الصفحة 1
الصفحة 1
Medical Emergency Teams : Implementation and Outcome Measurement
Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.
Mechanical Ventilation
This book represents a state-of-the-art review by the leading experts in this field and covers a number of important topics including epidemiology, underlying physiological concepts, and approaches to monitoring. The pros and cons of various modes of ventilation are reviewed, as are novel forms of ventilation that may play a role in the future management of patients with respiratory failure. The importance of patient-ventilator synchrony and ventilator-induced lung injury are reviewed, with a focus on recent clinical trials and the challenges of implementing the results into clinical practice.
Intensive Care Medicine in 10 Years
This volume seeks to identify the trends in critical care medicine that will form the basis for practice over the next ten years. Predicting the future is always risky. Nevertheless, the ideas articulated in this book are likely to serve as a road map for intensivists, hospital administrators and governmental leaders interested in healthcare, as they seek to improve the quality and efficiency of hospital-based services.
Intensive Care Medicine : Annual Update 2008
The Update compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
Intensive and Critical Care Medicine : Reflections, Recommendations and Perspectives
The volume will provide an update on problems concerning respiration, cardiovascular medicine, monitoring, organizational aspects and quality of care; other important aspects will be discussed, from critical patients' treatment and informed consent to costs managements, research and auditing, severity scores and control of infections in intensive care. Sepsis and organ dysfunction will be dealt with in detail. A brief account of records of the World Federation of Intensive and Critical Care Medicine introduces some of the drawbacks encountered during its thirty-year-old history.
Geriatrics for Specialists
This 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.
Evidence-Based Management of Patients with Respiratory Failure
this book on the Evidence-based Management of Patients with Respiratory Failure provides important information to improve patient outcome by clearly identifying the research evidence that we can apply in daily clinical practice.
End-of-Life Communication in the ICU : A Global Perspective
The book examines how different cultures view death and explores how healthcare providers around the world communicate to patients and family members such sensitive issues as withholding or withdrawing life support and discussing options when the outcome is uncertain.
Devices for Cardiac Resynchronization : Technologic and Clinical Aspects
The treatment of congestive heart failure by implanted biventricular pacemakers, or cardiac resynchronization, has revolutionized the practice of implanting pacemakers and defibrillators. More cardiac resynchronization therapy devices than conventional pacemakers are now being implanted and their numbers are growing worldwide.
Crisis Management in Acute Care Settings : Human Factors and Team Psychology in a High Stakes Enviroment
This book addresses all issues relevant to error prevention and safe practice in the acute and emergency health-care setting. It begins with the basic principles of human behavior and decision making and then partitions into three sections where the individual, the team, and the organizational influences within the health-care system are discussed in greater depth.
Management of Heart Failure ; Vol.1 : Medical
This practical volume focuses on the medical management of heart failure and outlines the causes, etiopathology and mechanisms in such a way that most health care professionals can grasp the concepts.
Les techniques de monitorage hémodynamique en réanimation = Hemodynamic monitoring techniques in intensive care
The hemodynamic monitoring of intensive care patients is undergoing major changes. Technological advances such as computerization and miniaturization have made it possible to considerably expand the range of assessment tools available at the bedside. Thus, the approach to cardiovascular monitoring - which was once readily "invasive" and global - is gradually becoming non-invasive and locoregional or even tissue. At the same time, the combined evolution of technology and physiological and pathophysiological concepts now provides the clinician with access to a variety of "functional hemodynamic monitoring". The aim of this book is to provide a better understanding of the interest and the limits of the hemodynamic parameters accessible by current hemodynamic monitoring techniques. It thus aims to ensure that the use of these techniques is perfectly mastered by resuscitators and anesthetists-resuscitators so that patient care is ultimately optimal.
