Overview

This best-selling volume in The Secrets Series® is back in an exciting, fully updated 4th Edition! You'll find all of the features you rely on the Secrets for-such as a question-and-answer format · bulleted lists · mnemonics · "Key Points" boxes · and tips from the authors.
  • Equips you with the evidence-based guidance you need to provide optima care for the critically ill.
  • Expedites reference and review with a...
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Critical Care Secrets

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Overview

This best-selling volume in The Secrets Series® is back in an exciting, fully updated 4th Edition! You'll find all of the features you rely on the Secrets for-such as a question-and-answer format · bulleted lists · mnemonics · "Key Points" boxes · and tips from the authors.
  • Equips you with the evidence-based guidance you need to provide optima care for the critically ill.
  • Expedites reference and review with a question-and-answer format, bulleted lists, mnemonics, and practical tips from the authors.
  • Features a two-color page layout, "Key Points" boxes, and lists of useful web sites to enhance your reference power.
  • Presents a chapter containing "Top Secrets", providing you with an overview of essential material for last-minute study or self-assessment
  • Provides coverage of the principles of gas and fluid flow · pulmonary mechanics · and electronic circuitry.
  • Discusses protocols and guidelines.
  • Offers effective solutions to patients' medical and ethical problems from a wide range of specialists such as pulmonologists
    · surgeons · anesthesiologists · psychiatrists · pharmacists · and infectious disease experts.

The book contains black-and-white illustrations.

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Editorial Reviews

David J. Dries
This second edition of a multiauthored text reviews common facts involved in critical care management. Junior house officers and medical students will find a summary of common facts used to introduce critical care concepts in a question and answer format. The student or junior house officer is the appropriate audience for this work. Editors and contributors represent multidisciplinary critical care programs, with many of the contributors coming from the University of Colorado and the University of California, San Francisco. Topics begin with basic life support and fundamental procedures and span individual organ system considerations in the intensive care unit. Additional sections are devoted to surgery and trauma, perioperative care, radiology and emergency medicine support, toxicology, psychiatry, and administrative concerns. Tables are infrequent and illustrations rare. Each chapter contains a brief reference list of important but not necessarily recent work. Often reviews are cited instead of original studies. The table of contents divides chapters by organ system. A detailed index lists information reviewed on specific pages as well as broader topics covered by entire chapters. As the editors admit, this is not a standard text book. It provides many of the details contributing to a fundamental discussion of critical care topics. For deeper exploration and integration, a standard text book is necessary. Nonetheless, I found this an interesting collection of information bits, useful to anyone new to the ICU.
From the Publisher
"This book effectively uses a question-and-answer format to introduce core topics in intensive care medicine. The questions also will enable teachers to organize unit rounds, and students to recognize important concepts for common topics. " - David J. Dries, MD(University of Minnesota Medical School)
Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This second edition of a multiauthored text reviews common facts involved in critical care management.
Purpose: Junior house officers and medical students will find a summary of common facts used to introduce critical care concepts in a question and answer format.
Audience: The student or junior house officer is the appropriate audience for this work. Editors and contributors represent multidisciplinary critical care programs, with many of the contributors coming from the University of Colorado and the University of California, San Francisco.
Features: Topics begin with basic life support and fundamental procedures and span individual organ system considerations in the intensive care unit. Additional sections are devoted to surgery and trauma, perioperative care, radiology and emergency medicine support, toxicology, psychiatry, and administrative concerns. Tables are infrequent and illustrations rare. Each chapter contains a brief reference list of important but not necessarily recent work. Often reviews are cited instead of original studies. The table of contents divides chapters by organ system. A detailed index lists information reviewed on specific pages as well as broader topics covered by entire chapters.
Assessment: As the editors admit, this is not a standard text book. It provides many of the details contributing to a fundamental discussion of critical care topics. For deeper exploration and integration, a standard text book is necessary. Nonetheless, I found this an interesting collection of information bits, useful to anyone new to the ICU.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780323091251
  • Publisher: Elsevier Health Sciences
  • Publication date: 9/6/2012
  • Series: Secrets
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 5
  • Pages: 672
  • Sales rank: 751,005
  • File size: 6 MB

