This book demonstrates how the latest insights into the physiopathology of the stress response can be integrated into clinical practice. The topic is particularly relevant since the metabolic changes triggered by acute stress, including adaptive responses such as resistance to anabolic signals, have recently been more precisely delineated. The underlying mechanisms of these changes are also now better understood. The authors analyse how these advances could result in better management and more effective prevention of the long-term clinical consequences of the alterations occurring during the acute phase. An international panel of respected experts discusses these topics and describes the management of some common clinical conditions.

In the highly specialized field of caring for children in the PICU, Fuhrman and Zimmerman's Pediatric Critical Care is the definitive reference for all members of the pediatric intensive care team. Drs. Jerry J. Zimmerman and Alexandre T. Rotta, along with an expert team of editors and contributors from around the world, have carefully updated the 6th Edition of this highly regarded text to bring you the most authoritative and useful information on today's pediatric critical care—everything from basic science to clinical applications. - Contains highly readable, concise chapters with hundreds of useful photos, diagrams, algorithms, and clinical pearls. - Uses a clear, logical, organ-system approach that allows you to focus on the development, function, and treatment of a wide range of disease entities. - Features more international authors and expanded coverage of global topics including pandemics, sepsis treatment in underserved communities, specific global health concerns by region. - Covers current trends in sepsis-related mortality and acute care after sepsis, as well as new device applications for pediatric patients. - Provides ultrasound videos and more than 500 board-style review questions and answers on Expert Consult. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Learn to provide state-of-the-art care to any patient in any setting with the most comprehensive trauma nursing resource available. Using the unique cycles of trauma framework, Trauma Nursing: From Resuscitation Through Rehabilitation, 5th Edition features coverage of cutting-edge research findings and current issues, trends, and controversies in trauma nursing. The thoroughly updated fifth edition guides you through all phases of care - from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. Plus, new chapters address unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burned patients, those with a history of substance abuse and organ donors. With timely discussions on emerging topics such as mass casualty events and rural trauma, this is the most complete resource available for both students and experienced trauma nurses. UPDATED! Disaster preparedness, response and recovery for mass casualty incidents prepares students to act quickly and confidently in the event of a disaster, with guidelines for initial response and sustained response. UPDATED! The latest sepsis protocols, opioid use and pain/sedation protocols, and treating injured patients with diabetes. Special populations coverage prepares you to meet the needs of unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burn patients, those with a history of substance abuse and organ donors. Coverage of specific issues that affect all patients regardless of their injury, gives you a solid understating of mechanism of injury, traumatic shock, patient/family psychosocial responses to trauma, pain, anxiety, delirium and sleep management; infection; wound healing, and nutrition. Tables and illustrations throughout add clarity to the content being discussed. NEW! Information on a team-centered, interdisciplinary approach to care. NEW! Up-to-date evidence-based information about issues that affect trauma care systems, includes injury pathophysiology, and state-of-the-art care for the trauma patient during all phases of care. NEW! All new content includes information on cultural sensitivity, care for caregivers, and how to handle self-harm injuries and suicide. NEW! Certification review questions help you to prepare for certification by listing the correct answers and rationales. NEW! Current recommendations for measuring fluid administration responsiveness.

This eBook is one of 10 carefully selected collections of key articles from the Anaesthesia and Intensive Care Medicine journal - a continually updated, evidence-based learning resource, based on the RCOA Curriculum. It is ideal for trainees approaching a new sub-specialty and/or when preparing for the FRCA (or similar) exams. It will also prove an invaluable, authoritative refresher for life-long learning and CPD. Related MCQs are included to test your understanding.

This eBook is one of 10 carefully selected collections of key articles from the Anaesthesia and Intensive Care Medicine journal - a continually updated, evidence-based learning resource, based on the RCOA Curriculum. It is ideal for trainees preparing for the FRCA (or similar) exams. It will also prove an invaluable, authoritative refresher for life-long learning and CPD. Related MCQs are included to test your understanding.

Still the #1 resource for today’s pediatric ICU teams, Pediatric Critical Care, 5th Edition covers the entire field, from basic science to cutting-edge clinical applications. Drs. Bradley P. Fuhrman and Jerry J. Zimmerman, accompanied by an expert team of editors and contributors from around the world, bring you today’s best information on the current and future landscape of pediatric critical care so you can consistently deliver optimum care to your young patients. Boasts highly readable, concise chapters with hundreds of useful photos, diagrams, algorithms, and clinical pearls. Clear, logical, organ-system approach allows you to focus on the development, function, and treatment of a wide range of disease entities. Includes new content on the expanding use of ultrasound at the bedside and the increase in nursing responsibilities in the PICU. Eighteen new chapters cover topics such as delirium, metabolism, endocrinology, nutrition, nursing, and much more. Features expanded and updated information on critical communication, professionalism, long-term outcomes, palliative care, ultrasonography, PCCM in resource-limited settings, ventilator-induced lung injury, non-invasive ventilation, updated CNS pathophysiology, the ‘Erythron’, and immunity and infection.

Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis . changing approaches to fluid administration . immune suppression in sepsis . monitoring the microcirculation . the long-term sequelae of critical illness . minimizing ventilator associated lung injury . the benefits of evidence-based medicine management guidelines . rapid response teams . and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.

Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis • changing approaches to fluid administration • immune suppression in sepsis • monitoring the microcirculation • the long-term sequelae of critical illness • minimizing ventilator associated lung injury • the benefits of evidence-based medicine management guidelines • rapid response teams • and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.

The critically ill patient in intensive care may present with serious metabolic alterations caused directly by the illness or secondarily by complications (e.g. infections, organ failure or sepsis) developing within a few hours of hospitaliza tion or in the following days. Among the situations which maintain and further trigger rapidly evolving altered metabolism are complex hormonal reactions, particularly those of the hypothalamus-hypophysis-adrenal axis, and abnormal stimulation of the autonomic nervous system. In fact, the sympathetic nervous system is known to cause significant metabolic alterations. For example, a surgery patient afflicted by septic complications may become hypercatabolic and experience significant nitrogen loss; the altered protein metabolism may in turn heavily influence carbohydrate and lipid metabolism as well. Thus, it is apparent that for optimal care of patients with altered metabolic functions, further knowledge is necessary regarding the physiopathology of metabolism and the physiopathological mechanisms, which alter the consump tion of principal energy substrates. Many experimental and clinical studies have investigated the metabolic aspects of individual organs or organ systems. However, for a correct evaluation of such metabolic events, in addition to studying the roles of metabolic enzymes, active metabolites, and the glutathione system, it is interesting to consider the use of indirect calorimetry as a valid and important investigative technique. The critically ill patient with major alterations in nutritional status may require artificial nutritive support administered through either parenteral or enteral routes.

From the experts at the American Association of Critical-Care Nurses (AACN) comes the definitive resource for critical care certification and clinical practice. This new seventh edition has been thoroughly updated to reflect the current state of high acuity, progressive, and critical care nursing practice and includes expanded coverage of pain management, palliative care, and end-of-life care; transplantation; and key AACN initiatives. It also reflects the most current literature, national and international guidelines, clinical studies, and of course, the newest content on the CCRN® exam. - Authored by the experts at the American Association of Critical-Care Nurses (AACN), this is the definitive guide to critical care nursing certification and clinical practice. - NEW! Significantly updated content corresponds to the most recent CCRN® examination blueprint and reflects the most current literature, national and international guidelines, clinical studies, AACN/ANA scope of practice, and ECCO 3.0. - NEW! Expanded coverage of key content reflects the healthcare needs of today's patients, including pain management, palliative care, and end-of-life care; nutritional support; transplantation; and key AACN initiatives. - Concise outline format is organized by body system to make information easy to digest. - NEW! Clinical Pearls and Key Concepts boxes highlight key content and serve as a convenient quick reference. - NEW! Improved navigation includes printed index tabs to help distinguish chapters and find information fast. - Basic to advanced levels of coverage, with an emphasis on clinical nursing practice, prepare you for the full range of knowledge you will encounter on the CCRN exam and in practice.Coverage of the AACN Synergy Model is featured in the new opening chapter. - Professional Care and Ethical Practice is integrated into the Core Curriculum series framework. - A new chapter on Critical Care Patients with Special Needs includes bariatric and geriatric patients in critical care, as well as high-risk obstetric patients. - Features new content on chest tubes, liver transplantation for acute liver failure, spirituality, and spiritual aspects of care. - Integrates pain as the 5th vital sign and includes JCAHO, HCFA, and AHCPR guidelines relating to pain management. - Features AHRQ evidence-based practice guidelines as reference sources for practice interventions. - New organization for Patient Care presents patient problems, needs, etc. in order of clinical priority. - Expanded Nursing Interventions includes considerations related to patient/family education, patient transfer, and discharge planning. - Web-based resources for CDC, AHA, NINR, National Guideline Clearinghouse, NIH Consensus Conference Proceedings, ADA.