Care of the Critically Ill Patient (häftad)
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Format
Häftad (Paperback / softback)
Språk
Engelska
Antal sidor
1467
Utgivningsdatum
1993-01-01
Upplaga
Softcover reprint of the original 2nd ed. 1992
Förlag
Springer London Ltd
Illustrationer
195 Illustrations, black and white; XXXIII, 1467 p. 195 illus.
Antal komponenter
1
Komponenter
1 Paperback / softback
ISBN
9781447134022

Care of the Critically Ill Patient

av Jack Tinker, Warren M Zapol
Häftad,  Engelska, 1993-01-01
1036
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Nine years have passed since the first edition of Care of the Critically III Patient was published. As its editors Maurice Rapin and I were fortified by the many positive and helpful comments of reviewers and readers: the work appeared to have fulfilled our original aims and objectives. Intensive care medicine has, of course, advanced and changed in many ways since 1982 and it therefore seemed appropriate to consider the preparation of a second edition. Encouraged by the reception of the first and the timely prompting of the publishers we began, in 1986, to prepare for a new edition. Caring for critically ill patients is of universal concern and we were therefore delighted when Warren Zapol joined us as C'n editor widening our international base. The three of us subsequently spent many happy and productive times together planning the content, priorities, scale and contributions for the new edition. A great tragedy then overcame us: Maurice Rapin died suddenly. His death deprived us of a true friend and colleague who had been an international pioneer during the development of intensive care medicine. I will always remember, with affection and professional pride, the many hours he and I worked together in preparing the first edition of this book and also as founding editors of the now firmly established journal Intensive Care Medicine. An obituary, written by Warren Zapol, that appeared in the journal follows the Preface.
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Innehållsförteckning

List of Contributors.- Section A. Applied Physiology.- 1 Measurement and Control of Cardiac Output.- Cardiac Output at Rest and on Exercise.- Intrinsic Properties of Heart Muscle.- Coronary Blood Flow.- Assessment of the Heart as a Pump.- Cardiac Output during Exercise and Cardiac Failure.- 2 The Systemic and Pulmonary Circulations.- Functions of the Circulation.- Functional Organization of the Circulation.- The Systemic Circulation.- The Pulmonary Circulation.- Implications of Circulatory Physiology in Critical Care.- 3 Cardiopulmonary Interactions.- I. The Physiology of Cardiopulmonary Interactions Transmural Pressure.- Myocardial Function.- Cardiac Function: Left Heart Versus Right Heart.- The Cardiac Fossa.- Hemodynamic Effects of Ventilation.- Hemodynamic Effects of Changes in Lung Volume.- Hemodynamic Effects of Changes in Intrathoracic Pressure.- II. Clinical Aspects of Cardiopulmonary Interactions.- Negative Changes in Intrathoracic Pressure: Spontaneous Inspiration.- Positive Changes in Intrathoracic Pressure: Spontaneous Expiration.- Positive-Pressure Ventilation: Concepts.- Modes of Mechanical Ventilation.- 4 Pulmonary Ventilation and Gas Exchange.- Ventilation.- Diffusion.- Perfusion.- Ventilation-Perfusion Ratios.- 5 Oxygen Transport and Consumption.- Determinants of Tissue Oxygen Tension.- Classification of Hypoxia.- Recognition of Tissue Hypoxia.- Venous Oxygen Tension as an Index of Tissue Hypoxia.- Tissue Oxygen Extraction.- Physiological Versus Pathological Oxygen Supply Dependence.- 6 Mediator Systems of Lung Injury.- Humoral Mediators.- Cellular Mediators.- Conclusions.- 7 Fluid and Electrolyte Balance.- Distribution of Body Water.- Relationship Between Plasma and Interstitial Fluid.- Relationship of Intracellular to Extracellular Interstitial Fluid.- Water and Electrolyte Balance.- 8 Acid-Base Disturbances.- Buffering.- Respiratory Control of Acid-Base.- Renal Control of Acid-Base.- Metabolic Control of Acid-Base.- Interpretation of Acid-Base Data.- Respiratory Acidosis.- Respiratory Alkalosis.- Metabolic Acidosis.- Metabolic Alkalosis.- 9 Mechanisms of Haemostasis.- Physiology of Haemostasis.- The Investigation of Haemostatic Disorders.- 10 Cerebral Blood Flow and Metabolism.- Cerebral Blood Flow.- Cerebral Metabolism.- Conclusions.- 11 Defense Strategies Against Hypoxia.- Normal and Abnormal Pasteur Effects.- Oxygen Regulators and Oxygen Conformers.- Metabolite Signals Sustaining Stable Respiration in Oxygen Regulators.- Loss of Standard Electron Transfer System-Glycolysis Integration in Oxygen Conformers.- Oxygen as a Signal Controlling Oxygen Conformity.- Oxygen Management Strategies in Diving Seals.- 12 Humoral and Cell-Mediated Immunity.- The Normal Immune System.- Immunity and Infection.- Pathological Consequences of Immunity.- Immunodeficiency.- 13 Regulation of Body Temperature.- Thermal Equilibrium.- Physiological Measurement of Thermal Strain.- Effects of Heat.- Effects of Cold.- Mathematical Models of Thermoregulation in Man.- Central Nervous Control.- Thermoreception.- Fever.- Effects of Drugs on Thermoregulation.- 14 The Physiology of the Newborn.- Cardio-respiratory Adaptation.- Blood Pressure in the Neonate.- Thermoregulation in the Neonate.- Renal Function.- Neonatal Jaundice.- Pain in the Neonate.- Section B. Cardiovascular Disorders.- 15 Cardiopulmonary Resuscitation.- The Therapeutic Approach to CPR.- The Heart and CPR.- The CNS and CPR.- Monitoring the Brain during CPR.- The Brain After CPR.- Management of Brain Dysfunction and Damage.- Judging the Effectiveness of CPR: Stage 1 Success or Failure.- Pulmonary Function.- Drug Therapy.- Inotropic Agents.- Metabolic Acidosis.- Antidysrhythmic Agents.- Electrolyte Disturbances.- Routes of Drug Administration.- Cannulation of Vessels.- Fluid Expansion.- Artificial Pacemaking.- Abandoning CPR.- Complications of Chest Compression.- Effectiveness of CPR: Stage 2 Success or Failure.- Appendix 1: Mobile Equipment for CPR Trolley.- 16 The Cardiac

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