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  • 11000lei 104.00 lei

    Fluid therapy is one of the most basic interventions spanning across all medical and surgical disciplines. Physicians need to understand the physiology of fluids and electrolytes before they can evaluate the extent to which disease pathophysiology has altered the balance, enabling them to determine the type and quantity of intravenous fluids required for treatment. This new edition is a practical guide to intravenous fluids and their administration to surgical patients. Divided into sixteen sections, the text begins with an overview of normal water balance and distribution of body fluid. The next sections cover the pharmacology of different types of intravenous fluid, followed by discussion on fluid therapy in different medical circumstances, and concluding with a chapter on fluid calculation. The second edition has been fully revised to provide the latest information in the field, and features new topics including fluid choice in the perioperative period and surgery and stress response. Key points Fully revised, new edition presenting latest information on intravenous fluids in surgery Discusses different types of fluid and their application in different circumstances Second edition includes several new topics Previous edition (9789350903957) published in 2013

  • 20000lei 160.00 lei

     Anesteziologia este o specialitate medicala interventionala complexa, in care inducerea farmacodinamica a conditiilor pe baza de analgezice, sedare sau somn si relaxare sunt imbinate cu masurile de reanimare si reechilibrare necesare mentinerii homeostazei.


    Cuprins:

    Cap. I- Introducere
    Cap. II- Anatomo-fiziologie celulara
    Cap. III- Celula nervoasa
    Cap. IV- Farmacocinetica anestezicelor
    Cap. V- Modul de actiune al anestezicelor generale asupra neuronilor si a SNC
    Cap. VI- Schema anatomo-functionala a sistemului nervos
    Cap. VII- Analgezia
    Cap. VIII- Somnul
    Cap. IX- Relaxarea
    Cap. X- Homeostazia
    Cap. XI- Aparatul de anestezie
    Cap. XII- Hemeostazia in chirurgie
    Cap. XIII- Bibliografie

  • Oxford Handbook of Critical Care
    La comanda in aproximativ 4 saptamani
    21300lei 192.00 lei

    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.

  • 22100lei 198.00 lei

    Top of Form

     

    Description:

    For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Critical Care Secrets, 6th Edition, features the Secrets’ popular question-and-answer format that also includes lists, tables, and an easy-to-read style - making reference and review quick, easy, and enjoyable.

    Table Of Contents:

