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O ObivoV brac ?vV, eJ de teJcnh makrhv Life is short, the] art long -Hippocrates Pediatric Interviewing: A Practical, Relationship Based Approach by James Binder is filled with a unique blend of wisdom, experience, and evidence, which will serve as a guide and as a reminder that what comes first in the care of the patient is the language and the silences that are shared between patient and physician. The medical interview quickly establishes the type of caring relati- ship the two will share. In this age of electronic medical records, pay-forperformance, and evidence-based medicine it is easy to lose sight that medicine is fundamentally about one person who has knowledge and experience providing care for another individual who is asking for help. How the physician organizes his or her interactions has an important impact on the experience and o- comes for both the physician and for the patient. Dr. Binder presents a conceptual framework with which to approach interviewing and illustrates this framework with pr- tical examples from years of teaching and practice. Physicia- intraining will find this book filled with wisdom and much needed recommendations about how to approach the medical interview. For those of us who have been in practice a number of years, Dr. Binder's book can serve as a refreshing opportunity to reflect in detail about something many of us take for granted - the c- plexity of the medical interview."
Der Klassiker der Intensivmedizin in 12. Auflage! Als Intensivmediziner benoetigt man heutzutage ein breites Wissen verschiedener Fachdisziplinen. Im grossen Standardwerk fur die Intensivmedizin haben ein hochkaratiges und interdisziplinares Herausgeber- und Autorenteam alle Themen der modernen, interdisziplinaren Intensivmedizin zusammengetragen: Diagnostik und Therapie, (nicht-)invasive Monitoringverfahren, Kapitel zu allen relevanten Krankheitsbildern und Notfallen. Eigene Abschnitte zu speziellen Disziplinen (Kardiologie, Chirurgie, Gastroenterologie) sowie ethische, psychosoziale und pflegerische Aspekte helfen bei taglichen Fragen und schwierigen Entscheidungen. Die 12. Auflage erscheint komplett aktualisiert und um neue Themen erweitert, wie: Extrakorporale Organunterstutzung, VAD-Systeme- Heimbeatmung und UEberleitung in die Heimbeatmung Prophylaxen in der Intensivmedizin Ileus und toxisches Megakolon, mesenteriale Ischamie, nekrotisierende Weichteilinfektionen, akute Porphyrie Patient Blood Management, Patientendatenbanksysteme (PDMS) Telemedizin Das vorliegende Werk bietet hoechsten Standard fur die arztliche Weiterbildung und ist gleichzeitig ein wertvolles Nachschlagewerk im klinischen Alltag fur AErzte auf Intensivstationen aller Fachgebiete.
The focus of this volume is the "state of the art" of Intensive and Critical Care Medicine as well as new insights into basic science, clinical research and therapeutic interventions. Structured in four parts, the volume opens with few chapters devoted to the beginning and development of the WSICCM, to procedures standardization, recommendations and quality of care improvement, with particular reference to the definition of clinical governance, professionalism and ethics. In the second part, the authors describe the practical clinical approach to critical illness; among the topics dealt with, the reader will find monitoring and management of shock states; acute pain management, airway management, ALI/ARDS and protective lung ventilation; the problem of weaning; antibiotics policy, sepsis and organ dysfunction. The third part of the book is related to some special conditions of countries with limited resources, such as management of obstetrics at high risk, malaria, AIDS, blood transfusion and its components. The last part of the book is structured to present some crucial issues of the intensive and critical care arena, in particular evidence-based practice, the role of the e-distance learning for information and the promotion of CME programs; last but not least, trauma care, disaster and natural disaster medicine are also discussed; a final chapter on the Guidelines of the World Health Organization (WHO) on Disaster Medicine is included.
Single Subject Designs in Biomedicine draws upon the rich history of single case research within the educational and behavioral research settings and extends the application to the field of biomedicine. Biomedical illustrations are used to demonstrate the processes of designing, implementing, and evaluating a single subject design. Strengths and limitations of various methodologies are presented, along with specific clinical areas of application in which these applications would be appropriate. Statistical and visual techniques for data analysis are also discussed. The breadth and depth of information provided is suitable for medical students in research oriented courses, primary care practitioners and medical specialists seeking to apply methods of evidence practice to improve patient care, and medical researchers who are expanding their methodological expertise to include single subject designs. Increasing awareness of the utility in the single subject design could enhance treatment approach and evaluation both in biomedical research and medical care settings.
