Metabolic Disorders And Critically Ill Patients

Author : Carole Ichai,Hervé Quintard,Jean-Christophe Orban
Publisher : Springer
Page : 477 pages
File Size : 43,9 Mb
Release : 2017-12-30
Category : Medical
ISBN : 9783319640105

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Metabolic Disorders and Critically Ill Patients by Carole Ichai,Hervé Quintard,Jean-Christophe Orban Pdf

The purpose of this book is to bring together the latest findings on metabolic disorders that are strongly implicated in various critically ill patients. Since the beginning of the 20th century, maintaining the "milieu intérieur" has been a major challenge for intensivists. In addition to considerable technological developments in intensive care units, important advances in our understanding of metabolic disorders observed in critically ill patients have been made during the 10 last years. Today, the intensivit can’t ignore these disorders when selecting the most appropriate treatment for an illness. Cellular metabolic abnormalities are responsible for systems and organ failures, so the modern approach of organ dysfunctions now includes prevention or treatment of such disorders. This book is a comprehensive tool, allowing the physician to understand, diagnose and treat these metabolic disorders. Water, electrolyte, acid-base, glycemic and endocrinologic problems, as well as metabolic abnormalities observed in renal, cerebral and hepatic failure are presented in different chapters. The last part of the book is devoted to modern nutritional concepts, the consequences of energy modifications, mitochondrial dysfunction, hypothermia, oxidative stress and ischemia reperfusion, which open the way for new therapies.​

Author : Douglas W. Wilmore
Publisher : Springer Science & Business Media
Page : 276 pages
File Size : 43,6 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781468423822

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The Metabolic Management of the Critically Ill by Douglas W. Wilmore Pdf

HOW DO I USE THIS BOOK? This book is organized to answer specific questions about the metabolic and nutritional problems of critically ill patients. Thc questions are listed under five chapter headings in the Contents. Each question is self-contained with its own charts, tables, and references, although, in some instances, you may be referred to another section of the book for additional information. A detailed subject outline appears on the first page of each chapter, and there is an index for cross-reference to specific subjects. A metabolic support plan and accompanying metabolic and nutritional worksheet are locatcd in the Appendix. This plan pro vides the best estimates available for predicting the metabolic requirements of patients, and outlines approaches to feeding the hospitalized patient which will satisfy these nutritional needs. Clin ical cases are presented in this section to help you get started using the support plan. This volume is a handbook organized for frequent use - place the appropriate tables and nomograms on the bulletin board of the intensive care unit or in your office for convenient reference. Use the metabolic and nutritional support plan and establish the habit of assessing the metabolic requirements of your patients. Refer to the references cited to explore in further detail specific questions or areas of interest. By applying our knowledge of the metabolic and nutritional alterations which occur following disease, we can improve our care of the critically ill.

Author : Douglas W. Wilmore,Yvon A. Carpentier
Publisher : Springer Science & Business Media
Page : 441 pages
File Size : 54,7 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9783642850110

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Metabolic Support of the Critically Ill Patient by Douglas W. Wilmore,Yvon A. Carpentier Pdf

Nutritional support of critically ill patients is a major treatment modality which will enhance recovery and shorten convalescence. New knowledge has emphasized that much of the organ dysfunction associated with sepsis and altered blood flow is related to oxidative injury. Specific nutrients are highly effective in counteracting these effects and their early administration may attenuate cellular damage and multi-organ failure. Patient outcome may also be enhanced by the route of feeding, administration of newer nutrient combinations, utilization of evolving methods of monitoring and the use of growth factors. This new knowledge has evolved to a new area of metabolic support which is addressed for the first time by a group of international experts. The topics presented and general conclusions are of major importance to the practitioners in this field, for they show, for the first time, a departure from the more traditional approaches of nutritional support in patients with life-threatening diseases.

Author : G. Guarnieri,F. Iscra
Publisher : Springer Science & Business Media
Page : 237 pages
File Size : 47,5 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9788847029019

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Metabolism and Artificial Nutrition in the Critically Ill by G. Guarnieri,F. Iscra Pdf