    I. General ICU Care

    1. Glycemic Control in the ICU

    2. Early Mobility

    3. Sedation, Analgesia, Delirium

    4. Pain Management in the ICU

    5. Ethics and Palliative Care

    6. Fluid Therapy

    7. Nutrition in Critically Ill Patients

    8. Mechanical Ventilation

    9. Noninvasive Respiratory Support

    10. Weaning from Mechanical Ventilation and Extubation

    11. Quality Assurance and Patient Safety in the ICU

    II. Monitoring

    12. Pulse Oximetry, Capnography, and Blood Gas Analysis

    13. Hemodynamic Monitoring

    14. Neuromonitoring

    III. Procedures

    15. Cardiopulmonary resuscitation

    16. Arterial and Central Venous Catheters

    17. Critical Care Ultrasound

    18. Ventricular Assist Device

    19. Percutaneous Assist Devices

    20. Intra-Aortic Balloon Pumps

    21. Extracorporeal Membrane Oxygenation (ECMO)

    22. Tracheal Intubation and Airway Management

    23. Tracheotomy and Upper Airway Obstruction

    24. Chest Tubes and Pneumothorax

    25. Bronchoscopy

    26. Pacemakers and Defibrillators

    IV. Pulmonary

    27. Acute Pneumonia

    28. Asthma

    29. Chronic Obstructive Pulmonary Disease

    30. Acute Respiratory Failure/ARDS

    31. Hemoptysis

    32. Venous Thromboembolism and Fat Embolism

    V. Cardiology

    33. Heart Failure and Valvular Heart Disease

    34. Acute Myocardial Infarction

    35. Cardiac Arrhythmia

    36. Aortic Dissection

    37. Pericardial Disease (Pericardial Tamponade and Pericarditis)

    VI. Infectious Disease

    38. Sepsis and Septic Shock

    39. Endocarditis

    40. Meningitis and Encephalitis in the Intensive Care Unit

    41. Disseminated Fungal Infections

    42. Multidrug-Resistant Bacteria

    43. Skin and Soft Tissue Infections

    44. H1N1/Influenza

    45. Immunocompromised Host

    VII. Renal Disease

    46. Hypertensive Crises

    47. Acute Kidney Injury

    48. Renal Replacement Therapy and Rhabdomyolysis

    49. Hypokalemia and Hyperkalemia

    50. Hyponatremia and Hypernatremia

    VIII. Gastroenterology

    51. Upper and Lower Gastrointestinal Bleeding in the Critically Ill Patient

    52. Acute Pancreatitis

    53. Hepatitis and Cirrhosis

    IX. Endocrinology

    54. Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State

    55. Adrenal Insufficiency in the Intensive Care Unit

    56. Thyroid Disease in the ICU

    X. Hematology/Oncology

    57. Blood Products and Coagulation

    58. Thrombocytopenia and Platelets

    59. Disseminated Intravascular Coagulation

    XI. Neurology

    60. Coma

    61. Brain Death

    62. Status Epilepticus

    63. Stroke and Subarachnoid Hemorrhage

    64. Guillain-Barré Syndrome and Myasthenia Gravis

    65. Alcohol Withdrawal

    XII. Surgery and Trauma

    66. Burns and Frostbite

    67. Thoracic Trauma (Flail Chest and Pulmonary & Myocardial Contusion)

    68. Acute Abdomen and Peritonitis

    69. Organ Donation

    XIII. Emergency Medicine

    70. Disaster Medicine, Bioterrorism and Ebola

    71. Allergy and Anaphylaxis

    72. Hypothermia

    73. Heat Stroke

    XIV. Toxicology

    74. General Approach to Poisonings

    75. Analgesics and Antidepressants

    76. Toxic Alcohol Poisoning

    77. Cardiovascular Medications

    78. Neuroleptic Malignant Syndrome

    XV. Unique Patient Populations

    79. Care of the Critically Ill Pregnant Patient

    80. Care of the Obese patient

    81. Oncologic Emergencies

    82. Post-Intensive Care Syndrome & Chronic Critical Illness

    83. ICU Survivors

    XVI. Emerging Therapies

    84. Sepsis: Emerging Therapies

       

    Bottom of Form

     

  • 265.00 lei

    Now reflecting a greater focus on today's multidisciplinary approach to care, Critical Care Handbook of the Massachusetts General Hospital, 6th Edition, remains your go-to guide for practical, complete, and current information on medical and surgical critical care. The user-friendly, outline format is designed for rapid reference, providing reliable, hospital-tested protocols that reflect today's most advanced critical care practices. Key Features*Heavily revised to reflect today's need to include all care providers to optimize treatment*New section on Health Care Services, with chapters on handovers and transitions, long-term outcomes of ICU patients, EICU and electronic systems, quality improvement, and more*New chapters on critical care management of Ebola virus disease, ECMO and ventricular assist devices, and critical care of the obstetrical patient*New videos available online*Complete, concise, full-color coverage of this rapidly enlarging field*Convenient pocket size for on-the-go referenceNow with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:*Complete content with enhanced navigation*Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web*Cross-linked pages, references, and more for easy navigation*Highlighting tool for easier reference of key content throughout the text* Ability to take and share notes with friends and colleagues*Quick reference tabbing to save your favorite content for future use

  • 30500lei 275.00 lei

    Apply today's best practices in anesthesiology! Relied on for over 30 years by practicing anesthesiologists and residents as well as nurse anesthetists, Clinical Anesthesia Procedures of the Massachusetts General Hospital offers you current, comprehensive, concise, consistent, and clinically relevant guidelines on all facets of anesthesia, perioperative care, critical care, and pain management from a host of seasoned experts. Key Features *Find the answers you need effortlessly through an easy-to-scan outline format that progresses intuitively from preoperative evaluation through administration of anesthesia to perioperative issues for each subject.*Focus on the clinical fundamentals needed for the safe delivery of anesthesia and perioperative care.*Achieve excellent outcomes using proven procedures from the internationally recognized Department of Anesthesia, Critical Care, and Pain Medicine at the Massachusetts General Hospital.Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:*Complete content with enhanced navigation* A powerful search that pulls results from content in the book, your notes, and even the web*Cross-linked pages, references, and more for easy navigation*Highlighting tool for easier reference of key content throughout the text* Ability to take and share notes with friends and colleagues*Quick reference tabbing to save your favorite content for future use

  • 36000lei 345.00 lei

    This issue of Critical Care Clinics, guest edited by Dr. Mitchell M. Levy, focuses on Biomarkers in Critical Care. This is one of four issues each year selected by the series consulting editor, Dr. John Kellum. Articles in this issue include, but are not limited to: The History of Biomarkers; Biomarkers for Identifying Infection; Procalcitonin: Where Are We Now?; Soluble TREM-1: Diagnosis or Prognosis?; Lubricin as a Biomarker in Sepsis; Check Point Inhibitors and Their Role in Immunosuppression in Sepsis; Metabolomics and the Microbiome as Biomarkers in Sepsis; Lactate: Where Are We Now?; Predicting Renal Dysfunction; Biomarkers in the Evolution of ARDS; Biomarkers and RV Dysfunction; Biomarkers and Precision Medicine: State of the Art; The Use of Biomarkers for Population Homogeneity in Clinical Trials; and The Future of Biomarkers.