Les infections intra-abdominales aiguës = Acute intra-abdominal infections
Paradoxically, serious intra-abdominal infections are the forgotten ones in the world of infectious diseases. Paradoxical, because they are very common pathologies, affecting all age groups of the population and often life-threatening; paradoxical, because they concern many medical specialties through intensive care, gastroenterology, hepatology, imaging, infectious diseases, emergencies and surgery. Hence the need, thanks to an interdisciplinary collaboration, to publish a book in French bringing together all infectious abdominal pathologies, thus offering a synthesis of recent data from the literature in this field. This document should allow the various specialties concerned to find updates integrating the latest clinical, diagnostic and therapeutic data. Specialty interns and practitioners in the field will find something to establish an effective and up-to-date strategy for the management of patients with these pathologies, the high incidence of which and the severity of which is too often overlooked, it is important to remember.
Le syndrome de détresse respiratoire aiguë = Acute respiratory distress syndrome
Gives a large place to mechanical ventilation, in particular to its optimization and the interest of its various forms, such as non-invasive ventilation or high frequency oscillation. It also discusses, in a practical way, what imaging and the study of respiratory mechanics can bring to the practitioner in the field or to the intensive care unit.
La respirazione artificiale : Basi e pratica = The artificial respiration: Basi e pratica
Mechanical respiration is a procedure with an intensive medicine physician and specialized specialist in the discipline of general medicine if I must daily confront. The volume is described in detail and foundation of the clinical practice: starting from the basic anatomy and physiology of the mechanical respiration and the variety of forms of respiratory insufficiency. metodi alternativi and il management delle malattie specifiche dell'apparato respiratorio. We are here to discuss the latest technology for respiratory therapy and non-invasive mechanical respiration.
La réanimation neurochirurgicale = Neurosurgical resuscitation
«decade of the brain », s’est ajouté en clinique humaine le développement des nouvelles techniques d’imagerie. Ceci a permis d'enterrer enfin certaines idées anciennes et de développer de nouvelles stratégies thérapeutiques fondées sur une meilleure compréhension des mécanismes physiopathologiques de l’agression cérébrale en transposant les résultats de la recherche fondamentale dans la pratique de tous les jours. Il ne fait aucun doute que le médecin, qu'il soit anesthésiste, réanimateur, urgentiste, qui serait passé « à côté » de cette période concernant la prise en charge globale du cerveau agressé se retrouverait distancé face à la prise en charge actuelle et n’aurait pas en main les moyens d’en comprendre sa justification. L’association de neuro-anesthésie réanimation de langue Française
L’insuffisance rénale aiguë = Acute renal failure
The aim of this book is to make current data from the experimental and clinical literature accessible to readers. More than a thousand articles are published each year on the theme and the authors aim to synthesize this information. These data relate in particular to the identification of early markers of renal dysfunction without which screening, recognition of the main pathophysiological determinants and prevention remain uncertain. This book focuses attention on clinical situations characterized by the renal impact of the main dysfunctions of vital functions, the prognosis of which is worsened by the occurrence of this renal failure. The following will be treated in particular: the renal consequences of oxidative stress, the renal consequences of respiratory dysfunction, cardiac dysfunction, hepatic dysfunction, alterations in hemostasis, septic shock and hemorrhagic shock. Finally, the physiopathological data from experimental models are gradually finding their echo in the clinical field, opening up therapeutic avenues whose recent evaluations will be analyzed.
Clinical Anesthesia: Near Misses and Lessons Learned
This book serve as either an excellent review for the American Board of Anesthesiology’s oral exam or as an easy and practical way for the reader to gain familiarity with unexpected problems in clinical anesthesia.
Classic Papers in Critical Care
Every medical specialty has at its basis a core of classic papers, which both reflect the historical background and give insight into present and future developments. The papers discussed in this book are considered classics for many reasons, but in all cases they highlight landmarks in the development in critical care medicine and therefore providing an invaluable reference for both trainee and practising clinicians.
Applied Physiology in Intensive Care Medicine
A series of short papers published in Intensive Care Medicine since 2002 under the heading Physiologic Notes attempts to capture the essence of the physiologic perspectives that underpin both our understanding of disease and response to therapy. Tis present volume combines the complete list of these Physiologic Notes up until July 2006 with the ass o ciated review articles over the same in terval that also address edthese central issues.
