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Controversies in Critical Care

Autor Jose Chacko, Swapnil Pawar, Ian Seppelt, Gagan Brar
en Limba Engleză Hardback – 12 apr 2023

The book covers vigorously debated controversial topics in the field of critical care medicine over the years. It provides the reader with a balanced approach and guidance based on historical and currently available evidence in dealing with contentious clinical scenarios. The book reviews the most relevant, contemporaneous evidence on each topic and provides practical guidelines for clinical practice.
The book includes chapters that follow a structured approach to controversies related to specific organ systems. The topics covered provide a summary of the most relevant, practice-changing studies in the field of critical care medicine. Each topic describes the basic applied physiology, points of controversy, the evidence base, and summarizes the key points at the end. It includes brief description of landmark studies on each controversial topic.
The book serves as an important clinical guide to practitioners of critical care medicine when confronted with challenging clinical scenarios. Besides, it is a useful source of information to postgraduate trainees in various medical specialties. The topics addressed are among the most widely discussed during postgraduate examinations. It is also relevant for practitioners in general medicine and specialized areas of practice, including pulmonology (respiratory medicine), cardiology, neurology, nephrology, gastroenterology, and surgical specialties.

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Specificații

ISBN-13: 9789811999390
ISBN-10: 9811999392
Pagini: 472
Ilustrații: XXVI, 472 p. 48 illus., 27 illus. in color.
Dimensiuni: 155 x 235 x 30 mm
Greutate: 1.05 kg
Ediția:2023
Editura: Springer Nature Singapore
Colecția Springer
Locul publicării:Singapore, Singapore

Cuprins

Section 1. Respiratory support in the critically ill 

 
Oxygen: the elixir of life or a double-edged sword?
The hypoxic drive: an urban legend?
Lung protective ventilation strategies in acute respiratory distress syndrome 
Non-invasive ventilation in acute hypoxemic respiratory failure
High-flow nasal cannula
Titration of positive end-expiratory pressure by the bedside
The role of recruitment maneuvers in acute respiratory distress syndrome 
Patient self-inflicted lung injury
Prone ventilation in acute respiratory distress syndrome 
Neuromuscular blocking drugs in acute respiratory distress syndrome 
Ventilator-associated pneumonia: newer outlook
Is hypercapnia harmful during lung-protective ventilation 
Tracheostomy: timing it right 
Diaphragmatic dysfunction in critical illness
Weaning from mechanical ventilation 
How to decannulate a tracheostomy 
Thrombolysis in acute pulmonary embolism 
 
Section 2. Shock and circulatory support
 
Steroids in septic shock 
Hyperlactatemia in sepsis 
Permissive hypotension in trauma
Assessment of volume responsiveness 
Are we done with early goal-directed therapy? 
Normal saline vs. balanced crystalloid as resuscitation fluid
Liberal vs. conservative fluid resuscitation strategy in septic shock 
Epinephrine in cardiopulmonary resuscitation 
Targeted temperature management vs. hypothermia after cardiac arrest 
 
Section 3. Acute kidney injury and renal replacement therapy
 
Augmented renal clearance in the critically ill 
Renal replacement therapy: timing it right
Dosing of renal replacement therapy
Anticoagulation during renal replacement therapy: heparin vs. citrate
Continuous vs. intermittent renal replacement therapy
 
Section 4. Neurocritical care 
 
ICP monitoring: does it impact clinical outcomes?
Decompressive craniectomy in traumatic brain injury
Salt or sugar for the swollen brain?
Sedation in critically ill patients
Delirium management in the ICU 
Corticosteroids in spinal cord injury 
 
Section 5. Metabolic support in critical illness
 
Glycemic control in the critically ill
Thiamine and vitamin C critical illness
 
Section 6. The gut and nutrition 
 
Abdominal compartment syndrome
Interruption of enteral feeds in the ICU
Location of feeds: gastric vs. post pyloric
Enteral feeds: how early?
Permissive underfeeding 
Enteral vs. parenteral nutrition 
Stress ulcer prophylaxis in the ICU 
 
Section 7. Infections and antibiotic therap
 
How to cope multi-drug resistance 
How early should antibiotics be administered in sepsis?
De-escalation of antibiotic therapy
Aerosolized antibiotics 
Is procalcitonin level useful in the critically ill?
Selective digestive decontamination: helpful or harmful? 
 
