Critical Care

"Doctors heal, or try to, but as nurses we step into the breach, figure out what needs to be done for any given patient today, on this shift, and then, with love and exasperation, do it as best as we can."—from Critical Care "At my job, people die," writes Theresa Brown, capturing both the burden and the singular importance of her profession. Brown, a former English professor at Tufts University, chronicles here her first year as an R.N. in medical oncology. As she does so, Brown illuminates the unique role of nurses in health care, giving us a deeply moving portrait of the day-to-day work nurses do: caring for the person who is ill, not just the illness itself. Critical Care takes us with Brown as she struggles to tend to her patients' needs, both physical (the rigors of chemotherapy) and emotional (their late-night fears). Along the way, we see the work nurses do to fight for their patients' dignity, in spite of punishing treatments and an often uncaring hospital bureaucracy. We also see how a twelve-hour day of caring for the seriously ill gives Brown herself a deeper appreciation of what it means to be alive. Ultimately, this is a book about embracing life, whether in times of sickness or health. As she takes us into the place where patients and nurses meet, Brown shows us the power of human connection in the face of mortality. She does so with a keen sense of humor and remarkable powers of observation, making Critical Care a powerful contribution to the literature of medicine.

Here’s the most clinically oriented critical care text focusing on the adult patient. In full-color and superbly illustrated with clinical photographs, imaging studies, and management algorithms, and with a broad multidisciplinary focus, this text will help you enhance your skills at any level of training. Stands alone as a clinically oriented comprehensive reference. Completely updated and authorship expanded to reflect the evolution in critical care practice. In color for the first time, with new color schematics and treatment algorithms for greater ease of reference. Utilizes key points lists at the end of chapter, to help you make decisions rapidly and easily. Delivers key references that list other useful resources for information. Includes these seven new chapters to keep you on the cutting edge of your specialty: Assessment of Cardiac Filling and Blood Flow Mechanical Ventilation of Obstructive Airways Disease Mechanical Ventilation of Acute Respiratory Distress Syndrome Severe Sepsis and Multiple Organ Dysfunction Stroke Delirium, Psychosis, Sleep and Depression in the ICU ICU Education

A new multimedia e-dition package includes the book and CD-ROM plus access to the continuously updated website! The website (http://www.criticalcaretext.com) also offers links to important websites, calculators, the full text online, and all the illustrations--downloadable for presentations. A completely new editorial team presents the radical revision to this leading critical care text, previously edited by Shoemaker et al. Today's best coverage of both adult and pediatric critical care, with contributions from an impressive roster of world experts. In addition to numerous new chapters and many extensively rewritten ones, it features a completely new section on commonly encountered problems and a new, more user-friendly organization. Covers both adult and pediatric critical care. Features the authority of the top names in critical care from around the world, including an outstanding new editorial team as well as authors who are among the most highly respected researchers, instructors, and clinicians in the field. Offers a brand-new section that provides quick access to practical guidance on the problems most frequently encountered in the ICU. Explores hot new topics such as Inter- and Intra-Hospital Transport, Disaster Medicine for the ICU Physician, and Teaching Critical Care. Provides a new, more user-friendly organization. Presents only the most essential references within the text, with the rest provided on the enclosed CD-ROM. Is available in a multimedia package that combines the book with access to a fully searchable, continuously updated web site!. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

Evidence-Based Practice of Critical Care, edited by Drs. Clifford S. Deutschman and Patrick J. Neligan, provides objective data and expert guidance to help answer the most important questions challenging ICU physicians today. It discusses the clinical options, examines the relevant research, and presents expert recommendations on everything from acute organ failure to prevention issues. An outstanding source for "best practices" in critical care medicine, this book is a valuable framework for translating evidence into practice. Gain valuable evidence-based recommendations on key topics such as acute organ failure, infection, sepsis and inflammation, and prevention issues pointing the way to the most effective approaches. Get an overview of each question, an outline of management options, a review of the relevant evidence, areas of uncertainty, existing management guidelines, and authors’ recommendations. Navigate a full range of challenges from routine care to complicated and special situations. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches.