The critically ill patient in intensive care may present with serious metabolic alterations caused directly by the illness or secondarily by complications (e.g. infections, organ failure or sepsis) developing within a few hours of hospitaliza tion or in the following days. Among the situations which maintain and further trigger rapidly evolving altered metabolism are complex hormonal reactions, particularly those of the hypothalamus-hypophysis-adrenal axis, and abnormal stimulation of the autonomic nervous system. In fact, the sympathetic nervous system is known to cause significant metabolic alterations. For example, a surgery patient afflicted by septic complications may become hypercatabolic and experience significant nitrogen loss; the altered protein metabolism may in turn heavily influence carbohydrate and lipid metabolism as well. Thus, it is apparent that for optimal care of patients with altered metabolic functions, further knowledge is necessary regarding the physiopathology of metabolism and the physiopathological mechanisms, which alter the consump tion of principal energy substrates. Many experimental and clinical studies have investigated the metabolic aspects of individual organs or organ systems. However, for a correct evaluation of such metabolic events, in addition to studying the roles of metabolic enzymes, active metabolites, and the glutathione system, it is interesting to consider the use of indirect calorimetry as a valid and important investigative technique. The critically ill patient with major alterations in nutritional status may require artificial nutritive support administered through either parenteral or enteral routes.

Author : Jean-Charles Preiser
Publisher : Springer
Page : 245 pages
File Size : 43,6 Mb
Release : 2016-03-24
Category : Medical
ISBN : 9783319276878

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The Stress Response of Critical Illness: Metabolic and Hormonal Aspects by Jean-Charles Preiser Pdf

This book demonstrates how the latest insights into the physiopathology of the stress response can be integrated into clinical practice. The topic is particularly relevant since the metabolic changes triggered by acute stress, including adaptive responses such as resistance to anabolic signals, have recently been more precisely delineated. The underlying mechanisms of these changes are also now better understood. The authors analyse how these advances could result in better management and more effective prevention of the long-term clinical consequences of the alterations occurring during the acute phase. An international panel of respected experts discusses these topics and describes the management of some common clinical conditions.

Author : John A. Kellum,Jorge Cerda
Publisher : Oxford University Press
Page : 240 pages
File Size : 54,5 Mb
Release : 2012-12-24
Category : Medical
ISBN : 9780199395941

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Renal and Metabolic Disorders by John A. Kellum,Jorge Cerda Pdf

Metabolic and electrolyte disorders can pose special challenges to physicians caring for the critically ill patients. Constrained by time and circumstances, clinicians require rapid access to information to help assess and manage these often life-threatening conditions. In this book, a readily useable road map is presented, emphasizing the interactions among problems and suggesting clear lines of action. Keeping the physiopathological mechanisms to the essential, and maintaining an uncluttered format, each chapter provides guidelines to understanding "how did we get here" and "what should we do now", as quickly and safely as possible. Chapters describe clinical presentation and management of the most common renal, electrolyte, acid-base, metabolic and endocrine disorders, complicating the course of critically ill patients. Contributing authors are all experts in their respective fields, who regularly engage in the day-to-day management of critically ill patients. In a rapidly changing field, the authors have endeavored to maintain an updated approach, emphasizing the most recent evidence on diagnosis and management. Although controversy in the interpretation and management of some problems is inevitable, the editors see it as a desirable way to depict differing interpretations and solutions for each problem. Each chapter ends with a selected list of key references to facilitate in-depth review of each subject. As with other titles in the Pittsburgh Critical Care Medicine series, this book is intended for frequent use by both "budding experts" as well as by seasoned practitioners in need for of quick and effective reference.

Author : Webb
Publisher : Oxford University Press
Page : 1961 pages
File Size : 55,6 Mb
Release : 2020-01-10
Category : Medical
ISBN : 9780198855439

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Oxford Textbook of Critical Care by Webb Pdf

Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

Author : Clifford S. Deutschman,Patrick J. Neligan
Publisher : Elsevier Health Sciences
Page : 691 pages
File Size : 45,7 Mb
Release : 2015-11-26
Category : Medical
ISBN : 9780323394178

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Evidence-Based Practice of Critical Care E-Book by Clifford S. Deutschman,Patrick J. Neligan Pdf

Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis • changing approaches to fluid administration • immune suppression in sepsis • monitoring the microcirculation • the long-term sequelae of critical illness • minimizing ventilator associated lung injury • the benefits of evidence-based medicine management guidelines • rapid response teams • and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.

Author : Shamsuddin Akhtar,Stanley Rosenbaum
Publisher : Cambridge University Press
Page : 245 pages
File Size : 41,9 Mb
Release : 2018-10-25
Category : Medical
ISBN : 9781316613894

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Principles of Geriatric Critical Care by Shamsuddin Akhtar,Stanley Rosenbaum Pdf

Provides coverage of the issues surrounding geriatric critical care, emphasising assessment and treatment.

