Lessons from the ICU – serie

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is a graphical, dense and concise text describing fundamental theoretical concepts needed for doctors and other professionals new to the field of Intensive Care Medicine.The book serves two main purposes: as study material for any junior doctor, nurse or other allied healthcare professional who is time-pressured and wants to quickly learn the essentials; and as a course volume of new ESICM educational initiative called Intensive Care Fundamentals©. The overarching goal of this initiative is to offer standardised high-quality introductory education to all starters in intensive care. There are two key elements of this initiative: the book, which is the prerequisite reading for attending the two day face-to-face course and the materials, registration of candidate and training and certifying the trainers that will be provided by ESICM.

This book, part of the European Society of Intensive Care Medicine textbook series,  provides detailed up-to-date information on the physical, cognitive, and psychological impairments that are frequently present following a stay in an intensive care unit and examines in depth the available preventive and therapeutic strategies, including adapted rehabilitation programs. Beyond acquainting readers with the multiple facets of post-intensive care syndrome (PICS), the book aims to promote the effective follow-up of patients, thereby enhancing their ability to work and their functional autonomy, and to identify risk factors for the development of PICS as a stimulus to beneficial organizational changes in intensive care departments.The background to the book is the realization by healthcare providers that the quality of life of patients who have required a stay in an intensive care unit can be severely impaired or even become unacceptable. All too often, the diverse sequelae are overlooked by specialists of other disciplines. Moreover, families and caregivers are also at high risk of post-traumatic stress disorder and depression. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care. This book, written by renowned experts in the field, will facilitate the transmission of key knowledge with significant clinical and financial benefits.

This book, part of the European Society of Intensive Care Medicine textbook series,  provides detailed up-to-date information on the physical, cognitive, and psychological impairments that are frequently present following a stay in an intensive care unit and examines in depth the available preventive and therapeutic strategies, including adapted rehabilitation programs. Beyond acquainting readers with the multiple facets of post-intensive care syndrome (PICS), the book aims to promote the effective follow-up of patients, thereby enhancing their ability to work and their functional autonomy, and to identify risk factors for the development of PICS as a stimulus to beneficial organizational changes in intensive care departments.The background to the book is the realization by healthcare providers that the quality of life of patients who have required a stay in an intensive care unit can be severely impaired or even become unacceptable. All too often, the diverse sequelae are overlooked by specialists of other disciplines. Moreover, families and caregivers are also at high risk of post-traumatic stress disorder and depression. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care. This book, written by renowned experts in the field, will facilitate the transmission of key knowledge with significant clinical and financial benefits.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old (≥80 years) patients in the ICU.The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in  patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric “syndromes” like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis.The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives.This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old (≥80 years) patients in the ICU.The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in  patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric “syndromes” like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis.The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives.This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, deals with dysregulated host response a relatively new term introduced by the Sepsis-3 definitions in 2016. In contrast to systemic inflammatory response syndrome (SIRS) that has been used for nearly 30 years, this is a fundamentally new concept, which requires some sort of a paradigm shift in the way of thinking of critical care physicians. This change obviously requires time and after 5 years, time is ripe to summarize the knowledge in the form of a comprehensive book.The book is split in 4 sections. In the first one, the host immune response is explained in 11 chapters, followed by the next part, summarizing the possible tools for assessment at the bedside. The third and the fourth parts focus on the effects of dysregulated immune response on vital organ function and on the possible ways of immunomodulation. Written by internationally acclaimed experts of the field, the bookis of value for all those intensivists and allied professionals working in ICUs.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, deals with dysregulated host response a relatively new term introduced by the Sepsis-3 definitions in 2016. In contrast to systemic inflammatory response syndrome (SIRS) that has been used for nearly 30 years, this is a fundamentally new concept, which requires some sort of a paradigm shift in the way of thinking of critical care physicians. This change obviously requires time and after 5 years, time is ripe to summarize the knowledge in the form of a comprehensive book.The book is split in 4 sections. In the first one, the host immune response is explained in 11 chapters, followed by the next part, summarizing the possible tools for assessment at the bedside. The third and the fourth parts focus on the effects of dysregulated immune response on vital organ function and on the possible ways of immunomodulation. Written by internationally acclaimed experts of the field, the bookis of value for all those intensivists and allied professionals working in ICUs.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is a graphical, dense and concise text describing fundamental theoretical concepts needed for doctors and other professionals new to the field of Intensive Care Medicine.The book serves two main purposes: as study material for any junior doctor, nurse or other allied healthcare professional who is time-pressured and wants to quickly learn the essentials; and as a course volume of new ESICM educational initiative called Intensive Care Fundamentals©. The overarching goal of this initiative is to offer standardised high-quality introductory education to all starters in intensive care. There are two key elements of this initiative: the book, which is the prerequisite reading for attending the two day face-to-face course and the materials, registration of candidate and training and certifying the trainers that will be provided by ESICM.

In this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, experts in the field of clinical ethics describe basic principles of clinical ethics and ethical reasoning, the fundamental pillars of intensive care medicine as well as the decision-making processes necessary to arrive at appropriate decisions for each individual patient. Specifically, the complex decision-making process, with regard to limiting life-sustaining therapies and integrating palliative care into intensive care, are expounded. Furthermore, the still controversial topics of ethical climate, proportionate care, and prioritization are elaborated upon. The so-called “soft skills” of inter-professional communication and co-operation are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill. Finally, widely accepted ethical values and principles were challenged by the Covid-19 pandemic, forcing clinicians to elaborate recommendations regarding the prioritization of scarce resources.The book will be an invaluable tool for clinicians to understand ethical principles and reasoning to contend ethical challenges in intensive care medicine across the boundaries of disciplines and professions, in order to provide an appropriate individual plan of treatment for their patients.