This book identifies 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.
Now in vibrant full color throughout, Rogers' Textbook of Pediatric Intensive Care, 5th Edition , continues its tradition of excellence as the gold standard in the field. For more than 25 years, readers have turned to this comprehensive resource for clear explanations of both the principles underlying pediatric critical care disease and trauma as well as how these principles are applied in clinical practice. In the 5th Edition, more than 250 global contributors bring you completely up to date on today's understanding, treatments, technologies, and outcomes regarding critical illness in children. The 5th Edition's many updates include: An all-new full-color layout that enhances visual appeal and makes the text easier to navigate. New "Key Point" summaries at the beginning of each chapter that are numerically correlated to pertinent sections in the text, so you can find what you need quickly. Fifteen new chapters cover Integrating Palliative Care and Critical Care; Rapid Response Systems; Non-Invasive Ventilation; Abusive Head Trauma; Pulmonary Hypertension; Dengue and Other Viral Hemorrhagic Fevers (including Ebola); Gastrointestinal Bleeding; Diagnostic Imaging of the Abdomen; and more. More detailed coverage of Professionalism and Leadership in Pediatric Critical Care; Simulation Training and Team Dynamics; Injury from Chemical, Biologic, Radiologic, and Nuclear Agents (Bioterrorism); Mass Casualty Events; Acute Kidney Injury; and Chronic Kidney Disease, Dialysis and Renal Transplantation. Best available evidence is now highlighted for each topic, making it easier to locate and evaluate significant data. All existing chapters have been thoroughly updated and rewritten. A new appendix of critical care equations for quick reference of essential information. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use
Although its roots date back to the early decades of the 20th century, critical care medicine did not emerge as a specialty in medicine until the 1970 s. Over the last 30 years or so, the field of critical care medicine has grown tremendously and there is now a solid body of scientific information that forms the foundation for the practice of critical care medicine. But, now as physicians and hospitals around the world focus to an ever greater extend on providing high quality care, the practice of critical care medicine will continue to grow in visibility and importance among clinicians and the general public as well.
This book 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."
For many years, intensive care has focused on avoiding immediate
death from acute, life-threatening conditions. However, there are
increasing reports of a number of lingering consequences for those
who do indeed survive intensive care. Examples include on-going
high risk of death, neurocognitive defects, significant caregiver
burden, and continued high healthcare costs.
The management of critically ill patients not only involves a bedside clinical assessment, but also a thorough daily review of investigations and monitoring. A detailed knowledge and understanding of data are an important part of training and practice in the day-to-day management of patients in intensive care. This book will play a useful role in the education of trainees, providing a source of real clinical data, with questions and answers, enabling them to test and develop their interpretation skills. Answers with explanations follow each question, providing instant access to the correct interpretation and additional information to enhance the readers understanding. Important review for anesthesia and critical care personnel who need to know this information for practice or for exams.
Mechanical ventilation and weaning is one of the most common procedures carried out in critically ill patients. Appropriate management of these patients is of paramount importance to improve the outcome in terms of both morbidity and mortality. This book offers the physiological and clinical basis required to improve the care delivered to patients undergoing mechanical ventilation.
Fungal infections are an increasing problem in critically ill patients and these infections carry an attributable mortality that is much higher than corresponding bacterial infections. In both Europe and North America, Candida infections predominate and much of this book concentrates on the epidemiology, risk factors, diagnosis, and treatment of these infections. Particular reference is made to the cross-infection problems of Candida infection and the importance of infection control and preventative measures. However, other fungal infections are increasingly being seen in critically ill patients. This book is designed to offer a European and North American perspective on each topic. There are many similarities in experience and clinical practice but also significant differences that we hope will stimulate further thought and study. We hope the book will be of interest to intensivists, infectious disease specialists, medical microbiologists, and all those with an involvement in critical care. Progress in intensive care medicine is resulting in a growing population of critically ill patients at risk of fungal infection. Further improvements in survival will require a multidisciplinary approach.
Erfahrene Intensivmediziner liefern mit dem Band eine praktische Anleitung sowie notwendige Hintergrundinformation fur die praklinische und klinische Versorgung von internistischen Intensivpatienten: von den Techniken und Methoden bis hin zu krankheitsubergreifenden Behandlungskonzepten. Der systematische Aufbau hilft Lesern, die benotigten Informationen rasch zu finden. Neu in der komplett aktualisierten 2. Auflage sind Abschnitte zu den Grenzen der Intensivmedizin, zur Patientenverfugung, zu Scoresystemen und psychiatrischen Notfallen."
