Textbook of Intensive Care

by Goldhill, David R.; Withington, P. Stuart

• ISBN13: 9780412601309
• ISBN10: 0412601303
• Format: Paperback
• Copyright: 1997-01-02
• Publisher: Hodder Education Publishers

Summary

This book is a comprehensive, but concise, practical guide to modern intensive care practice. It covers the complete care of the patient in the ICU, stressing the multidisciplinary team apporach that is central to modern practice. The text provides the reader with a discussion of thescientific principles underlying treatment, with emphasis on the basic physiology and pharmacology of intensive care in addition to clinical management. Other topics covered in depth include resuscitation, both before and after arrival in hospital, and technical aspects including monitoring,ventilation and laboratory investigations. The problems of establishing, organising and running an ICU are reviewed, as are care of relatives, follow-up after ICU treatment and comparing and assessing outcome. Covering the core curriculum for the European Diploma in Intensive Care Medicine, Textbookof Intensive Care will be invaluable for doctors in speciality training, but will also appeal to practising consultants, nurses, physiotherapists and other health professionals involved or interested in intensive care.

Table of Contents

List of contributors	ix	(8)
Preface	xvii	(1)
List of abbreviations	xviii
Part One: Resuscitation and Transportation	3	(54)
1 Advanced life support	3	(4)
M. Whitbread
2 Advanced trauma life support	7	(6)
A. Wilson
3 Paediatric and neonatal resuscitation	13	(8)
D.A. Zideman
4 Massive haemorrhage	21	(6)
M.T. Ali
C. Ferguson
5 Post-resuscitation intensive care	27	(6)
D.R. Goldhill
6 Transporting the critically ill patient	33	(6)
M. Manji
J. Bion
7 The response to major incidents and disasters	39	(8)
P. Baskett
8 Brain-stem death and management of the multiple-organ donor	47	(10)
M. Jonas
Part Two: The Intensive Care Patient -- General Considerations	57	(114)
9 Admitting the patient	57	(6)
J. Windsor
10 Nursing in intensive care	63	(6)
N.P. Carr
11 Physiotherapy in intensive care	69	(10)
S. Paterson
12 Pharmacology in the critically ill patient	79	(10)
L.S. Godsiff
V.U. Navapurkar
G.R. Park
13 Pain relief in intensive care	89	(6)
J.S. Berman
P. Yate
14 Sedation	95	(8)
E. Spencer
S. Willatts
15 Neuromuscular blockade	103	(8)
R.A. Nelson
J.M. Hunter
16 Fluid and electrolyte homoeostasis	111	(8)
M.R. Hamilton-Farrell
17 Crystalloids and colloids	119	(6)
J. Weinbren
N. Soni
18 Acid-base abnormalities	125	(10)
R.D. Cohen
19 Laboratory investigations and equipment	135	(8)
D.A. Fulton
20 Recovery after surgery	143	(10)
A.J. Ordman
S.J. Wright
21 Intensive care radiology	153	(18)
O. Chan
A. Sharma
Part Three: Infection	171	(44)
22 Multiple-organ failure	171	(8)
S.M. Smith
D.J. Bihari
23 Causes and control of infection in the ICU	179	(8)
S.M. Mostafa
H.K.F. Van Saene
24 Antimicrobial agents	187	(8)
A.M. Sefton
25 Infection: the immunosuppressed patient	195	(10)
D.S. Richardson
A.C. Newland
26 Sepsis	205	(10)
J-L. Vincent
Part Four: Nutrition	215	(22)
27 Nutrition support -- general considerations	215	(4)
J. Powell-Tuck
28 Enteral nutrition	219	(10)
M.G. Mythen
S. Adam
29 Parenteral nutrition	229	(8)
J. Powell-Tuck
Part Five: Cardiovascular System	237	(90)
30 Cardiovascular physiology	237	(8)
P.S. Withington
31 Cardiovascular pharmacology	245	(10)
K.M. Sherry
N.J. Barham
32 Cardiac arrhythmias	255	(16)
R.P. Gray
D.L.H. Patterson
33 Assessment of cardiac function	271	(10)
G. Fitzpatrick
M. Donnelly
34 Coronary heart disease	281	(6)
A.H. McDonald
35 Cardiac infection, inflammation and myopathy	287	(12)
S. Cockroft
36 Acute cardiac failure	299	(6)
R. Feneck
37 Cardiac surgical intensive care	305	(8)
M.P. Colvin
38 Electrocardiography, defibrillation, pacing and pacemakers	313	(14)
K. Wark
Part Six: Respiratory System	327	(94)
