Based on the 4th edition of the renowned textbook of the same name, this softcover manual focuses on the information necessary to make clinical decisions in the ICU. It begins with a crucial section on responding to emergency situations in the ICU. It proceeds to cover the most relevant clinical infomation in all areas of critical care including critical care monitoring, techniques and procedures, essential physiologic concers, shock states, pharmacology, surgical critical care, and infectious diseases. The manual also contains thorough reviews of diseaes by organ system: cardiovascular diseases, repiratory disorders, neurologic and gastrointestinal disorders, renal, endocrine, skin and muscle diseases, and hematologic/ oncologic diseases. This essential new resource is written in an easy-to-read style that makes heavy use of bulleted lists and tables and features an all-new full color format with a color art program. All critical care providers will find this a useful clinical resource.

SECTION I ???? EMERGENCY SITUATIONS CHAPTER 1 Fundamentals of Cardiopulmonary Resuscitation 1 CHAPTER 2 Airway Management 9 CHAPTER 3 Temporary Cardiac Pacemakers 21 CHAPTER 4 Altered Consciousness and Coma in the Intensive Care Unit 27 CHAPTER 5 Bioterrorism 33 SECTION II ???? CARDIOVASCULAR MONITORING: INVASIVE AND NONINVASIVE CHAPTER 6 Invasive Pressure Monitoring: General Principles 48 CHAPTER 7 Hemodynamic Monitoring: Arterial and Pulmonary Artery Catheters 50 CHAPTER 8 Noninvasive Cardiovascular Monitoring 60 CHAPTER 9 Pulse Oximetry and Photoplethysmography 61 CHAPTER 10 Capnography 63 CHAPTER 11 Echocardiography in the ICU 64 SECTION III ???? TECHNIQUES, PROCEDURES, AND TREATMENT CHAPTER 12 Clean and Aseptic Techniques at the Bedside 65 CHAPTER 13 Vascular Cannulation 66 CHAPTER 14 Feeding Tube Placement 74 CHAPTER 15 Flexible Bronchoscopy 76 CHAPTER 16 Other Important Intensive Care Procedures 83 SECTION IV ???? ESSENTIAL PHYSIOLOGIC CONCERNS CHAPTER 17 Fluids and Electrolytes 93 CHAPTER 18 Blood Gas Analysis and Acid-Base Disorders 103 SECTION V ???? MODULATING THE RESPONSE TO INJURY CHAPTER 19 The Host Response to Injury and Critical Illness 114 CHAPTER 20 Multiple Organ Dysfunction Syndrome 117 SECTION VI ???? SHOCK STATES CHAPTER 21 Shock: General 124 CHAPTER 22 Cardiogenic Shock 125 CHAPTER 23 Sepsis and Septic Shock 129 CHAPTER 24 Hypovolemic and Hemorrhagic Shock 136 CHAPTER 25 Neurogenic Shock 141 CHAPTER 26 Anaphylactic Shock 143 SECTION VII ???? PHARMACOLOGY, NUTRITION, TOXICOLOGY, AND THE ENVIRONMENT CHAPTER 27 Sedation and Neuromuscular Blockade 144 CHAPTER 28 Nutritional Issues 151 CHAPTER 29 Practical Aspects of Nutritional Support 154 CHAPTER 30 Toxicology 162 CHAPTER 31 Substance Abuse and Withdrawal: Alcohol, Cocaine, Opioids, and Other Drugs 185 CHAPTER 32 Envenomation 196 SECTION VIII ???? THE SURGICAL PATIENT: PREOPERATIVE, IMMEDIATE POSTOPERATIVE EVALUATION AND TRAUMA CHAPTER 33 Perioperative Pulmonary Function Testing and Consultation 211 CHAPTER 34 Preoperative Evaluation of the High-Risk Surgical Patient 215 CHAPTER 35 Anesthesia: Physiology and Postanesthesia Problems 227 CHAPTER 36 Initial Management of the Trauma Patient 236 CHAPTER 37 Secondary and Tertiary Triage of the Trauma Patient 239 CHAPTER 38 Surgical and Postsurgical Bleeding 246 CHAPTER 39 Abdominal Trauma: Nonoperative Management and Postoperative Considerations 251 CHAPTER 40 Neurologic Injury: Prevention and Initial Care 255 CHAPTER 41 Orthopedic Trauma 262 CHAPTER 42 Facial Trauma 264 CHAPTER 43 Burn Injury: Thermal and Electrical 268 CHAPTER 44 Temperature-Related Injuries 272 CHAPTER 45 Evaluating the Acute Abdomen 279 CHAPTER 46 The Difficult Postoperative Abdomen 285 CHAPTER 47 Critical Care of Hepatopancreatobiliary Surgery Patients 292 CHAPTER 48 Critical Care of The Thoracic Surgical Patient 300 CHAPTER 49 Postoperative Management of the Adult Cardiovascular Patient 308 CHAPTER 50 Management of the Pediatric Cardiac Surgical Patient 317 CHAPTER 51 Vascular Surgery in the Intensive Care Unit 329 CHAPTER 52 CNS Vascular Disease 334 CHAPTER 53 Urologic Surgery and Trauma 343 SECTION IX ???? ORGAN TRANSPLANTATION