Infection Control in the ICU Environment provides the details of the most common infection control problems facing intensive care units. Authors include noted scientists, intensivists and epidemiologists from the United States and Europe as well as infection control experts from the Centers for Disease Control and Prevention. Acinetobacter, methicillin resistant staphylococcus aureus and vancomycin resistant enterococci are examined in detail. This volume also includes cutting edge information regarding the potential for prophylactic and pre-emptive therapy of fungal infections in intensive care units. Innovations in vascular catheter care and prevention of bloodstream infections are discussed in this volume as well as the newest information in mathematical modeling to understand the epidemiology and control of infections in intensive care units.
Der Pocketguide unterstutzt Intensivmediziner im Klinikalltag dabei, die richtige Entscheidung bei der Dosierung zu treffen, das empfohlene Diagnostikschema oder die passende Therapiestrategie zu finden. Die Autoren bringen das Wissen, das auf Intensivstationen gebraucht wird, stets auf den Punkt und gehen auch auf Spezialthemen wie Schwangere auf der Intensivstation oder padiatrische Intensivmedizin ein. Zahlreiche Tabellen und Ubersichten helfen, die benotigten Informationen schnell zu finden. Der Band enthalt die Reanimations-Leitlinien 2011."
The interest of researchers, clinicians, practitioners and surgeons in critical care medicine is growing. Clinical pharmacology and new technologies now allow more appropriate therapies, and the commitment of all those involved in this field is of fundamental importance for reaching high interventional standards, in both the prevention and treatment of critical conditions, but also for satisfying the concept of cost-effectiveness in critical care. In this volume advances in critical care medicine are described, including the application of new technologies in the clinical setting, the full integration of computers and informatics, and the continual training of physicians and technicians.
Much research over the past 30 to 40 years has shown that the inflammatory response, while critical for host defense during microbial infection, may itself play a central role in the pathogenesis of sepsis. Although key mediators responsible for this injury have been identified, efforts clinically to augment our conventional antimicrobial and supportive therapies during sepsis with agents modulating the inflammatory response have been unsuccessful. As a result, the mortality associated with this lethal syndrome, especially when complicated by shock, has remained persistently high. Unfortunately, during this same period of time, the incidence of sepsis has accelerated as other fields of medicine have relied increasingly on therapies that predispose to infection. While frustrating, overall this experience in the field of sepsis has not been without value. Most importantly, it has helped define on several different levels the complexity of the septic patient. Recognizing and addressing this complexity as discussed by each of the contributors to Evolving Concepts in Sepsis and Septic Shock may now provide new inroads into the treatment of sepsis.
This book presents pulmonary outcomes of prematurity, from their emergence in infancy through to their consequences in adulthood. With an increasing number of preterm births and more infants surviving, there is now a larger population of adults with lung disease originating in infancy requiring specialized care. Looking at the whole group of preterm infants, not just those with bronchopulmonary dysplasia, this text covers a wide spectrum of pulmonary outcomes, including: pulmonary hypertension, wheezing, and alterations in sleep. The chapter authors focus on critically appraising what is and is not known about each outcome and suggest key questions that still need to be answered. Respiratory Outcomes in Preterm Infants: Sequelae from Infancy through Adulthood is an ideal reference for the multidisciplinary group that cares for these preterm infants and the adults they become, including: neonatologists, pediatric pulmonologists, pediatricians, adult pulmonologists, primary care physicians, nurses, and fellows.
This text addresses many of the questions which occur when medical professionals of various disciplines interact and have different plans and interventions, each with its own valid scientific and/or experience-based rationale: Questions involving tourniquet placement, ideal fluids and volumes for resuscitation, VTE prophylaxis and many other management considerations. Straightforward decisions in the patient with a single diagnosis often conflict when applied to the neurologically injured polytrauma patients. Neurotrauma Management for the Severely Injured Polytrauma Patient answers as many of these questions as possible based on the current literature, vast experience with severe neurotrauma in the current conflicts in Afghanistan and Iraq, and the experience of trauma experts across the globe as well as proposes areas for future study where answers are currently less clear.
