Kirurgisk intensivvård

Operative trauma surgery is a key element of surgical training world-wide, but many surgical trainees have only limited exposure to it throughout their training. The aim of this book is to provide a detailed technical guide for trauma surgery by two experienced surgical educators who are experts in the field. The original concept behind this text (compared to other operative surgery texts) is a special emphasis on intra-operative judgement, decision-making, and thought processes, as well as technical 'tips and tricks'. The book will be generously illustrated with black-and-white line drawings, but will NOT be a surgical atlas, because there will not be a step-by-step sequence of illustrations for each procedure. The illustrations will be incorporated into the text rather than appearing on separate pages. As such, the book will be an 'operative surgery' book, along the lines of such British classics as Peter Jones' 'Emergency Abdominal Surgery', Hugh Dudley's editions of 'Hamilton Bailey's Emergency Surgery' and Keen's 'Operative Surgery and Management'.

This book provides clinical tips on the management of common emergencies that are regularly faced by critical care and acute care cardiologists in resource-limited settings. Based on the current guidelines, it explores the evaluation of the patient, followed by its treatment methodology. It highlights the beneficial effects of the use of cardiac drugs during an emergency. There is also a special section on preoperative evaluation and postoperative management of cardiac patients of different subsets. Medicolegal/documentation points are also discussed where relevant. It is useful as a ready reference for physicians, anaesthetists and cardiologists. Key Features• Reinforces certain teachings and recalls certain overlooked clinical points to address emergency situations in a busy, resource limited setting• Explains lucidly what the acute cardiac care/anaesthesia registrar or cardiology fellows ought to do in the intensive care and postoperative wards• Emphasizes the importance of clinical acumen and observation

This atlas is designed to provide an all-inclusive resource that describes step by step how to perform the essential bedside procedures required to provide optimal care to the critically ill patient. Detailed descriptions of these procedures, with sequential photographs depicting each critical step, provide an in depth understanding of the anatomy, critical technical steps and common pitfalls to both military and civilian trainees. For the advanced professional operator, this atlas will provide a rapid refresher of the critical steps and is an excellent teaching resource, based on the decades of collective experience accumulated by the authors. The top quality photographs of perfused and ventilated cadavers makes this atlas a standard reference for surgeons, critical care physicians, nurses and all critical care professionals.

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU''s, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients'' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies.Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

Pediatric Intensive Care offers clinicians and trainees a concise, easy-to-carry resource on pediatric critical care medicine, designed for frequent and quick reference at the bedside, providing solutions to questions and situations encountered in practice. The book is sized to fit in a pocket and contains focused text, bulleted lists, tables, and figures. The book facilitates the delivery of critical care by a range of practitioners, from residents to generalists in settings where CCM expertise is not readily available, to intensivists.

Emergency and Clinical Ultrasound Board Review is a comprehensive guide for preparing for the Advanced Emergency Medicine Ultrasonography or Critical Care Echocardiography board exams, and for residents preparing for in-training examinations in ultrasound. The text consists of over 500 multiple-choice questions, organized into 18 chapters covering ultrasound topics such as physics, eFAST, echocardiography, thoracic, aorta, hepatobiliary, renal, pregnancy, soft tissue, ocular, procedural, airway, ENT, DVT, testicular, abdominal, and musculoskeletal applications. This is a multi-specialty work, with contributors representing the fields of emergency medicine, internal medicine, cardiology, critical care, and radiology. Chapters include questions, answers with detailed explanations and references to primary or landmark articles to help better navigate a standardized exam. Questions are written in a case-based format that emulates the ABEM and NBE board exams, and are supplemented by over 800 figures, tables, boxes, and online videos.

Mayo Clinic Critical and Neurocritical Care Board Review is an all-inclusive review of the pathophysiology and care of the neurocritically ill and critically ill patient. The book reviews the core major critical care and neurocritical care disorders, underlying pathophysiology, treatment decisions with questions and answers for self-directed study and board review purposes. The text is succinct, to the point, relevant, informative, and up-to-date with information from recent clinical trials and facts based on evidence-based medicine. The references are up-to-date and include the most recent critical care guidelines for further study. The book is written and closely supervised by experienced Mayo Clinic faculty and reviewed in detail by the editors. The book is suitable for self-study towards neurocritical care boards and a number of critical care board examinations and certification exams. Tables, explanatory drawings, and bullet points are used throughout the text for high-yield learning.

