Critical care medicine is responsible for many of the most important advances in outcomes after cardiothoracic surgery in the past two decades. The expertise developed in this subspecialty accounts for the resiliency that characterizes gold standard results evident in institutions recognized for excellence. This volume is intended to share ideas and algorithms that will improve outcomes in cardiothoracic critical care units. This book is part of the Difficult Decisions in Surgery series that covers surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.

In consultation with Consulting Editor, Dr. Jan Foster, Dr. Brian Boling has put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Cardiothoracic Surgical Critical Care. Clinical review articles are specifically devoted to the following: Fast Track Cardiac Surgery; Options for Minimally Invasive Valvular Surgery; Surgical Interventions for the Treatment of Advanced Heart Failure; Lung Transplantation; Surgical Treatment of Lung Cancer; Post-Operative Management of Tetralogy of Fallot; Advanced Hemodynamic Monitoring in Cardiothoracic Surgery; Vasoactive Infusions in Cardiothoracic Surgery; Common Post Cardiothoracic Surgery Arrhythmias; Pain Control in the Cardiothoracic Surgery Patient; Renal Complications of Cardiothoracic Surgery; The Role of ECMO in Post Cardiotomy Shock; Resuscitation of Patients Who Arrest After Cardiac Surgery; and End of Life Care in Cardiothoracic Surgery. Readers will come away with the latest information they need to improve improves of cardiothoracic surgical patients.

Cardiothoracic Critical Care covers an engaging collection of critical scenarios based on actual cardiothoracic intensive care unit events, ranging in topics from fundamentals of critical care to management of mechanical circulatory support devices. Each chapter discusses a unique case scenario, the appropriate diagnosis, and summarizes the most up-to-date evidence-based management recommendations and best practice guidelines. Combining years of critical care experience into a problem-based learning compendium, Cardiothoracic Critical Care is an ideal resource for the diverse group of medical providers and levels of experience working in the intensive care unit.

This book provides a detailed guide to the ethical considerations involved when making decisions in surgery. Chapters feature a uniform format, which feature a case that represents a real-life problem, discussion of the medical indications of that issue, the latest available medical solutions, and related ethical considerations. In some cases, more in-depth debate is provided on why a particular decision should or should not be made based-upon ethical principles. Information boxes containing key statements and relevant data in clear easy-to-digest tables facilitates the reader in being able to assimilate the most important points covered in each chapter. Difficult Decisions in Surgical Ethics: An Evidence-Based Approach is a thorough review of ethical considerations in a range of surgical scenarios encompassing both adult and pediatric topics, training surgical residents, ethical care during a pandemic, critical care, palliative care, sensitivity to religious and ethnic mores, clinical research, and innovation. It is intended to be a vital resource for practicing and trainee surgeons seeking a comprehensive up-to-date resource on ethical topics in surgical practice. The work is part of the Difficult Decisions in Surgery series covering a range of surgical specialties.

The second edition of Difficult Decisions in Thoracic Surgery: An Evidence- Based Approach addresses the growing complexity of decision making in thoracic surgery. More than half of the clinical questions posed in this book are new, and of the questions that remain as holdovers from the previous edition, virtually all have been revised and updated. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the thoracic surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional thoracic surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. Concise chapters are devoted to one or two specific questions, or decisions, in general thoracic surgery that are difficult or controversial. The authors identify relevant publications in their selected topics, grade the quality of the evidence offered by those reports, apply that knowledge to objective management recommendations in an idealized world, and then comment on how they personally use the information in their own clinical practices. The book is a valuable reference source for practicing surgeons, surgeons in training, and educators.