Now on its fourth edition, the Oxford Handbook of Anaesthesia provides authoritative, concise guidance on all aspects of anaesthesia. Evidence-based, up-to-date, and clinically-focused, it is indispensable for both anaesthetic trainees and experienced practitioners. Building on the award-winning success of previous editions, the Oxford Handbook of Anaesthesia is as relevant and important as ever. Fully revised with the latest guidelines, drugs, and procedures, this book ensures readers have the most up-to-date knowledge easily to hand. The fourth edition includes new content on obesity surgery, colloids vs crystalloids, and enhanced recovery, as well as intraoperative fluid management, new anticoagulants, BIS updates, pulse contour analysis, and much more. Wherever you are on your career path in anaesthesia, this handbook is your essential companion.
Das 4. Heidelberger Symposium uber "Hamostase in der Anasthesiologie" hat es sich zum Ziel gesetzt, fachubergreifend die noch ungelosten Fragen in der Hamostaseologie offenzulegen und auf der Basis einer kritischen Wertung der bekannten Studien klare Handlungsanweisungen fur den praktisch tatigen Arzt zu geben. Die angesprochenen Themen sind haufig in der Klinik auftretende Probleme wie die perioperative Einstellung von Hamophilen, die Betreuung von Patienten mit Massivtransfusion, Protein Z-Mangel, Lungenembolie, Katheterthrombose und Probleme der Gerinnungsanalyse und die Sicherheit von Praparaten mit Gerinnungsfaktoren. Das vorliegende Buch hat es sich zum Ziel gesetzt, den Leser uber die neuen Entwicklungen zu informieren und Anleitungen zum praktischen klinischen Handeln zu geben.
The field of research related to neurocritical care has grown significantly in recent years, and the clinical demands for current and dependable expertise has followed suit. It can be a challenge for the neurocritical practitioner to keep up with cutting-edge evidence-based research and best practices, especially regarding the role of pharmacotherapeutics. In the treatment of neurocritical disease states, pharmacotherapeutic strategies are increasingly relevant. Neuropharmacotherapy in Critical Illness is the first book that provides this information in a high-yield format for the busy healthcare provider. Edited and authored by leading experts in the field, this book provides practitioners with clinical pearls on neuropharmacology, dosing strategies, monitoring, adverse events, drug interactions, and evidence-based pharmacotherapy.
Ein vertieftes pathophysiologisches Verstandnis der respiratorischen Insuffizienz und die technischen Entwicklungen der letzten Jahre haben die Beatmung, uber die reine Substitution bei Atmungsausfall durch zentrale oder periphere Atemlahmung hinaus, zu einer Therapie der respiratorischen Insuffizienz und pulmonaler Erkrankungen werden lassen. Es gibt heute ein breites Indikationsspektrum fur vielerlei Beatmungsverfahren, die von einfachen Atemhilfen bis hin zu komplexen, computergesteuerten Beatmungsmustern und zur Lungenersatztherapie reichen. Dieses Buch enthalt neben den pathophysiologischen Grundlagen eine systematische Darstellung der Verfahren und Gerate und gibt Anasthesisten und Intensivmedizinern wertvolle Hinweise fur indikationsgerechte Entscheidungen.
Intensive Care Medicine has been continuously growing and expanding, culturally, technically and geographically. Monitoring and instrumentation are continuously improving and more and more hospitals are getting Intensive Care facilities. The costs have proportionally increased over the years, so that ICUs represent today a major cost for health structures. Since the available resources are limited, a real need is emerging to set the limits and indications of Intensive Care. It is understood that the problem not only involves medical considerations, but also ethical and economical aspects of the utmost importance. For the first time in Europe, this book edited by Reis Miranda and his colleagues tackles systematically the many structural aspects of the European Intensive Care. The organisation and financing of health care in the Old Continent is deeply different from the American one, and the results and consequent proposals obtained in the USA cannot simply be transferred to this side of the Atlantic Ocean. Weare extremely pleased to welcome this first European attempt to discuss the Intensive Care problem. It lays no claims to giving definite replies in a continuously developing field, but it will surely become the basis for future discussions and proposals. I am particularly happy that this work has mainly developed within the European Society of Intensive Care, whose final target is to ensure a common standard of therapy in our old Europe, beyond national differences. We warmly congratulate the authors, and I am sure that their work will find wide diffusion and consent.
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