Anesthesiology Critical Care Board Review fills a much-needed niche, not only in improving board examination test-taking skills but also as a tool for educating critical care physicians, anesthesiology practitioners, and advanced practice providers with the most relevant, up-to-date, state of the art considerations in critical care medicine. Content is specifically designed to prepare Anesthesiology and Emergency Medicine critical care fellows for the American Board of Anesthesiology Critical Care Medicine Certification Examination. The book offers diagnostic and therapeutic management considerations, divided into sections on technical aspects of critical care and organ systems, in a question-and answer format with clear, concise explanations and targeted references for each question.

Anesthesiology Critical Care Board Review fills a much-needed niche, not only in improving board examination test-taking skills but also as a tool for educating critical care physicians, anesthesiology practitioners, and advanced practice providers with the most relevant, up-to-date, state of the art considerations in critical care medicine. Content is specifically designed to prepare Anesthesiology and Emergency Medicine critical care fellows for the American Board of Anesthesiology Critical Care Medicine Certification Examination. The book offers diagnostic and therapeutic management considerations, divided into sections on technical aspects of critical care and organ systems, in a question-and answer format with clear, concise explanations and targeted references for each question.

Anesthesiology Critical Care Board Review fills a much-needed niche, not only in improving board examination test-taking skills but also as a tool for educating critical care physicians, anesthesiology practitioners, and advanced practice providers with the most relevant, up-to-date, state of the art considerations in critical care medicine. Content is specifically designed to prepare Anesthesiology and Emergency Medicine critical care fellows for the American Board of Anesthesiology Critical Care Medicine Certification Examination. The book offers diagnostic and therapeutic management considerations, divided into sections on technical aspects of critical care and organ systems, in a question-and answer format with clear, concise explanations and targeted references for each question.

In this era of evidence-based medicine, one of the biggest challenges confronting acute medicine clinicians is keeping abreast with the rapidly changing recommendations that guide clinical practice. Oxford Desk Reference: Acute Medicine allows easy access to evidence-based materials on commonly encountered acute medical problems to ensure the optimum management of the acutely unwell patient. Collating all the research-based guidelines and protocols in one easily accessible place and presenting it in a uniform style, this practical book is hugely advantageous for a busy clinician as it is not always easy to access research-based guidelines and protocols when needed in the clinic. The book is designed so that each subject forms a self-contained topic in its own right. This makes the information simple to find, read, and absorb, so that the book can be consulted in the clinic or ward setting for information on the optimum management of a particular condition.Edited by three experts in acute medicine, this book should never be far from the acute medicine clinician''s side.

In this era of evidence-based medicine, one of the biggest challenges confronting acute medicine clinicians is keeping abreast with the rapidly changing recommendations that guide clinical practice. Oxford Desk Reference: Acute Medicine allows easy access to evidence-based materials on commonly encountered acute medical problems to ensure the optimum management of the acutely unwell patient. Collating all the research-based guidelines and protocols in one easily accessible place and presenting it in a uniform style, this practical book is hugely advantageous for a busy clinician as it is not always easy to access research-based guidelines and protocols when needed in the clinic. The book is designed so that each subject forms a self-contained topic in its own right. This makes the information simple to find, read, and absorb, so that the book can be consulted in the clinic or ward setting for information on the optimum management of a particular condition.Edited by three experts in acute medicine, this book should never be far from the acute medicine clinician''s side.

The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anaesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them. This highly practical book is the only guide needed to the procedures and techniques commonly used in anaesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use.This book will be used by all junior trainees in anaesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anaesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

The fully revised, third edition of this bestselling Handbook describes best practice of critical care in a succinct, concise and clinically-orientated way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols. Patient-centred and practical, it will serve the consultant, trainee, nurse or other allied health professionals as both a reference and aide memoir. This is the indispensable Oxford Handbook for all those working within critical care.

