Contents

Preface viii

Preface of the Greek edition ix

Acknowledgments x

Units of measurement, symbols, and abbreviations xi

How to use your book xvi

Part 1: General Part

1 Recognition of the suffering patient 2

2 Management of the severely ill patient 4

3 Monitoring in intensive care 6

4 Electrocardiogram 8

5 Cardiopulmonary resuscitation 10

6 Oxygen transport 12

7 Shock 14

8 Assessment of the systemic circulation 16

9 Fluid volume management: pathophysiological factors 18

10 Fluid volume management: assessment and prescription 20

11 Fluid volume management: fluid selection 22

12 Inotropes and vasopressors 23

13 Failure of oxygenation and respiratory failure 24

14 Oxygenation and oxygen therapy 26

15 Airway obstruction and management 28

16 Non-invasive ventilation 30

17 Endotracheal intubation 32

18 Mechanical ventilation 34

19 Management of respiratory problems, weaning, and tracheostomy 36

20 Arterial blood gases and acid-base balance 38

21 Analgesia, sedation, and muscle relaxation 40

22 Enteral and parenteral feeding 42

23 Hypothermia and hyperthermia 44

24 Assessment of the patient with possible infection 46

25 Bacteremia, systemic inflammatory response syndrome (SIRS), and sepsis 48

26 Hospital-acquired infections 50

27 Traveler's fever 52

28 Fever of unknown origin 54

29 End-of-life issues 56

Part 2: Pathological Conditions

Cardiovascular System

30 Acute coronary syndromes I: clinical pathophysiology 60

31 Acute coronary syndromes II: investigation and management 62

32 Arrhythmias: tachyarrhythmias 64

33 Arrhythmias: bradyarrhythmias 67

34 Heart failure and pulmonary edema 68

35 Emergency cardiac conditions 70

36 Deep vein thrombosis and pulmonary embolism 72

Respiratory System

37 Chest imaging and bronchoscopy 74

38 Community-acquired pneumonia 76

39 Hospital-acquired pneumonia 78

40 Asthma 80

41 Chronic obstructive pulmonary disease 82

42 Acute respiratory distress syndrome 84

43 Pneumothorax and air leaks 86

44 Emergency respiratory conditions 88

Renal and metabolic diseases

45 Acute kidney injury: pathophysiology and clinical aspects 90

46 Acute kidney injury: management and renal replacement therapy 92

47 Electrolyte disorders: sodium and potassium 94

48 Electrolyte disorders: calcium 96

49 Electrolyte disorders: magnesium and phosphorus 98

50 Emergency situations in diabetes mellitus 100

51 Emergency endocrine situations 102

Gastrointestinal System

52 Gastrointestinal bleeding 104

53 Jaundice 106

54 Acute liver failure 108

55 Acute pancreatitis 110

56 Vomiting and intestinal obstruction 112

57 Diarrhea 114

58 Ascites 116

59 Abdominal imaging 117

Neurological System

60 Acute confusional state, coma, and seizure 118

61 Stroke 120

62 Other cerebrovascular disorders 122

63 Emergency infectious neurological conditions 123

64 Neuromuscular diseases 124

Infections

65 Specific bacterial infections 126

66 Common viral infections in adults 128

67 Most frequent fungal and protozoan infections 130

68 The immunocompromised patient 132

Other Systems

69 Coagulation disorders and transfusion 134

70 Drug poisoning 136

Part 3: Surgical Conditions

71 Trauma 140

72 Craniocephalic injury 142

73 Thoracic trauma 144

74 Acute abdomen 146

75 Emergency obstetric conditions 148

76 Burns, inhalation of toxic substances, and electrical injuries 150

Part 4: Self-Assessment

Cases and questions 152

Answers to case questions 155

Appendices

Appendix I: Classification of antiarrhythmic drugs 162

Appendix II: Types of pacemakers and classifications 163

Appendix III: 2008 systematic staging network for acute kidney injury (AKI) 164

Appendix IV: Risk scoring system for GES bleeding by Rockall 165

Appendix V: Child-Pugh classification 166

Appendix VI: Standard criteria for liver transplantation 167

Appendix VII: Top nutritional advice from the Royal College of Physicians 168

Index 170

Description

Intensive Care at a Glance, 3rd edition • Fully revised and updated text covering this rapidly expanding field of medicine • Provides a simple and understandable introduction to the care of critically ill patients • New sections with “Tips” to enhance learning and understanding • Includes an appendix with top nutritional advice from the Royal College of Physicians • Provides increased coverage of neurological emergencies, acute and abdominal emergencies, arrhythmias, imaging, and fluid management.

Intensive Care at a Glance is an ideal aid for medical students, resident physicians, nurses, and other healthcare professionals who need to acquire the skills and knowledge to care for critically ill patients.