CHAPTER 54 Critical Care and Transplantation: Overview 351 CHAPTER 55 Heart Transplantation 353 CHAPTER 56 Lung Transplantation 358 CHAPTER 57 Liver Transplantation 363 CHAPTER 58 Pancreatic Transplantation 368 CHAPTER 59 Renal Transplantation 371 CHAPTER 60 Critical Care Aspects of Stem Cell Transplantation 377 SECTION X ???? SPECIAL PATIENT POPULATION CHAPTER 61 The Obstetric Patient: General 383 CHAPTER 62 Cardiac Disease and Hypertensive Disorders in Pregnancy 389 CHAPTER 63 Hemorrhagic and Liver Disorders of Pregnancy 400 CHAPTER 64 Acute Abdomen and Trauma During Pregnancy 404 CHAPTER 65 Fetal Monitoring Concerns 411 CHAPTER 66 The Obese Surgical Patient 416 CHAPTER 67 The Geriatric Patient 426 SECTION XI ???? INFECTIOUS DISEASE CHAPTER 68 Universal Precautions: Protecting The Practitioner 436 CHAPTER 69 An Approach to the Febrile Intensive Care Unit Patient 444 CHAPTER 70 The Role of Antibiotics in the Management of Serious Hospital-Acquired Infections 453 CHAPTER 71 Surgical Infections 465 CHAPTER 72 Skin Wounds and Musculoskeletal Infection 482 CHAPTER 73 Neurologic Infections 490 CHAPTER 74 Infections of the Head and Neck 511 CHAPTER 75 Catheter-Related Bloodstream Infections (CRBSI) 520 CHAPTER 76 Respiratory Infections in the ICU 526 CHAPTER 77 Adult Gastrointestinal Infections in the ICU 545 CHAPTER 78 Catheter-Associated Urinary Tract Infections in the ICU: Implications for Clinical Practice 551 CHAPTER 79 Fungal and Viral Infections 560 CHAPTER 80 Infections in the Immunocompromised Host 582 CHAPTER 81 Human Immunodeficiency Virus in the ICU 592 CHAPTER 82 Unusual Infections 604 SECTION XII ???? CARDIOVASCULAR DISEASE AND DYSFUNCTION (OTHER CV DISEASE): ACS IN THE ICU CHAPTER 83 Non-St Elevation Acute Coronary Syndrome: Contemporary Management Strategies 615 CHAPTER 84 ST Elevation Myocardial Infarction (STEMI): Contemporary Management Strategies 624 CHAPTER 85 Evaluation and Management of Heart Failure 638 CHAPTER 86 Cardiac Mechanical Assist Devices 649 CHAPTER 87 Valvular Heart Disease 656 CHAPTER 88 Cardiac Dysrhythmias 665 CHAPTER 89 Pericardial Disease 679 CHAPTER 90 Acute Hypertension Management in the ICU 689 SECTION XIII ???? RESPIRATORY DISORDERS CHAPTER 91 Noninvasive Ventilatory Support Modes 698 CHAPTER 92 Invasive Ventilatory Support Modes: Overview 703 CHAPTER 93 High-Frequency Ventilation 712 CHAPTER 94 Extracorporeal Circulation for Respiratory or Cardiac Failure 714 CHAPTER 95 Weaning from Mechanical Ventilation 716 CHAPTER 96 Acute Lung Injury and Acute Respiratory Distress Syndrome 722 CHAPTER 97 Drowning 729 CHAPTER 98 Severe Asthma Exacerbation 731 CHAPTER 99 Acute Respiratory Failure in Chronic Obstructive Pulmonary Disease 740 CHAPTER 100 Pulmonary Embolism (PE) 743 CHAPTER 101 Other Embolic Syndromes (Air, Fat, Amniotic Fluid) 752 SECTION XIV ???? NEUROLOGIC DISEASE AND DYSFUNCTION CHAPTER 102 Elevated Intracranial Pressure 761 CHAPTER 103 Neurologic Monitoring 768 CHAPTER 104 Behavioral Disturbances in the ICU 782 SECTION XV ???? GASTROINTESTINAL (GI) BLEEDING CHAPTER 105 Upper Gastrointestinal Bleeding 787 CHAPTER 106 Approach to Lower Gastrointestinal Bleeding 793 CHAPTER 107 Liver Failure: Acute and Chronic 800 CHAPTER 108 Pancreatic Disease 812 CHAPTER 109 Inflammatory Bowel Disease and Toxic Megacolon 818 CHAPTER 110 Mesenteric Ischemia 823 SECTION XVI ???? RENAL DISEASE AND DYSFUNCTION CHAPTER 111 Acute Renal Failure (ARF) 830 CHAPTER 112 Renal Replacement Therapies in the Critically Ill Patient 839 SECTION XVII ???? ENDOCRINE DISEASE AND DYSFUNCTION CHAPTER 113 Endocrinopathy in the Intensive Care Unit 847 CHAPTER 114 Disordered Glucose Metabolism 855 CHAPTER 115 The Adrenal Gland in Critical Illness 862 CHAPTER 116 Pheochromocytoma 866 CHAPTER 117 Thyroid Disease in the Intensive Care Unit 870 SECTION XVIII ???? HEMATOLOGIC AND ONCOLOGIC DISEASE AND DYSFUNCTION CHAPTER 118 Coagulation Disorders in the Intensive Care Unit 880 CHAPTER 119 Antithrombotics and Thrombolytic Therapy 894 CHAPTER 120 Transfusion Therapy: When to Use it and How to Minimize It 908 CHAPTER 121 Hematologic Conditions in the ICU 918 CHAPTER 122 Oncologic Emergencies 932 Index