Author : Angelo Raffaele De Gaudio,Stefano Romagnoli
Publisher : Springer
Page : 263 pages
File Size : 41,9 Mb
Release : 2018-01-23
Category : Medical
ISBN : 9783319593128

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Critical Care Sedation by Angelo Raffaele De Gaudio,Stefano Romagnoli Pdf

This book provides a comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the advantages and limitations of each drug and device using clear flowcharts, diagrams and tables. Furthermore, it explores the new drugs and – above all – new sedation delivery systems, particularly those for administering volatile anesthetics on ICUs. This book is a valuable and practical resource for anesthesists, intensivists and emergency physicians interested in sedation.

Author : Joseph E. Parrillo, MD, FCCM,R. Phillip Dellinger, MD, MS
Publisher : Elsevier Health Sciences
Page : 1877 pages
File Size : 49,6 Mb
Release : 2013-12-05
Category : Medical
ISBN : 9780323089296

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Critical Care Medicine by Joseph E. Parrillo, MD, FCCM,R. Phillip Dellinger, MD, MS Pdf

Take the best possible care of adult critical care patients with Critical Care Medicine: Principles of Diagnosis and Management in the Adult! Editors Dr. Joseph Parrillo and Dr. Phillip Dellinger, two of the most respected names in critical care medicine, combine their extensive knowledge with that of hundreds of top authorities in the field to bring you expert, state-of-the-art answers to any clinical question you may face in the intensive care unit. Offer your adult critical care patients the most effective care with practical, evidence-based guidance from many of the most trusted experts in critical care medicine. Learn from the best ICU specialists worldwide with contributions from an increased number of international authorities. Effectively manage common complications in the ICU with updated coverage of severe sepsis, septic shock, surgical infections, neurogenic and anaphylactic shock, severe heart failure, acute coronary syndromes, and Acute Respiratory Distress Syndrome. Access the complete contents online at Expert Consult, along with an image bank and instructional videos!

Author : Ali El Solh
Publisher : John Wiley & Sons
Page : 342 pages
File Size : 46,6 Mb
Release : 2012-01-03
Category : Medical
ISBN : 9781119962069

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Critical Care Management of the Obese Patient by Ali El Solh Pdf

This book provides health professionals with sound clinical advice on management of the obese patient admitted into hospital. It addresses all aspects of the patient's care, as well as serving as a resource to facilitate the management of services, use of clinical information, and negotiation of ethical issues that occur in intensive care. As the number of obese patients in intensive care continues to grow, this book will serve as a comprehensive clinical resource for everyday use by both obesity specialists and emergency medicine physicians.

Author : John A. Kellum,Rinaldo Bellomo,Claudio Ronco
Publisher : Oxford University Press
Page : 329 pages
File Size : 54,9 Mb
Release : 2016
Category : Medical
ISBN : 9780190225537

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Continuous Renal Replacement Therapy by John A. Kellum,Rinaldo Bellomo,Claudio Ronco Pdf

Continuous Renal Replacement Therapy (CRRT) is the standard of care for management of critically ill patients with acute renal failure. Part of the Pittsburgh Critical Care series, Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on theory, practice, special situations, and organizational issues, this volume provides a complete view of CRRT theory and practice. Tables summarize and highlight key points, and key studies and trials are included in each chapter. The second edition has been updated to include a new chapter on the use of biomarkers to aid in patient selection and timing, extensive revisions on terminology and nomenclature to match current standards, and the most up-to-date information on newly developed CRRT machines.

Author : Joseph Varon,Pilar Acosta
Publisher : Springer Science & Business Media
Page : 418 pages
File Size : 48,7 Mb
Release : 2010-03-20
Category : Medical
ISBN : 9780387928517

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Handbook of Critical and Intensive Care Medicine by Joseph Varon,Pilar Acosta Pdf

Why write a book on the management of critically ill patients? Over the past few decades we have seen an enormous growth in the number of intensive care units (ICU) across the world. Indeed, it is estimated that a large proportion of health care expenses are devoted to patients in these specialized units. Medical students, r- idents, fellows, attending physicians, critical care nurses, pharmacists, respiratory therapists, and other health-care providers (irrespective of their ultimate ?eld of pr- tice) will spend several months or years of their professional lives taking care of critically ill or severely injured patients. These clinicians must have special tra- ing, experience, and competence in managing complex problems in their patients. Moreover, these clinicians must interpret data obtained by many kinds of monitoring devices, and they must integrate this information with their knowledge of the pat- physiology of disease. Even more important is the fact that anyone working in an ICU or with a critically ill patient must approach patients with a multidisciplinary team. The phrase there is no I in TEAM comes to mind.

Author : Cohen
Publisher : Blackwell Scientific Publications Limited
Page : 176 pages
File Size : 43,7 Mb
Release : 1976-05
Category : Electronic
ISBN : 0632094605

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Lactic Acidosis by Cohen Pdf