Table of Contents

CONTENTS

Top 100 Secrets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

I. BASIC LIFE SUPPORT

1. General Approach to the Critically Ill Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Manuel Pardo, Jr., MD, and Michael A. Gropper, MD, PhD

2. General Approach to Trauma Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Peter J. Fagenholz, MD, and Hasan B. Alam, MD, FACS

3. Cardiopulmonary Resuscitation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

David Shimabukuro, MDCM

4. Assessments of Oxygenation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Asheesh Kumar, MD, Michael E. Canham, MD, and Ulrich H. Schmidt, MD, PhD

5. Pulse Oximetry, Capnography, and Blood Gas Analysis . . . . . . . . . . . . . . . . 33

Philip E. Bickler, MD, PhD

6. Hemodynamic Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Daniel Saddawi-Konefka, MD, MBA, and Jonathan E. Charnin, MD

7. Fluid Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Elizabeth Cox, MD, and Keith Baker, MD, PhD

8. Nutrition in Critically Ill Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Renee D. Stapleton, MD, PhD

9. Mechanical and Noninvasive Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Manuel Pardo, Jr., MD

10. Discontinuation of Mechanical Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Theodore W. Marcy, MD, MPH, and Jenny L. Martino, MD, MSPH

II. PROCEDURES

11. Arterial and Central Venous Catheters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Hovig V. Chitilian, MD

12. Ultrasound in the Intensive Care Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Daniel W. Johnson, MD

13. Extracorporeal Membrane Oxygenation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Michael G. Fitzsimons, MD, FCCP, and Michael N. Andrawes, MD

xi14. Tracheal Intubation and Airway Management . . . . . . . . . . . . . . . . . . . . . . . . . 87

Manuel Pardo, Jr., MD

15. Tracheotomy and Upper Airway Obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . 93

John E. Heffner, MD

16. Chest Tubes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Gwendolyn M. van der Wilden, MSc, and David R. King, MD, FACS

17. Bronchoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Amy E. Morris, MD, and Lynn M. Schnapp, MD

18. Pacemakers and Defibrillators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Scott C. Streckenbach, MD, and Kenneth Shelton, MD

19. Circulatory Assist Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Joseph L. Weidman, MD, Michael N. Andrawes, MD, and Michael G. Fitzsimons, MD, FCCP

III. PULMONARY MEDICINE

20. Acute Bacterial Pneumonia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Kenneth Shelton, MD, Jeanine P. Wiener-Kronish, MD, and Aranya Bagchi, MBBS

21. Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Ali Al-Alwan, MD, Gilman B. Allen, MD, and David A. Kaminsky, MD

22. Chronic Obstructive Pulmonary Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Anne E. Dixon, MA, BM, BCh

23. Cor Pulmonale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

Luca M. Bigatello, MD, and Kay B. Leissner, MD, PhD

24. Acute Respiratory Failure, Acute Lung Injury/Acute Respiratory

Distress Syndrome, and Acute Chest Syndrome . . . . . . . . . . . . . . . . . . . . . 166

Prema R. Menon, MD, and Gilman B. Allen, MD

25. Hemoptysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

Michael E. Hanley, MD

26. Venous Thromboembolism and Fat Embolism . . . . . . . . . . . . . . . . . . . . . . . 177

Madison Macht, MD, and Marc Moss, MD

IV. CARDIOLOGY

27. Heart Failure and Valvular Heart Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

Martin M. LeWinter, MD, and Neil Agrawal, MD

28. Acute Myocardial Infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192

Cameron Donaldson, MD, and Harold L. Dauerman, MD

29. Dysrhythmias and Tachyarrhythmias. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

Pierre Znojkiewicz, MD, and Peter S. Spector, MD

30. Aortic Dissection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204

Asheesh Kumar, MD, and Rae M. Allain, MD

31. Pericardial Disease (Pericarditis and Pericardial Tamponade). . . . . . . . . . 212

Stuart F. Sidlow, MD, and C. William Hanson, III, MD

V. INFECTIOUS DISEASE

32. Sepsis, Severe Sepsis, and Septic Shock. . . . . . . . . . . . . . . . . . . . . . . . . . . . 217

David Shimabukuro, MDCM, Richard H. Savel, MD, FCCM, and Michael A. Gropper, MD, PhD

33. Endocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223

Louis B. Polish, MD

34. Meningitis and Encephalitis in the Intensive Care Unit . . . . . . . . . . . . . . . . 232

Cindy Noyes, MD, and Christopher D. Huston, MD

35. Disseminated Fungal Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240

Themistoklis Kourkoumpetis, MD, and Eleftherios E. Mylonakis, MD, PhD, FIDSA

36. Multidrug-Resistant Bacteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246

Christopher Grace, MD, FACP

37. Bioterrorism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

Sarah Mooney, MBBCh, MRCP, and Christopher Grace, MD, FACP

38. Skin and Soft Tissue Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262

Erica S. Shenoy, MD, PhD, and David C. Hooper, MD

39. Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271

Christopher Grace, MD, FACP

40. Immunocompromised Host . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277

Kristen K. Pierce, MD

VI. RENAL DISEASE

41. Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293

Stuart L. Linas, MD, and Shailendra Sharma, MD

42. Acute Renal Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299

Dinkar Kaw, MD, and Joseph I. Shapiro, MD

43. Renal Replacement Therapy and Rhabdomyolysis. . . . . . . . . . . . . . . . . . . . 306

Brad W. Butcher, MD, and Kathleen D. Liu, MD, PhD, MAS

44. Hypokalemia and Hyperkalemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315

Stuart L. Linas, MD, and Shailendra Sharma, MD

45. Hyponatremia and Hypernatremia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322

Brad W. Butcher, MD, and Kathleen D. Liu, MD, PhD, MAS

VII. GASTROENTEROLOGY

46. Gastrointestinal Bleeding in the Critically Ill Patient. . . . . . . . . . . . . . . . . . . 329

George Kasotakis, MD, and George C. Velmahos, MD, PhD, MSEd

47. Acute Pancreatitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336

Neeraj K. Sardana, MD, Jon (Kai) Yamaguchi, MD, FACS,

and David W. McFadden, MD, FACS

48. Hepatitis and Cirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343

Zechariah S. Gardner, MD, and Jaina Clough, MD

49. Acute Abdomen and Peritonitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 352

William E. Charash, MD, PhD, and Sarah Pesek, MD

VIII. ENDOCRINOLOGY

50. Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State. . . . . . . . . 359