In this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, experts in the field of clinical ethics describe basic principles of clinical ethics and ethical reasoning, the fundamental pillars of intensive care medicine as well as the decision-making processes necessary to arrive at appropriate decisions for each individual patient. Specifically, the complex decision-making process, with regard to limiting life-sustaining therapies and integrating palliative care into intensive care, are expounded. Furthermore, the still controversial topics of ethical climate, proportionate care, and prioritization are elaborated upon. The so-called “soft skills” of inter-professional communication and co-operation are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill. Finally, widely accepted ethical values and principles were challenged by the Covid-19 pandemic, forcing clinicians to elaborate recommendations regarding the prioritization of scarce resources.The book will be an invaluable tool for clinicians to understand ethical principles and reasoning to contend ethical challenges in intensive care medicine across the boundaries of disciplines and professions, in order to provide an appropriate individual plan of treatment for their patients.

The aim of this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is to educate and train practitioners in the safe and competent use of diagnostic ultrasound imaging in the visualization and interpretation of different conditions. Specifically, the program will train practitioners in the safe and accurate acquisition of ultrasound images in the examination and monitoring of patients in intensive care settings.The readers will be able to obtain knowledge on the use of ultrasound in a safe and effective manner and to learn how ultrasound examination can be used to optimize clinical management of patients.The chapters include ultrasound physics, ultrasound examination technique, optimization of the image, bedside ultrasound diagnosis of different diseases. Different domains will be addressed from the evaluation of different organs such as the heart, the lung, the abdomen, vessels and brain, focusing on the basic skills required to an intensivists working in the general Intensive Care Unit settings.The book - richly illustrated and with electronic supplementary contributions - is intended for anaesthetists and intensivists with basic knowledge of ultrasound physics and practical experience of ultrasound.

The aim of this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is to educate and train practitioners in the safe and competent use of diagnostic ultrasound imaging in the visualization and interpretation of different conditions. Specifically, the program will train practitioners in the safe and accurate acquisition of ultrasound images in the examination and monitoring of patients in intensive care settings.The readers will be able to obtain knowledge on the use of ultrasound in a safe and effective manner and to learn how ultrasound examination can be used to optimize clinical management of patients.The chapters include ultrasound physics, ultrasound examination technique, optimization of the image, bedside ultrasound diagnosis of different diseases. Different domains will be addressed from the evaluation of different organs such as the heart, the lung, the abdomen, vessels and brain, focusing on the basic skills required to an intensivists working in the general Intensive Care Unit settings.The book - richly illustrated and with electronic supplementary contributions - is intended for anaesthetists and intensivists with basic knowledge of ultrasound physics and practical experience of ultrasound.

The aim of this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series and designed by the NEXT Committee of the European Society of Intensive Care Medicine, is to provide the readers with a unique review of the main syndromes in Intensive Care Medicine by means of a collection of clinical cases. The book is structured in six sections (severe infections and sepsis, respiratory medicine, cardiovascular medicine, neurocritical care and severe trauma, severe endocrine and metabolic disorders, and severe inflammatory disorders), that allow the reader to focus on a specific area. Each section begins with an “introductory chapter” to maintain cohesion. Within each section, every chapter corresponds to a clinical case covering different aspects of a relevant disease. All the chapters have a uniform design: introduction/background, case presentation, investigations, differential diagnosis, treatment, evolution, outcome and follow-up, and discussion. The target audience of this work includes university students, fellows of intensive care medicine, critical care and emergency medicine residents, and experienced physicians aiming to review the most relevant syndromes of the specialty.

The aim of this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series and designed by the NEXT Committee of the European Society of Intensive Care Medicine, is to provide the readers with a unique review of the main syndromes in Intensive Care Medicine by means of a collection of clinical cases. The book is structured in six sections (severe infections and sepsis, respiratory medicine, cardiovascular medicine, neurocritical care and severe trauma, severe endocrine and metabolic disorders, and severe inflammatory disorders), that allow the reader to focus on a specific area. Each section begins with an “introductory chapter” to maintain cohesion. Within each section, every chapter corresponds to a clinical case covering different aspects of a relevant disease. All the chapters have a uniform design: introduction/background, case presentation, investigations, differential diagnosis, treatment, evolution, outcome and follow-up, and discussion. The target audience of this work includes university students, fellows of intensive care medicine, critical care and emergency medicine residents, and experienced physicians aiming to review the most relevant syndromes of the specialty.

The second edition of the book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is a graphical, dense and concise text describing fundamental theoretical concepts needed for doctors and other professionals new to the field of Intensive Care Medicine. In this volume chapters have been reviewed by renowned Key Opinion Leaders in the respective fields of interest.The book serves two main purposes: as study material for any junior doctor, nurse or other allied healthcare professional who is time-pressured and wants to quickly learn the essentials; and as a course volume of new ESICM educational initiative called Intensive Care Fundamentals©. The overarching goal of this initiative is to offer standardised high-quality introductory education to all starters in intensive care. There are two key elements of this initiative: the book, which is the prerequisite reading for attending the two day face-to-face course and the materials, registration of candidate and training and certifying the trainers that will be provided by ESICM.