Section 8. Contentious issues in Covid-19 infection
 
Corticosteroids in Covid-19
Interleukin antagonism in Covid-19
Anticoagulation strategy in severe Covid-19
Vaccine-induced immune thrombotic thrombocytopenia 
 
Section 9. Organizational challenges in the ICU
 
The open vs. closed ICU debate
Critical incidents in the ICU
Rapid response teams 
Measuring ICU performance 
 
Section 10. Coagulopathy and transfusion 
 
Red cell transfusion thresholds in the critically ill
Tranexamic acid in the bleeding patient  
Platelet transfusion in dengue fever 
Fixed ratio transfusion strategy in trauma 
 
Section 11. Ancillary issues 
 

Notă biografică

Dr. Jose Chacko, MD, DA, DNB, EDIC, MBA, graduated in medicine and completed post-graduation in anesthesia from Medical College, Trivandrum, India. He underwent advanced training in critical care medicine from leading hospitals in Australia and worked as a consultant in anesthesia and critical care with the National Health Services in the United Kingdom. He has completed the European Diploma in Intensive Care (EDIC) from the European Society of Intensive Care Medicine (ESICM) and currently works as a senior consultant in critical care medicine at Narayana Health, Bangalore, India. A renowned teacher and academician, he is a leading practitioner and teacher of critical care medicine in India. He has many publications in peer-reviewed journals and contributed to text books in critical care and emergency medicine. He contributes regularly to academic meetings in critical care medicine. Dr. Chacko runs a blog site (criticalcareblogspot.com) and creates podcasts (critcareedu.com.au) that address provocative topics in critical care medicine.
Dr. Swapnil Pawar, MD, FCICM, EDIC, completed his post-graduation in anesthesia in 2010 from the Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. He is a fellow of the College of Intensive Care Medicine (FCICM), Australia and New Zealand and has also completed his European Diploma in Intensive Care (EDIC) with the European Society of Intensive Care Medicine (ESICM). He is currently working as a consultant intensivist at the St. George Hospital in Sydney and is the coordinator for Innovation in Intensive Care. He is the chair of the education committee of the Australia and New Zealand Intensive Care Society (ANZICS). He has a keen interest in simulation and medical education and is a certified simulation healthcare educator (CHSE) with the Society of Simulation in Healthcare (SSH). He is the host and producer of six educational podcast series and runs his educational website Critical Care Education (www.critcareedu.com.au). He is currently pursuing his Ph.D. in the field of cognitive load theory and has delivered numerous oral and posters presentations at international meetings. He is a trained mediator and enjoys grooming young talent as a captain of St George district cricket club metro team. 
Professor Ian Seppelt, FANZCA, FCICM, graduated in medicine from the University of Sydney, Australia. He is a senior specialist in intensive care medicine at Nepean Hospital, University of Sydney, professor of anesthesia at Macquarie University, and professorial fellow at The George Institute for Global Health, Sydney. He has more than 100 peer-reviewed international publications and has delivered numerous invited presentations at international meetings. He is a past executive member of the ANZICS Clinical Trials Group and lead investigator for SuDDICU (Australia) for which he received a National Health and Medical Research Council Research Excellence Award in 2015. He is on the management committees for several clinical trials including SuDDICU, SPICE-IV, and REMAP-CAP. He chairs the Nepean Blue Mountains Local Health District Human Research Ethics Committee (HREC) and is a member of various data safety monitoring boards. He is a medical advisor to Equestrian Australia and assistant groom and transport technician for his wife and children when they are competing.
Dr. Gagan Brar, MD, DNB, EDIC, IDCCM, graduated in medicine and completed post-graduation in anesthesia from Kasturba Medical College, Manipal, India. She underwent training in critical care medicine at Manipal Hospital and Fortis Hospital, Bangalore, India. She is a fellow of the National Board of Examinations in critical care medicine and has completed the European diploma in intensive care (EDIC) with the European Society of Intensive Care Medicine (ESICM). She currently works as a consultant in critical care medicine, Aster RV Hospital, Bangalore. Dr. Brar has published several original papers in peer-reviewed journals and is an invited speaker for major academic meetings in critical care medicine.


Textul de pe ultima copertă

The book covers vigorously debated controversial topics in the field of critical care medicine over the years. It provides the reader with a balanced approach and guidance based on historical and currently available evidence in dealing with contentious clinical scenarios. The book reviews the most relevant, contemporaneous evidence on each topic and provides practical guidelines for clinical practice.
The book includes chapters that follow a structured approach to controversies related to specific organ systems. The topics covered provide a summary of the most relevant, practice-changing studies in the field of critical care medicine. Each topic describes the basic applied physiology, points of controversy, the evidence base, and summarizes the key points at the end. It includes brief description of landmark studies on each controversial topic.
The book serves as an important clinical guide to practitioners of critical care medicine when confronted with challenging clinical scenarios. Besides, it is a useful source of information to postgraduate trainees in various medical specialties. The topics addressed are among the most widely discussed during postgraduate examinations. It is also relevant for practitioners in general medicine and specialized areas of practice, including pulmonology (respiratory medicine), cardiology, neurology, nephrology, gastroenterology, and surgical specialties.


Caracteristici

Addresses key areas in the practice of critical care medicine that are hotly debated
Offers clarity on controversies with differing viewpoints in dealing with critically ill patients
Describes basic physiology, underlines the controversies, and evaluates updated evidence