  • 38500lei 345.00 lei

    This issue of Critical Care Clinics focuses on Rapid Response Systems and Fluid Resuscitation, with topics including: RRS Now; Triggering Criteria: Big Data; Triggering Criteria: Continuous Monitoring; Measuring instability; Surgery/Trauma RRT; Obstetric RRT; Difficult airway rapid response teams; and Sepsis rapid response teams.

    ·  Section I: Rapid Response Systems Edited By: Michael A. DeVita

    ·  Preface

    ·  The Afferent Limb of Rapid Response Systems: Continuous Monitoring on General Care Units

    ·  Key points

    ·  Introduction

    ·  Continuous monitoring

    ·  Alarm management

    ·  Discussion

    ·  Trigger Criteria: Big Data

    ·  Key points

    ·  Introduction

    ·  Big data in the hospital wards

    ·  Big data, event prediction, and event detection

    ·  Medical emergency teams and risk stratification of hospitalized patients

    ·  Summary

    ·  Surgical Rescue in Medical Patients: The Role of Acute Care Surgeons as the Surgical Rapid Response Team

    ·  Key points

    ·  Introduction

    ·  Failure to rescue: principles and applications to the medical population

    ·  Surgical rescue in medical patients

    ·  Surgical pathology in medical patients

    ·  A partnership for rescue

    ·  Crisis Teams for Obstetric Patients

    ·  Key points

    ·  Background and justification

    ·  Design and introduction

    ·  Usage of Condition O at Magee-Women’s Hospital and discussion

    ·  Summary

    ·  A Decade of Difficult Airway Response Team: Lessons Learned from a Hospital-Wide Difficult Airway Response Team Program

    ·  Key points

    ·  Introduction

    ·  Difficult Airway Response Team program: goals and design

    ·  Difficult Airway Response Team program: results

    ·  Lessons learned

    ·  Discussion

    ·  Sepsis Rapid Response Teams

    ·  Key points

    ·  Background

    ·  Sepsis rapid response teams: what are they? how are they different from other rapid response teams?

    ·  Outcomes after implementation of sepsis rapid response team/medical emergency team

    ·  The use of clinical assessment tools

    ·  Barriers in health care

    ·  Intensivist Presence at Code Events Is Associated with High Survival and Increased Documentation Rates

    ·  Key points

    ·  Introduction

    ·  Process

    ·  Results

    ·  Discussion

    ·  Summary

    ·  Section II: Fluid Resuscitation Edited By: Andrew D. Shaw and Sean M. Bagshaw

    ·  Preface

    ·  Applied Physiology of Fluid Resuscitation in Critical Illness

    ·  Key points

    ·  Introduction

    ·  Cardiovascular physiology 101

    ·  Fluids

    ·  Crystalloids

    ·  Colloids

    ·  Summary

    ·  Does Fluid Type and Amount Affect Kidney Function in Critical Illness?

    ·  Key points

    ·  Introduction

    ·  Measuring renal dysfunction in critical illness

    ·  How useful is urine output?

    ·  Are fluids a required component of renal resuscitation?

    ·  Mechanisms of renal injury related to type of fluid

    ·  Sodium, chloride, and balanced solutions

    ·  Albumin solutions

    ·  Hydroxyethyl starch

    ·  Gelatin solutions

    ·  Summary

    ·  Blood Product Administration in the Critical Care and Perioperative Settings

    ·  Key points

    ·  Introduction

    ·  Overview of the critical care setting

    ·  Overview of the perioperative setting

    ·  Management in critical illness

    ·  Perioperative management

    ·  Perspective

     


  • 38500lei 345.00 lei

    Description:

    This issue of Critical Care Clinics, Guest Edited by Dr. Kenneth McCurry and Dr. Ali Al-Khafaji, focuses on Critical Care of the Solid Organ Transplant Patient. Dr. McCurry’s section of the issue is devoted to Heart and Lung Transplants and includes the following topics: Long term outcomes of transplantation; Mechanical ventilation; Pulmonary hypertension therapy; Extracorporeal membrane oxygenation; Perioperative management of the lung graft following lung transplantation; Perioperative management of the heart graft following heart transplantation; Renal complications following lung and heart transplantation; and Infection and other complications following transplanation. Dr. Al-Khafaji’s section of the issue is devoted to Liver, Kidney, and Small Bowel Transplants and includes the following topics: The immediate postoperative period; Live donor liver transplant; Graft dysfunction and management; Extracorporeal devices; Infectious complication following solid organ transplants; and Cardiac, renal, neurological, and gastrointestinal complications.

