Evidence-based practice of critical care. ([2016])

• Record Type: Book
• Further Information: Note: [edited by] Clifford S. Deutschman, Patrick J. Neligan.
• Editors: Deutschman, Clifford S; Neligan, Patrick J
• Contents: Critical care versus critical illness -- What lessons have intensivists learned during the evidence-based medicine era? -- Have critical care outcomes improved? -- What problems are prevalent among survivors of critical illness and which of those are consequences of critical illness? -- Do early warning scores and rapid response teams improve outcomes? -- What are the indications for intubation in the critically ill patient? -- What is the role of noninvasive ventilation in the intensive care unit? -- How does one evaluate and monitor respiratory function in the intensive care unit? -- What is the optimal approach to weaning and liberation from mechanical ventilation? -- How does mechanical ventilation damage lungs? What can be done to prevent it? -- Is extracorporeal life support an evidence-based intervention for critically ill adults with ARDS? -- What factors predispose patients to acute respiratory distress syndrome? -- What is the role of invasive hemodynamic monitoring in critical care? -- Does the use of echocardiography aid in the management of the critically ill? -- How do I manage hemodynamic decompensation in a critically ill patient? -- What are the best tools to optimize the circulation? -- What strategies can be used to optimize antibiotic use in the critically ill? -- Is prophylaxis for stress ulceration useful? -- Should fever be treated? -- What fluids should I give to the critically ill patient? What fluids should I avoid? -- Should blood glucose be tightly controlled in the intensive care unit? -- Is hypothermia useful in managing critically ill patients? Which ones? Under what conditions? -- What are the special considerations in the management of morbidly obese patients in the intensive care unit? -- How do I transport the critically ill patient? -- Are computerized algorithms useful in managing the critically ill patient? -- How do I diagnose and treat pulmonary embolism? -- Should exacerbations of COPD be managed in the intensive care unit? -- What is the clinical definition of ARDS? -- What are the pathologic and pathophysiologic changes that accompany acute lung injury and ARDS? -- What is the best mechanical ventilation strategy in ARDS? -- Is permissive hypercapnia useful in ARDS? -- Do patient positioning in general and prone positioning in particular make a difference in ARDS? -- Is pulmonary hypertension important in ARDS? Should we treat it? -- Inhaled vasodilators in ARDS: do they make a difference? -- Do nonventilatory strategies for acute respiratory distress syndrome work? -- Are anti-inflammatory therapies in ARDS effective? -- What is sepsis? What is septic shock? What are mods and persistent critical illness? -- Is there immune suppression in the critically ill patient? -- What is the role of empirical antibiotic therapy in sepsis? -- What map objectives should be targeted in septic shock? -- What vasopressor agent should be used in the septic patient? How can we monitor the microcirculation in sepsis? Does it improve outcome? -- Do the surviving sepsis campaign guidelines work? -- Has outcome in sepsis improved? What has worked? What has not worked? -- How do I diagnose and manage catheter-related bloodstream infections? -- Is selective decontamination of the digestive tract useful? -- Is persistent critical illness an iatrogenic disorder? -- What is the role of autonomic dysfunction in critical illness? -- Is sepsis-induced organ dysfunction an adaptive response? -- How do I manage acute heart failure? -- How is cardiogenic shock diagnosed and managed in the intensive care unit? -- When is hypertension a true crisis, and how should it be managed in the intensive care unit? -- How does one prevent or treat atrial fibrillation in postoperative critically ill patients? -- Is right ventricular failure common in the intensive care unit? How should it be managed? -- How does one rapidly and correctly identify acute kidney injury? -- How does one optimize care in patients at risk for or presenting with acute kidney injury? -- What is the role of renal replacement therapy in the intensive care unit? -- How should acid-base disorders be diagnosed and managed? -- What is the meaning of a high lactate? What are the implications of lactic acidosis? -- How does critical illness alter metabolism? -- Is it really necessary to measure intracranial pressure in brain-injured patients? -- How should traumatic brain injury be managed? -- How should aneurysmal subarachnoid hemorrhage be managed? -- How should acute ischemic stroke be managed in the intensive care unit? -- How should status epilepticus be managed? -- How should Guillain-Barré syndrome be managed in the ICU? -- Is it appropriate to "underfeed" the critically ill patient? -- How does critical illness alter the liver? -- How is acute liver failure managed? -- How does critical illness alter the gut? How does one manage these alterations? -- Is there a place for anabolic hormones in critical care? -- How do I diagnose and manage acute endocrine emergencies in the ICU? -- How does one diagnose, treat, and reduce delirium in the intensive care unit? -- How should trauma patients be managed in the intensive care unit? -- What is abdominal compartment syndrome and how should it be managed? -- How should patients with burns be managed in the intensive care unit? -- What is the best approach to fluid management, transfusion therapy, and the endpoints of resuscitation in trauma? -- How should the critically ill pregnant patient be managed? -- How do I diagnose and manage patients admitted to the ICU after common poisonings? -- How should acute spinal cord injury be managed in the ICU? -- When is transfusion therapy indicated in critical illness and when is it not? -- Which anticoagulants should be used in the critically ill patient? How do I choose? -- How can critical care resource utilization in the united states be optimized? -- Does ICU admission improve outcome? -- How should care within an intensive care unit or an institution be organized? -- What is the role of advanced practice nurses and physician assistants in the ICU? -- What factors influence a family to support a decision withdrawing life support?
• Publisher Details: Philadelphia, PA : Elsevier
• Publication Date: 2016
• Copyright Date: 2016
• Extent: 1 online resource, illustrations
• Subjects: 616.02/8; Critical care medicine; Evidence-based medicine; Critical care medicine; Evidence-based medicine; HEALTH & FITNESS / Diseases / General; MEDICAL / Clinical Medicine; MEDICAL / Diseases; MEDICAL / Evidence-Based Medicine; MEDICAL / Internal Medicine; Critical Care; Intensive Care Units; Electronic books
• Languages: English
• ISBNs: 9780323394178; 0323394175
• Related ISBNs: 9780323299954; 0323299954
• Notes: Note: Includes bibliographical references.; Note: Online resource; title from resource home page (ClinicalKey, viewed December 11, 2015).
• Access Rights: Legal Deposit; Only available on premises controlled by the deposit library and to one user at any one time; The Legal Deposit Libraries (Non-Print Works) Regulations (UK).
• Access Usage: Restricted: Printing from this resource is governed by The Legal Deposit Libraries (Non-Print Works) Regulations (UK) and UK copyright law currently in force.