Critical care is an ever evolving field with diverse and complex challenges. These challenges include identifying pathophysiology in the individual patient, integrating care providers from multiple disciplines, mastering various therapeutic procedures and techniques, keeping update with the developments, to name but a few. As a result of this complexity, care in the intensive care unit must be guided by a thoughtful and organized approach.
Written as a teaching aid, this revised edition meets the unique demands of trainees in internal medicine, pulmonary medicine, surgery, or anaesthesiology, when they first get involved with the management of the critically ill patients. It is also of help to critical care nurses and other allied health professionals working in intensive care unit. The text includes major diagnostic features, relevant pathophysiology, concise description of disease processes, and the practical management strategies for the broad range of conditions encountered in a multidisciplinary intensive care unit.
Helps you successfully manage the critically ill, and * Includes fourteen new chapters on fluid and electrolyte disorders, metabolic abnormalities, common poisonings, and infections in the intensive care unit. * Continues with simple, user-friendly, step-by-step approach. * Provides the best current recommendations on critical care supportive measures, including nutrition, bleeding prevention, and mechanical ventilation. * Covers key topics in critical care basics, medical critical care, and essentials of surgical critical care.
About the Author Dr. P. K. Verma, Consultant, Anaesthesiology and Critical Care, Safdarjung Hospital, New Delhi, has a rich and vast clinical experience of nearly three decades. Being incharge of the ICU, he has been involved as a full time intensivist for the last several years. Dr. Verma has published a highly acclaimed book and several book chapters, on a
Table of Contents Preface to Second Edition Preface to First Edition 1. Tracheal Suctioning 2. Care of Tracheal Tube Cuff 3. Tracheotomy/Tracheostomy Tube Care 4. Applying Air-entrainment Mask 5. Incentive Spirometry 6. Closed Chest Drainage System 7. Analgesia and Sedation in Critically ill Patients 8. Neuromuscular Blocking Agents in the Intensive Care Unit 9. Arterial Puncture and Cannulation 10. Central Venous Pressure 11. Fluid Challenge 12. Defibrillation 13. Cardioversion 14. Automated External Defibrillation 15. Rhabdomyolysis 16. Effective Use of Blood and Blood Components 17. Administration of Blood and Blood Components 18. Management of a Patient with Massive Transfusion 19. Management of Acute Hyperkalaemia 20. Management of Acute Hypokalaemia 21. Management of Hyponatraemia 22. Management of Hypernatraemia 23. Acute Renal Failure 24. Stress Ulcer Prophylaxis 25. An Approach to Acid-base Disorders 26. Venous Oximetry 27. Metabolic Alkalosis 28. Metabolic Acidosis 29. Chest Radiography in ICU 30. Determination of Brain Death 31. Airway Management in Emergency Department /Ward: Basic Approach 32. Airway Management: Predicting the Difficult Airway 33. Airway Management in Emergency Department/Ward: Clinical Situations 34. Noninvasive Positive Pressure Ventilation 35. Initiation of Mechanical Ventilation: Assessment of the Patient 36. Initiation of Mechanical Ventilation: Basic Rules 37. Initiation of Mechanical Ventilation: Setting the Ventilator 38. Synchronized Intermittent Mandatory Ventilation 39. Pressure Support Ventilation 40. Pressure-controlled Ventilation 41. Monitoring Ventilator Function 42. Monitoring the Patient 43. Clues the Ventilator Offers 44. Application and Weaning of Positive End-expiratory Pressure (PEEP) 45. Recruitment Manoeuvres 46. Dynamic Hyperinflation and Auto-PEEP 47. Weaning from Mechanical Ventilation 48. Maximal Static Respiratory Pressure Measurement in ICU 49. Methods of Weaning 50. Extubation 51. Performing Extubation and Decannulation 52. Nutrition: Why, When, and How? 53. Macronutrients in Parenteral Formulas 54. Total Parenteral Nutrition 55. Initiation of Parenteral Nutrition 56. Classification of Enteral Formulas 57. Selection of Formula for Enteral Nutrition 58. Planning an Enteral Feed 59. Initiation of Enteral Feeding 60. Modification of the Formulation in Different Clinical Situations 61. Methods to Decrease Risk of Aspiration 62. Management of Hyperglycaemia in Critically ill Patients-General Principles 63. Prevention of Catheter-related Bloodstream Infections in Critical Care Patients 64. Prevention of Catheter-associated Urinary Tract Infections 65. Severe Pre-eclampsia and Eclampsia 66. An Approach to the Febrile ICU Patient 67. Sepsis, Severe Sepsis, and Septic Shock 68. Severe Community-acquired Pneumonia 69. Management of Ventilator-associated Pneumonia 70. Management of Intra-abdominal Sepsis 71. Acute Respiratory Distress Syndrome 72. Flail Chest and Pulmonary Contusion 73. Acute Respiratory Failure due to Chronic Obstructive Pulmonary Disease 74. Acute Severe Asthma in Adults 75. Diabetic Ketoacidosis 76. Guillain-Barre Syndrome 77. Head Injury 78. Status Epilepticus 79. Poisoning by Cholinergic Compounds 80. Snake Envenomation in ICU Appendices I-XV I. Acute Respiratory Failure (ARF) II. Conversion Factors for Important Minerals III. Mineral Content in Various Compounds and Solutions IV. Intravenous Electrolyte Solutions V. Suggested Guidelines for Administration of Electrolyte Solutions VI. Electrolyte Content of Gastrointestinal Secretions VII. Normal Ranges for Blood Gas Analysis VIII. Glasgow Coma Scale IX. Lung Injury Score X. CURB-65 criteria XI. Pneumonia severity of index scores and score risk class stratification XII. Checklist of the Criteria for Diagnosis of Brain-stem Death XIII. Ventilation Monitoring Chart XIV. Investigations Chart XV. Daily Progress Chart Index
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