     

    ·  Section I: Heart & Lung

    ·  Preface

    ·  Brief Overview of Lung, Heart, and Heart-Lung Transplantation

    ·  Key points

    ·  Introduction

    ·  Historical aspects of development of cardiothoracic transplantation and current trends

    ·  Recipient selection and outcomes

    ·  Immunosuppression

    ·  Summary

    ·  Bridging to Lung Transplantation

    ·  Key points

    ·  Introduction

    ·  Summary/discussion

    ·  Summary

    ·  Perioperative Management of the Lung Graft Following Lung Transplantation

    ·  Key points

    ·  Introduction

    ·  Primary graft dysfunction

    ·  Ventilatory strategies of the transplanted lungs

    ·  Hemodynamic management in the perioperative period

    ·  Perioperative fluid administration and cardiac output management

    ·  Postoperative considerations unique to patients with lung transplantation

    ·  Perioperative considerations in patients with different underlying disease presenting for lung transplantation

    ·  Gaps of knowledge and future directions in the perioperative care of the lung transplant patient

    ·  Perioperative Management of the Cardiac Transplant Recipient

    ·  Key points

    ·  Introduction

    ·  Hemodynamic monitoring

    ·  Coagulopathy, bleeding, and product administration

    ·  Vasoplegia

    ·  Inotropic and chronotropic support

    ·  Right ventricular failure and pulmonary hypertension

    ·  Arrhythmia

    ·  Ventilator support

    ·  Renal and volume status

    ·  Management of primary graft dysfunction

    ·  Renal Complications Following Lung Transplantation and Heart Transplantation

    ·  Key points

    ·  Introduction

    ·  Epidemiology, risk factors, and pathogenesis

    ·  Impact of renal failure

    ·  Diagnosis and management

    ·  Management of chronic renal impairment

    ·  Kidney transplantation after heart or lung transplantation

    ·  Summary

    ·  Infections in Heart and Lung Transplant Recipients

    ·  Key points

    ·  Introduction

    ·  Epidemiology

    ·  Risk factors

    ·  Specific clinical syndromes

    ·  Opportunistic infections

    ·  Section II: Liver, Kidney, and Small Bowel

    ·  Preface

    ·  Perioperative Management of the Liver Transplant Recipient

    ·  Key points

    ·  Overview

    ·  Process

    ·  Candidate selection: too sick for transplant?

    ·  Goals of care

    ·  Postoperative management

    ·  Hemodynamics

    ·  Neurologic

    ·  Respiratory

    ·  Renal

    ·  Gastrointestinal and nutrition

    ·  Infection

    ·  Hematologic considerations

    ·  Rehabilitation

    ·  Summary

    ·  Critical Care Management of Living Donor Liver Transplants

    ·  Key points

    ·  Introduction

    ·  The surgical procedure

    ·  The donor

    ·  The recipient

    ·  Summary

    ·  Graft Dysfunction and Management in Liver Transplantation

    ·  Key points

    ·  Introduction

    ·  Vascular issues

    ·  Primary nonfunction (and primary graft dysfunction)

    ·  Rejection

    ·  Post–liver transplant cholestasis

    ·  Intrahepatic cholestasis

    ·  Extrahepatic cholestasis

    ·  Donor factors affecting graft function

    ·  Extracorporeal Devices

    ·  Key points

    ·  Introduction

    ·  Critical care rational for extracorporeal liver support devices

    ·  Extracorporeal liver support systems

    ·  Bioartificial extracorporeal liver support in acute liver failure

    ·  Summary and challenges

    ·  Infectious Complications Following Solid Organ Transplantation

    ·  Key points

    ·  Introduction

    ·  Bloodstream infections/sepsis

    ·  Respiratory tract infections

    ·  Neurologic infections

    ·  Hepatobiliary infections

    ·  Enterocolitis

    ·  Genitourinary infections

    ·  Summary

    ·  Complications of Solid Organ Transplantation: Cardiovascular, Neurologic, Renal, and Gastrointestinal

    ·  Key points

    ·  Background

    ·  Cardiovascular complications

    ·  Neurologic complications after solid organ transplantation

    ·  Renal complications after solid organ transplantation

    ·  Gastrointestinal complications after solid organ transplantation

  • 38600lei 349.00 lei

    Description:

