Preface

vii

Acknowledgments

ix

SECTION I

TECHNIQUES AND METHODS IN CRITICAL CARE

1

Hemodynamics

3

2

Hemodynamic Monitoring

20

3

Support of the Failing Circulation

47

4

Arrhythmias, Pacing, and Cardioversion

63

5

Respiratory Monitoring

81

6

Airway Intubation

114

7

Indications and Options for Mechanical Ventilation

129

8

Practical Problems and Complications of Mechanical Ventilation

148

9

Positive End-Expiratory and Continuous Positive Airway Pressure

174

10

Weaning and Discontinuation of Mechanical Ventilation

191

11

Intensive Care Unit Imaging

213

12

Acid-Base Disorders

227

13

Fluid and Electrolyte Disorders

245

14

Blood Conservation and Transfusion

263

15

Pharmacotherapy

277

16

Nutritional Assessment and Support

290

17

Analgesia, Sedation, and Therapeutic Paralysis

304

18

General Supportive Care

318

19

Quality Improvement and Cost Control

339

SECTION II

MEDICAL AND SURGICAL CRISES

20

Cardiopulmonary Arrest

361

21

Acute Coronary Syndromes

375

22

Hypertensive Emergencies

404

23

Venous Thromboembolism

416

24

Oxygenation Failure, ARDS, and Acute Lung Injury

430

25

Ventilatory Failure

453

26

ICU Infections

473

27

Severe Sepsis

495

28

Thermal Disorders

511

29

Acute Kidney Injury and Renal Replacement Therapy

522

30

Clotting and Bleeding Disorders and Anticoagulation Therapy

537

31

Hepatic Failure

555

32

Endocrine Emergencies

565

33

Drug Overdose and Poisoning

579

34

Neurological Emergencies

595

35

Chest Trauma

630

36

Acute Abdomen

641

37

Gastrointestinal Bleeding

661

38

Burns and Inhalational Injury

676

Appendix

687

Index

693