With increasing diversity in the UK's childbearing population and ongoing racial disparities in maternal health outcomes, this new title will help both students and practising midwives provide care that meets the needs of childbearing women and birthing people from different cultural backgrounds. The book lays the foundations for exploration of the many manifestations of transcultural care and how it relates to women, their families and societies. It covers everything that midwives need to know in order to be sensitive to and aware of cultural differences, needs and preferences during pregnancy and childbirth, ultimately enabling them to provide better care for all. Written by senior midwifery lecturer Sarah Esegbona-Adeigbe, an experienced practitioner in ethnic minority health, high risk pregnancy and the socio-cultural context of women's healthcare, Transcultural care in midwifery practice is destined to become a core text in midwifery courses. - Covers main cultural competency models and how to apply cultural competency and cultural safety concepts to individual women - Provides an overview of different cultures and religions to support cultural awareness and sensitivity - Addresses barriers and ethical issues in midwifery care and how to mitigate them - Packed with scenarios, case studies and activities to support learning - Reflective activities in each chapter to reinforce cultural concepts

This book provides a practical guide to decision making within the realm of trauma surgery. Each chapter covers the ideal approach, rather than customary care, for the treatment of the chosen difficult decision or controversy. A broad range of topics are covered with particular attention given to resuscitation, wound management, thoracic and abdominal trauma, antimicrobial management, transplant considerations, vascular trauma, traumatic brain injury, pediatric trauma and ethics. Difficult Decisions in Trauma Surgery aims to help improve the treatment of trauma patients and is relevant to surgical trainees and practicing surgeons, and as well as medical professionals working within trauma medicine.

Most patients with critical cardiac or thoracic conditions will at some stage pass through the cardiothoracic critical care unit. Critical care presents more complex clinical data than any other area of medicine. Continuous monitoring makes diagnosis easy and further information can be easily obtained via a variety of diagnostic tools. Core Topics in Cardiothoracic Critical Care will guide clinicians from all disciplines in the management of cardiothoracic patients, demystifying the critical care unit and providing the key knowledge in a concise and accessible manner. The central section is a detailed discussion of the management of each physiologic system; additional sections cover admission, general considerations in cardiothoracic critical care, procedure-specific care, discharge and follow-up, structure and organization of the unit, and ethical and legal issues. All aspects of the overall care of the critically ill cardiothoracic patient are explained concisely and comprehensively by experts in the field.

A fully updated new edition designed specifically for those working within the high-pressure environment of cardiothoracic intensive care.

**Selected for Doody's Core Titles® 2024 in Critical Care** Stay up-to-date on the latest evidence and clinical practice in pediatric acute care with the definitive textbook in the field. Now in its second edition, Pediatric Acute Care: A Guide for Interprofessional Practice takes an evidence-based, interprofessional approach to pediatric acute care as it exemplifies the depth and diversity that's needed for the dynamic healthcare environments in which acutely ill children receive care. Coverage includes how to work with the pediatric patient and family, major acute care disorders and their management, emergency preparedness, common acute care procedures, and much more. With contributions from more than 200 practicing clinicians and academic experts, it represents a wide variety of disciplines including medicine, nursing, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology, among others. The second edition also features the addition of new physician and nurse practitioner co-editors as well as extensive content updates including updated evidence-based content throughout the text, the integration of the 2016 IPEC Core Competencies for Interprofessional Collaborative Practice, a new full-color design, and new vivid illustrations throughout. - UNIQUE! Interprofessional collaborative approach includes contributions from more than 200 practicing clinicians and academic experts from the U.S. and Canada, including nursing, medicine, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology. - Consistent organization within disorder chapters begins with a section on Physiology and continues with sections on Pathophysiology, Epidemiology and Etiology, Presentation, Differential Diagnosis, Diagnostic Studies, and a Plan of Care that include Therapeutic Management, Consultation, Patient and Family Education and Disposition and Discharge Planning. - Comprehensive content spanning five units divides coverage into introductory information, the approach to the pediatric patient and family, major acute care disorders and their management, emergency preparedness, and common acute care procedures. - NEW! Updated evidence-based content has been added throughout to ensure that you're up-to-date on all topics needed to provide care for pediatric patients in acute, inpatient, emergency, transport, and critical care settings. - NEW! Full-color design and illustrations enhance learning and make content easier to navigate and digest. - NEW! Integration of the 2016 IPEC Core Competencies ensure that you're learning the professional skills and protocols required for effective, contemporary interprofessional collaborative practice. - UPDATED! Streamlined procedures unit focuses more sharply on need-to-know content.