Take the best possible care of adult critical care patients with Critical Care Medicine: Principles of Diagnosis and Management in the Adult! Editors Dr. Joseph Parrillo and Dr. Phillip Dellinger, two of the most respected names in critical care medicine, combine their extensive knowledge with that of hundreds of top authorities in the field to bring you expert, state-of-the-art answers to any clinical question you may face in the intensive care unit. Offer your adult critical care patients the most effective care with practical, evidence-based guidance from many of the most trusted experts in critical care medicine. Learn from the best ICU specialists worldwide with contributions from an increased number of international authorities. Effectively manage common complications in the ICU with updated coverage of severe sepsis, septic shock, surgical infections, neurogenic and anaphylactic shock, severe heart failure, acute coronary syndromes, and Acute Respiratory Distress Syndrome. Access the complete contents online at Expert Consult, along with an image bank and instructional videos!

This is the premier evidence-based textbook in critical care medicine. The Third Edition features updated and revised chapters, numerous new references, streamlined content, and new chapters on key topics such as the new paradigm in critical care medicine, cardiac output monitoring, surgical optimization, vital signs, and arterial blood gas analysis. The book maintains the author’s trademark humor and engaging writing style and is suitable for a broad and diverse audience of medical students, residents, fellows, physicians, nurses, and respiratory therapists who seek the latest and best evidence in critical care. From reviews of previous editions: “This is an excellent introduction to the concept of evidence-based medicine...The writing is clear, logical, and highly organized, which makes for fast and enjoyable reading. I believe this book will get daily use in most intensive care units, by a wide range of readers.” –Respiratory Care “This is one of the most comprehensive handbooks on critical care medicine with a strong emphasis on evidence base...Overall, this book should be useful for junior doctors or intensive care trainees who are starting their term in an intensive care unit.” –Anaesthesia and Intensive Care

The first comprehensive text on critical care emergency medicine "...goes a long way toward establishing emergency physicians as credible intensivists....The book is unique as it blends the perspective of a true intensivist with that of emergency medicine. The book is the fi rst of its kind, and I predict it will become known as the standard reference for those emergency physicians, as well as others, who wish to understand the overlap between emergency medicine and critical care."--Thomas M. Scalea, MD, FACS, FCCM, R. Adams Cowley Shock Trauma Center and University of Maryland School of Medicine (from the foreword) Critical Care Emergency Medicine is destined to become the standard reference for all clinicians who wish to understand the overlap between emergency medicine and critical care. Written by experienced emergency physicians and intensivists, the book is unique in incorporating both perspectives into the practice of emergency medicine and critical care. Critical Care Emergency Medicine teaches emergency physicians everything they must know and do to better care for critically ill patients in an emergency department or to provide care in an ICU. Enhanced by numerous algorithms that speed decision making and full-color illustrations demonstrating anatomy and technique, this book is an essential practice tool. Critical Care Emergency Medicine delivers expert guidance on managing: Airway and Ventilatory Support Pulmonary Disorders Cardiovascular Disorders Gastrointestinal and Renal Disorders Neurologic and Neurosurgical Disorders Hematologic and Endocrine Disorders Infectious Diseases Toxicologic Disorders You will also find important information on the use of ultrasound, fluid management, nutritional support, pediatric considerations, patient transportation, and end-of-life issues.

What began as a compilation of author notes from a real critical care hospital practice setting is now a pocket-sized powerhouse for critical care nurses and students! Quick Reference to Critical Care, 4th edition, provides thoroughly updated critical care content and updated cross-references with page numbers for even quicker reference and ease of use. Information is organized by body system, with each part presented alphabetically for fast, easy access. Full of fast facts, mnemonics, and over 200 images and tables!

This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.

Critical Care Obstetrics provides expert clinical guidance throughout on how you can maximize the chances of your patient and her baby surviving trauma. In this stimulating text, internationally recognized experts guide you through the most challenging situations you as an obstetrician are likely to face, enabling you to skillfully: Recognize conditions early-on which might prove life threatening Implement immediate life-saving treatments in emergency situations Maximize the survival prospects of both the mother and her fetus The fifth edition of this popular book will help you keep your composure in high risk clinical situations, making it an invaluable resource for any healthcare professional responsible for the care and management of pregnant women and their unborn children.