook is a guide to best practice in interventions commonly encountered in the ICU. It is clinically orientated providing :step-by-step explanations and illustrations of most invasive procedures, check lists to make sure the indication is right, check lists to ensure appropriate assessment once the procedure has been carried out. The information is easily accessible providing practical advice and essential background for every member of the multi-disciplinary team caring for critically ill patients. It will serve the senior consultant who has not performed a procedure for some time as well as the junior doctor in need of an aide memoire.

This atlas is designed to provide an all-inclusive resource that describes step by step how to perform the essential bedside procedures required to provide optimal care to the critically ill patient. Detailed descriptions of these procedures, with sequential photographs depicting each critical step, provide an in depth understanding of the anatomy, critical technical steps and common pitfalls to both military and civilian trainees. For the advanced professional operator, this atlas will provide a rapid refresher of the critical steps and is an excellent teaching resource, based on the decades of collective experience accumulated by the authors. The top quality photographs of perfused and ventilated cadavers makes this atlas a standard reference for surgeons, critical care physicians, nurses and all critical care professionals.

The 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.

This book provides a comprehensive, state-of-the art review of the interventional procedures that can be performed in intensive care settings. The book addresses fundamentals of the indications and technical aspects of procedures, and identifies pitfalls and resource needs. In addition, a section is dedicated to a discussion of the staff-preparation, hemodynamic, and anesthetic concerns necessary for all procedures. Chapters focus on the following specific concerns: airway, thoracic, ENT, vascular, abdominal, genitourinary, neurologic, and musculoskeletal. A brief review of the existing literature addressing these particular topics accompanies each section. Extensive illustrations and diagrams are also included to enhance the readers’ experience. Authored by a multi-disciplinary team of experts in their fields, Interventional Critical Care: A Manual for Advanced Care Practitioners serves as a comprehensive resource for advanced care practitioners and physicians for performing and preparing for procedures in the ICU.

Guest editor Lena Napolitano has assembled and expert team of authors on the topic of Surgery in the ICU. Articles will focus on: Oxygen Support and Mechanical Ventilation Advances; Ventilator-associated Pneumonia – New Definitions;Optimal Strategies for Severe ARDS; Persistent Inflammation/Immunosuppression Syndrome; ABCDE Bundle in Critical Care;Renal Replacement Therapy in Acute Kidney Injury: Consensus?; Transfusion Advances in Critical Care; Severe Sepsis and Septic Shock: ProCESS; ARISE: PROMISE – What is Optimal Resuscitation?; Nutritional Support in Critical Care: What is the Evidence?; Acute Kidney Injury and Outcomes; and Tracheostomy Update: When and How?

Bedside Procedures for the Intensivist delivers practical tips and clear, step-by-step instruction on the most common procedures in the ICU. The convenient and portable handbook focuses on ultrasound-guided techniques, including an introduction to ultrasound physics and principles, while individual chapters provide concise “how-to” text supplemented with numerous full-color figures and tables that summarize key content. Residents, fellows, and trainees in critical care will benefit from the detailing of indications and contraindications for performing core procedures, while more experienced intensivists will find the book a reliable source of review material. Key procedures described include: • Ultrasound-guided vascular access • Ultrasound-guided drainage • Focused echocardiography • Airway management • Dialysis and apheresis • Pericardiocentesis • Insertion of vena cava filters • Percutaneous dilational tracheostomy • Open tracheostomy • Transbronchial biopsy • Percutaneous endoscopic gastrostomy • Intracranial monitoring

Innovation, training and research are the pillars that support a process deriving from basic science and multi-professional/multidisciplinary interventions. The APICE 2012 yearbook deals with several innovations for optimising prevention and management measures for the critically ill, by integrating diagnostic procedures with pharmacological and technological options. Peri- and postoperative managements as well as treatment of surgical infections and of pain, new and old artificial ventilation strategies are some of the most relevant topics the volume deal with in this new edition. The volume focuses also on the improvement standards and quality of care; on the expanding concept of clinical governance and professionalism and on the importance of ethical principles for establishing a process of patient-centered and evidence-based care.

Shifting the performance of an invasive procedure from operating room or interventional lab to the ICU has advantages for both the patient and the doctor performing the procedure. The book is a guide to interventions that are commonly performed in the intensive care unit, without the need of an operating room. In the following chapters, the authors show that procedures like endotracheal intubation, videolaryngoscopy, pericardial puncture, lumbar puncture and percutaneous cholecystostomy, and intra-abdominal pressure monitoring can be safely performed outside the operating room, at the bed of the patient. All the chapters of the book are clinically orientated providing explanations and illustrations for invasive procedures. Practical recommendations are given in the book, accompanied by figures for techniques performed in critically ill patients. It will serve the experienced doctor who has not performed a procedure for a long time as well as the young doctors needing a practical assistance when facing a new patient.