The Clinical Handbook For Surgical Critical Care (clinical Handbook Series)

the Surgical Patient May Exhibit A Variety Of Subtle And Not So Subtle Clues That A Problem, Or In The Words Of The Authors A Hole, Is Present. Therefore, When Evaluating And Managing The Critically Ill Patient, The Critical Care Surgeon Must Proceed Through A Series Of Three Questions: Where Is The Hole? How Do I Repair The Hole? And The Most Critical Question, Why Is The Hole There? The Clinical Handbook For Surgical Critical Care Is A Guide To Answering These Questions, Bringing Into Focus The Importance Of Why Is The Hole There? And Exploring How To Effectively Make It Disappear. since Much Of Surgical Critical Illness Is Secondary To Either Inadequate Circulation, Pathological Inflammation, Or Both, The Authors Pay Particular Attention To The Recognition Of These Conditions Associated With Particular Disease States. The Authors Examine The Pathophysiology That Underlie These Disease States And Then The Physical Examination, Monitoring, And Laboratory Results That Lead To A Diagnosis. They Discuss Appropriate Management Of The Deranged Physiology And Provide The Supporting Evidence For Treatment. the Clinical Handbook For Surgical Critical Care Serves As A Manual For Reviewing And Contrasting Organ Physiology During Normal And Pathological States And Recognizing The Pathophysiological States Related To Surgical Disease And Procedures. It Gives You A Clear Understanding Of The Link Between Deficits In The Circulation And Pathological Inflammation That Is Key To A Successful Outcome. doody Review Services reviewer: david J. Dries, Md(university Of Minnesota Medical School) description: this Softbound Manual Describes An Organ System-based Approach To Management Of The Critically Ill Surgical Patient. purpose: this Is A Concise Review Of Normal And Abnormal Physiology For Each Organ System With An Emphasis On Optimal Treatment And Organ Interaction. audience: surgical Trainees And Teachers Of Surgical Critical Care Are An Appropriate Audience For This Book. The Former Will Enjoy The Direct And Fundamental Approach, While The Latter May Find A Teaching Tool. features: the 10 Chapters Are Organized According To Organ System Beginning With The Cardiopulmonary System And The Inflammatory Response To Critical Illness. Later Chapters Include Abdominal Organs As Well As The Central Nervous System. Information On Infection In The Intensive Care Unit, Burns, And The Hematopoietic System Conclude The Book. Chapters Are Introduced With A Word Outline And Divided Into Sections By Texture Of Type. There Is Ample Use Made Of Black-and-white Figures, Which Demonstrate Physiologic Principles. After A Review Of Standard Physiologic Considerations, Common Pathophysiology Is Discussed With Treatment Options. A Concluding Bibliography Of Approximately 25 Pages Cites Original Work And Important Review Papers. Most References Are Five To 10 Years Old. assessment: this Is A Compilation Of Many Of The Classic Studies Contributing To Care Of The Surgical Patient From The Late 1980s And Early 1990s. Unfortunately, Recent Developments (since 1995) Are Not Included. Thus, This Handbook Can Be Recommended For A Succinct Review Of Pertinent Physiology, But The Reader Is Warned That Treatment Strategies Have And Will Evolve Beyond Those Described Here. Content: Foreword BASIC PRINCIPLES Historic Concepts of Shock Current Concepts The Surgeon in Critical Care THE CIRCULATION Cardiovascular Physiology Hemodynamic Monitoring Cardiovascular Drugs Hypoperfusion States INFLAMMATION Physiology Normal Immunology Pathological Systemic Inflammation: Physiology Pathological Systemic Inflammation: Diagnosis and Treatment Wound Healing Disorders THE PULMONARY SYSTEM Introduction Lung Volume Pulmonary Monitoring Drug Therapy Lung Dysfunction Mechanical Ventilation Extracorporeal Pulmonary Support THE RENAL SYSTEM Basic Physiology Monitoring of Renal Function Drugs Fluids and Electrolytes Renal Failure and Selected Metabolic Disturbances THE GASTROINTESTINAL/NUTRITIONAL SYSTEM Basic Gastrointestinal Physiology Gastrointestinal Monitoring Gastrointestinal Medications Gastrointestinal Dysfunction Nutritional Physiology Nutritional Therapy THE CENTRAL NERVOUS SYSTEM Introduction Anatomy Physiology Physical Examination Etiology of Coma CNS Malfunction THE INTEGUMENT/BURNS Functions of the Skin The Effects of Hypoperfusion on Burn Injury The Effects of Inflammation on Burn Injury Resuscitation Inhalation Injury Infection in Burn Patients Nutritional Support Muscle Injury with Burns THE HEMATOPOIETIC SYSTEM Normal Coagulation Effects of Hypoperfusion on Coagulation Effects of Inflammation on Coagulation Disorders of Coagulation Massive Transfusion Hypothermia Transfusion of Blood Products INTENSIVE CARE UNIT INFECTIOUS DISEASE Introduction and Epidemiology Intravascular Catheter Infection Opportunistic Infection in the ICU Antibiotics SYNOPSIS BIBLIOGRAPHY INDEX