39 Respiratory physiology	327	(10)
D. Edwards
40 Respiratory pharmacology	337	(8)
L. Bromley
41 The assessment and monitoring of respiratory function	345	(10)
T.H. Clutton-Brock
42 Chronic obstructive pulmonary disease	355	(8)
J.A. Wedzicha
43 Pulmonary infection and aspiration	363	(6)
R.J. Beale
44 Acute lung injury/ARDS	369	(8)
S.J. Brett
T.W. Evans
45 Asthma	377	(8)
K.M. Nolan
C.S. Garrard
46 Pulmonary thromboembolism	385	(8)
A.C. Davidson
47 Conventional ventilation and weaning	393	(8)
P. Kalia
N.R. Webster
48 New modes of respiratory support	401	(8)
P. Kalia
N.R. Webster
49 Management of the airway	409	(12)
J.E. Morris
Part Seven: The Kidney	421	(28)
50 Renal physiology	421	(6)
M.J. Raftery
51 Renal pharmacology	427	(8)
R. Griffin
M. Palazzo
52 Renal failure	435	(6)
R. Skinner
D. Watson
53 Renal support in critically ill patients	441	(8)
J.T.C. Kwan
Part Eight: Gastrointestinal System	449	(46)
54 Gastrointestinal physiology	449	(8)
J. Rogers
55 Gastrointestinal pharmacology	457	(10)
A. Millar
56 Gastrointestinal failure	467	(10)
G.J. Dobb
57 Pancreatitis	477	(6)
K.E.J. Gunning
58 Hepatic failure	483	(12)
L. Ooi
L. Strunin
Part Nine: Nerves, Muscles and Skin	495	(50)
59 Altered consciousness and stroke	495	(8)
P. O'Shea
60 Polyneuropathy	503	(4)
J.H. Coakley
61 Myasthenia gravis and myasthenic syndromes	507	(8)
J. Durcan
62 Epilepsy	515	(6)
J.A. Carter
63 Infections affecting nerve and muscle	521	(8)
T. Woodcock
64 Dermatological conditions	529	(8)
M.T. Glover
R. Bull
65 Behavioural and psychological problems	537	(8)
S. Fleminger
Part Ten: Haematological Disorders	545	(42)
66 Haemostasis and its assessment	545	(10)
J.D. Cavenagh
B.T. Colvin
67 Bleeding and clotting disorders	555	(12)
S.M. Kelsey
B.T. Colvin
68 Blood and blood products	567	(10)
M.T. Healy
J.M. McNiell
69 Haemoglobin disorders	577	(10)
R. Arya
A. Bellingham
Part Eleven: Endocrine and Metabolic Emergencies	587	(26)
70 Diabetes mellitus	587	(8)
B.J. Boucher
71 Acute endocrine disorders	595	(8)
C. Toner
M. Jayarajah
72 Metabolic emergencies: malignant hyperthermia and porphyria	603	(10)
J. Dinsmore
G.M. Hall
Part Twelve: Trauma	613	(86)
73 Multi-system trauma	613	(8)
P. Nightingale
S.G. Brear
74 Acute severe head injury	621	(10)
P.S. Withington
75 Assessment of cerebral function	631	(8)
J. Sutcliffe
76 Spinal injury	639	(14)
B.R. Baxendale
P.M. Yeoman
77 Chest injury	653	(6)
S.M. Allen
T.R. Graham
78 Abdominal trauma	659	(6)
F.W. Cross
79 Pelvic and skeletal injury	665	(6)
M. Pepperman
80 Burns and electrocution	671	(8)
R.F. Armstrong
81 Near drowning and hypothermia	679	(8)
A.D. Simcock
82 Poisoning, overdose and toxic exposure	687	(12)
N.C. Harper
G.C. Collee
Part Thirteen: Obstetrics	699	(18)
83 Resuscitation: mother and fetus	699	(8)
A. Wainwright
J.G. Powney
84 Obstetric emergencies	707	(10)
C. Nelson-Piercy
G.C. Hanson
Part Fourteen: Paediatrics and Neonatology	717	(28)
85 Paediatric physiology and general considerations	717	(6)
K. Wilkinson
86 Paediatric disorders	723	(14)
S. Finfer
P. Skippen
87 Monitoring and equipment	737	(8)
C.J. Best
Part Fifteen: Administration and Management	745	(74)
88 Provision of intensive care	745	(6)
D.R. Goldhill
89 Intensive care unit design	751	(6)
D. Snow
E. Major
90 Organization of the ICU	757	(4)
A.I.K. Short
91 Human resources and education	761	(6)
N. Appleyard
S. Langan
92 Computers on the ICU	767	(6)
C.L. Bowes
A.J. Wilson
M. Howes
93 The cost of intensive care	773	(8)
P. Chrispin
S.A. Ridley
94 Patient admission and discharge	781	(6)
G.B. Smith
95 Risk adjustment for intensive care outcomes	787	(12)
K. Rowan
96 Patient experience and outcome	799	(6)
C.S. Waldmann
L. Weir
97 Ethical and legal dilemmas within intensive care	805	(6)
L. Doyal
98 Care of relatives and friends in intensive care	811	(8)
J.F. Searle
M.R. Milne
Part Sixteen: Practical Procedures	819	(18)
99 Practical procedures	819	(18)
C. Broomhead
Appendix	837	(4)
Index	841