Joel J. Schnure, MD, and Jack L. Leahy, MD

51. Management of Hyperglycemia in the Critically Ill . . . . . . . . . . . . . . . . . . . . 369

Matthew P. Gilbert, DO, MPH, and Alison Schneider, MD

52. Adrenal Insufficiency in the Intensive Care Unit . . . . . . . . . . . . . . . . . . . . . . 374

Michael Young, MD

53. Thyroid Disease in the Intensive Care Unit . . . . . . . . . . . . . . . . . . . . . . . . . . 379

Annis Marney, MD, MSCI

IX. HEMATOLOGY/ONCOLOGY

54. Blood Products and Coagulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385

George Kasotakis, MD, and Hasan B. Alam, MD, FACS

55. Thrombocytopenia and Platelets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 392

Chad T. Wilson, MD, MPH, and Hasan B. Alam, MD, FACS

56. Disseminated Intravascular Coagulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397

Pavan K. Bendapudi, MD, and David J. Kuter, MD, DPhil

57. Oncologic Emergencies (Including Hypercalcemia) . . . . . . . . . . . . . . . . . . . 404

Marie E. Wood, MD

X. RHEUMATOLOGY

58. Rheumatologic Disease in the Intensive Care Unit. . . . . . . . . . . . . . . . . . . . 411

Lynda S. Tilluckdharry, MB, BCh, BAO, LRCP&SI, and Christine Haas Jones, MD

XI. NEUROLOGY

59. Coma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423

Ala Nozari, MD, PhD, Corey R. Fehnel, MD, and Lee H. Schwamm, MD, FAHA

60. Brain Death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428

Corey R. Fehnel, MD, Ala Nozari, MD, PhD, and Lee H. Schwamm, MD, FAHA

61. Status Epilepticus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 434

Ala Nozari, MD, PhD, Corey R. Fehnel, MD, and Lee H. Schwamm, MD, FAHA

62. Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441

Corey R. Fehnel, MD, Ala Nozari, MD, PhD, and Lee H. Schwamm, MD, FAHA

63. Guillain-Barre´ Syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 448

Ala Nozari, MD, PhD, Corey R. Fehnel, MD, and Lee H. Schwamm, MD, FAHA

64. Myasthenia Gravis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 452

Corey R. Fehnel, MD, Ala Nozari, MD, PhD, and Lee H. Schwamm, MD, FAHA

65. Alcohol Withdrawal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 456

Bruce A. Crookes, MD, FACS, and William Peery, MD

XII. SURGERY AND TRAUMA

66. Burns and Frostbite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461

Shawn P. Fagan, MD, and Jeremy Goverman, MD, FACS

67. Pneumothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 468

Madison Macht, MD, and Michael E. Hanley, MD

68. Flail Chest and Pulmonary Contusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475

Susan R. Wilcox, MD, and Edward A. Bittner, MD, PhD

69. Cardiac Trauma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 482

Ali Y. Mejaddam, MD, and Marc A. DeMoya, MD

XIII. PERIOPERATIVE CARE

70. Liver and Heart Transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 489

Claus U. Niemann, MD, and Abbas Ardehali, MD, FACS

XIV. SEDATION AND PAIN MANAGEMENT

71. Use of Paralytic Agents in the Intensive Care Unit . . . . . . . . . . . . . . . . . . . 497

David W. Miller, MD, and Jean-Franc¸ois Pittet, MD

72. Pain Management in the Intensive Care Unit . . . . . . . . . . . . . . . . . . . . . . . . 504

Philip McArdle, MB, BCh, BAO, FFARCSI, and Jean-Franc¸ois Pittet, MD

73. Sedation and Delirium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 512

Pratik Pandharipande, MBBS, MSCI, and Arna Banerjee, MD

XV. EMERGENCY MEDICINE

74. Disaster Medicine: Impact on Critical Care Operations . . . . . . . . . . . . . . . . 521

John R. Benjamin, MD, MSc, and Edward E. George, MD, PhD

75. Allergy and Anaphylaxis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527

Susan A. Vassallo, MD

76. Hypothermia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 534

Peter J. Fagenholz, MD, and Edward A. Bittner, MD, PhD

77. Heat Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 541

William J. Benedetto, MD

XVI. TOXICOLOGY

78. General Toxicology and Toxidromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 545

Aaron B. Skolnik, MD, and Susan R. Wilcox, MD

79. Analgesics and Antidepressants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 552

Aaron B. Skolnik, MD, and Susan R. Wilcox, MD

80. Toxic Alcohol Poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 558

Aaron B. Skolnik, MD, and Susan R. Wilcox, MD

81. Poisoning by Cardiovascular Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562

Aaron B. Skolnik, MD, and Susan R. Wilcox, MD

82. Neuroleptic Malignant Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565

Jennifer M. Hall, DO, and James L. Jacobson, MD

XVII. OBSTETRICS

83. Care of the Critically Ill Pregnant Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . 571

Stephen E. Lapinsky, MBBCh, MSc, FRCPC

XVIII. ETHICS

84. Ethics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577

Alexandra F.M. Cist, MD

85. Palliative Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 582

Ursula McVeigh, MD, and Allan Ramsay, MD

86. Organ Donation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 588

Benjamin T. Suratt, MD, and Kapil Patel, MD

XIX. ADMINISTRATION

87. Intensive Care Unit Organization, Management, and Value . . . . . . . . . . . . 593

Daniel Yagoda, MPH, Ulrich H. Schmidt, MD, PhD, and J. Perren Cobb, MD

88. Quality Assurance and Patient Safety in the Intensive Care Unit . . . . . . . 598

Nitin Puri, MD, FACP, Antoinette Spevetz, MD, FCCM, FACP, and

Carolyn E. Bekes, MD, MHA, FCCM

89. Scoring Systems for Comparison of Disease Severity in Intensive

Care Unit Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 603

Benoit Misset, MD, and Islem Ouanes, MD

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