The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anaesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them. This highly practical book is the only guide needed to the procedures and techniques commonly used in anaesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use.This book will be used by all junior trainees in anaesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anaesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

Prepare with confidence for the FFICM and EDIC with this dedicated guide featuring 300 original multiple choice (MCQ) and single best answer questions (SBAs) covering the whole FICM curricula.Organized into ten practice papers so readers can practice the style and format of the real exam, questions cover a broad range of intensive care topics for postgraduate exams. Each answer includes a full explanation, up-to-date evidence-based guidelines and sources for further reading to ensure high-quality self-assessment.Written by a team of consultants, these original and high-quality questions have been developed over years of clinical experience. This invaluable resource provides intensive care medicine trainees with an ideal companion for the FFICM and EDIC and other postgraduate critical care exams.

Obesity is a global public health issue; significant numbers of the world''s population are overweight, growing numbers are obese, and many are morbidly obese. As obesity is associated with a range of co-morbidities (namely cardiovascular disease, diabetes, cancer, depression, and sleep apnoea), it presents a daunting peri-operative challenge to the anaesthetist. The increasing size and weight of patients presenting for surgery involves multiple issues from starting intravenous lines through to intubation and ventilation challenges. The Oxford Textbook of Anaesthesia for the Obese Patient is a highly authoritative, evidence-based account of the principles and clinical practice within the field. Across 36 chapters, this resource provides comprehensive coverage of all aspects of the subject including physiological and pharmacological modifications in the obese patient, bariatric and non-bariatric surgery, specific clinical issues such as fluid management and tissue oxygenation, as well as challenges arising from obesity in the setting of paediatrics, obstetrics, intensive care and trauma.Written and edited by experts in the field, this resource is the definitive guide to clinical management of the obese patient, exploring various international approaches to practice, with helpful case studies, and practical advice on common intra-operative challenges, and how to resolve them using evidence and best practice.

The fully revised, third edition of this bestselling Handbook describes best practice of critical care in a succinct, concise and clinically-orientated way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols. Patient-centred and practical, it will serve the consultant, trainee, nurse or other allied health professionals as both a reference and aide memoir. This is the indispensable Oxford Handbook for all those working within critical care.

Landmark Papers in General Surgery will give surgeons, surgical trainees and other healthcare professionals an expert appraisal of key papers, and fast access to the evidence base behind current clinical practice in General Surgery. Each chapter draws together a fascinating selection of the most important clinical trials across every subspecialty within General Surgery, as selected and appraised by a panel of experts. Organized according to a common format, each discussion offers a clear structure by which to appraise the medical literature. Following a background summary of each trial, experts discuss the impact of the research and critique the methods used, giving the reader rapid understanding of the paper''s place within the wider field of research. This emphasis on the tools of critical appraisal is enhanced by an introductory chapter equipping the reader with the skills required to knowledgeably appraise a research paper. For clinicians needing to keep abreast of the vast scope of medical research, this book will prove an interesting and timesaving resource, but it will also appeal to allied health professionals keen to improve the depth of their understanding of surgery. By bringing together the evidence base with expert guidance on critical appraisal, higher surgical trainees preparing for the academic and specialty sections of the FRCS exit examination will also find the text invaluable as a means of consolidating and nuancing their knowledge.

Landmark Papers in General Surgery will give surgeons, surgical trainees and other healthcare professionals an expert appraisal of key papers, and fast access to the evidence base behind current clinical practice in General Surgery. Each chapter draws together a fascinating selection of the most important clinical trials across every subspecialty within General Surgery, as selected and appraised by a panel of experts. Organized according to a common format, each discussion offers a clear structure by which to appraise the medical literature. Following a background summary of each trial, experts discuss the impact of the research and critique the methods used, giving the reader rapid understanding of the paper''s place within the wider field of research. This emphasis on the tools of critical appraisal is enhanced by an introductory chapter equipping the reader with the skills required to knowledgeably appraise a research paper. For clinicians needing to keep abreast of the vast scope of medical research, this book will prove an interesting and timesaving resource, but it will also appeal to allied health professionals keen to improve the depth of their understanding of surgery. By bringing together the evidence base with expert guidance on critical appraisal, higher surgical trainees preparing for the academic and specialty sections of the FRCS exit examination will also find the text invaluable as a means of consolidating and nuancing their knowledge.

Best of Five MCQs for the Acute Medicine SCE is a new revision resource designed specifically for this high-stakes exam. Containing over 350 Best of Five multiple choice questions, this dedicated guide will help candidates to prepare successfully. The content mirrors the SCE in Acute Medicine Blueprint to ensure candidates are fully prepared for all the topics that may appear in the exam. Topics range from how to manage acute problems in cardiology or neurology to managing acute conditions such as poisoning. All answers have full explanations and further reading to ensure high quality self-assessment and quick recognition of areas that require further study.

The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The Complete Recovery Room Book, Sixth edition, provides nurses, surgeons, and anaesthetists with up-to-date guidance and practical tips on the post-operative management of patients. Over 30 chapters, this resource covers key aspects of recovery room management from setting-up, monitoring and equipment, and managing symptoms as well as clear and concise explanations of physiology and pharmacology. Specific chapters address the unique post-operative needs of individual types of surgery and patient groups. Practical tips and short aphorisms are offered throughout the text to help retain practical information.

The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The Complete Recovery Room Book, Sixth edition, provides nurses, surgeons, and anaesthetists with up-to-date guidance and practical tips on the post-operative management of patients. Over 30 chapters, this resource covers key aspects of recovery room management from setting-up, monitoring and equipment, and managing symptoms as well as clear and concise explanations of physiology and pharmacology. Specific chapters address the unique post-operative needs of individual types of surgery and patient groups. Practical tips and short aphorisms are offered throughout the text to help retain practical information.

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU''s, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients'' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.

Obesity is a global public health issue; significant numbers of the world''s population are overweight, growing numbers are obese, and many are morbidly obese. As obesity is associated with a range of co-morbidities (namely cardiovascular disease, diabetes, cancer, depression, and sleep apnoea), it presents a daunting peri-operative challenge to the anaesthetist. The increasing size and weight of patients presenting for surgery involves multiple issues from starting intravenous lines through to intubation and ventilation challenges. The Oxford Textbook of Anaesthesia for the Obese Patient is a highly authoritative, evidence-based account of the principles and clinical practice within the field. Across 36 chapters, this resource provides comprehensive coverage of all aspects of the subject including physiological and pharmacological modifications in the obese patient, bariatric and non-bariatric surgery, specific clinical issues such as fluid management and tissue oxygenation, as well as challenges arising from obesity in the setting of paediatrics, obstetrics, intensive care and trauma.Written and edited by experts in the field, this resource is the definitive guide to clinical management of the obese patient, exploring various international approaches to practice, with helpful case studies, and practical advice on common intra-operative challenges, and how to resolve them using evidence and best practice.

Emergency and Clinical Ultrasound Board Review is a comprehensive guide for preparing for the Advanced Emergency Medicine Ultrasonography or Critical Care Echocardiography board exams, and for residents preparing for in-training examinations in ultrasound. The text consists of over 500 multiple-choice questions, organized into 18 chapters covering ultrasound topics such as physics, eFAST, echocardiography, thoracic, aorta, hepatobiliary, renal, pregnancy, soft tissue, ocular, procedural, airway, ENT, DVT, testicular, abdominal, and musculoskeletal applications. This is a multi-specialty work, with contributors representing the fields of emergency medicine, internal medicine, cardiology, critical care, and radiology. Chapters include questions, answers with detailed explanations and references to primary or landmark articles to help better navigate a standardized exam. Questions are written in a case-based format that emulates the ABEM and NBE board exams, and are supplemented by over 800 figures, tables, boxes, and online videos.

Prepare with confidence for the FFICM and EDIC with this dedicated guide featuring 300 original multiple choice (MCQ) and single best answer questions (SBAs) covering the whole FICM curricula.Organized into ten practice papers so readers can practice the style and format of the real exam, questions cover a broad range of intensive care topics for postgraduate exams. Each answer includes a full explanation, up-to-date evidence-based guidelines and sources for further reading to ensure high-quality self-assessment.Written by a team of consultants, these original and high-quality questions have been developed over years of clinical experience. This invaluable resource provides intensive care medicine trainees with an ideal companion for the FFICM and EDIC and other postgraduate critical care exams.