    This issue of Critical Care Clinics, Guest Edited by Dr. Rinaldo Bellomo, focuses on Modern Critical Care Endocrinology. Article topics include: Diabetes insipidus and SIADH in the ICU; Estrogen therapy in ICU patients; The angiotensin family, ACE and ACE 2; Angiotensin II in vasodilatory shock; Vasopressin in vasodilatory shock; Hydrocortisone in vasodilatory shock; Erythropoietin in trauma and critical illness; HbA1c and permissive hyperglycemia in diabetic ICU patients; Osteoporosis and the critically ill patient; New oral agents for the treatment of diabetes; Melatonin in critical care; The incretins in ICU patients; Hepcidin; Thyroid hormone therapy in the ICU; and Hormonal therapy in organ donors.

     

    ·  Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone in Critically Ill Patients

    ·  Key points

    ·  Introduction

    ·  Diabetes insipidus

    ·  Fluid resuscitation and hypernatremia correction

    ·  Nephrogenic diabetes insipidus

    ·  The syndrome of inappropriate antidiuretic hormone secretion

    ·  Summary

    ·  Hormone Therapy in Trauma Patients

    ·  Key points

    ·  Glucocorticoids therapy

    ·  Safety concerns

    ·  Other hormones therapies

    ·  Summary

    ·  Classic and Nonclassic Renin-Angiotensin Systems in the Critically Ill

    ·  Key points

    ·  Introduction

    ·  The circulating classic renin-angiotensin system

    ·  Physiology of the circulating classic renin-angiotensin system

    ·  The nonclassic renin-angiotensin system

    ·  Renin-angiotensin systems and the immune system

    ·  Angiotensin II in vasodilatory shock and sepsis

    ·  Angiotensin-converting enzymes in acute respiratory distress syndrome

    ·  Place of renin-angiotensin systems in acute kidney injury

    ·  Integration of renin-angiotensin system physiology in critical illness

    ·  Summary

    ·  Angiotensin II in Vasodilatory Shock

    ·  Key points

    ·  Introduction

    ·  Vasodilatory shock

    ·  Hemodynamic targets for management of vasodilatory shock

    ·  Angiotensin II physiology

    ·  Angiotensin II use in vasodilatory shock

    ·  Angiotensin II safety profile

    ·  Angiotensin II and special populations

    ·  Illustrative case and concepts on the practical application of angiotensin II

    ·  Summary

    ·  Vasopressin in Vasodilatory Shock

    ·  Key points

    ·  Introduction

    ·  Mechanisms of vasodilatory shock and vasoplegia

    ·  Vasopressin

    ·  Vasopressin and Vasodilatory Shock

    ·  Summary

    ·  Hydrocortisone in Vasodilatory Shock

    ·  Key points

    ·  Regulation of vascular smooth muscle tone and vasoplegia of sepsis

    ·  Clinical trials of hydrocortisone in septic shock

    ·  Practice recommendations

    ·  Summary and future questions

    ·  Erythropoietin in Critical Illness and Trauma

    ·  Key points

    ·  Introduction

    ·  History of erythropoietin

    ·  Structure of erythropoietin and mechanism of enhanced erythropoiesis

    ·  Anemia in critical illness

    ·  Erythropoietin as a red blood cell transfusion-sparing agent in critical illness

    ·  Erythropoietin—more than just erythropoiesis

    ·  Endogenous erythropoietin has protective effects following tissue injury

    ·  Exogenous erythropoietin may improve survival and reduces severe disability in trauma patients

    ·  Meta-analysis of randomized controlled trials of erythropoietin in critically ill trauma patients

    ·  Erythropoietin—the most protective dose, route, and frequency of administration in the critically ill

    ·  Erythropoietin—is it safe in critically ill trauma patients?

    ·  Nonerythropoietin ligands of the innate repair receptor

    ·  Summary

    ·  Hemoglobin A1c and Permissive Hyperglycemia in Patients in the Intensive Care Unit with Diabetes

    ·  Key points

    ·  Introduction

    ·  Assessing chronic glycemia in critically ill patients

    ·  Glycated hemoglobin A1c, acute hyperglycemia, and outcome

    ·  Glycated hemoglobin A1c, hypoglycemia, and outcome

    ·  Glycated hemoglobin A1c, glucose variability, and outcome

    ·  Permissive hyperglycemia

    ·  Summary

    ·  Osteoporosis and the Critically Ill Patient

    ·  Key points

    ·  Introduction

    ·  Summary

    ·  New Agents for the Treatment of Type 2 Diabetes

    ·  Key points

    ·  Introduction

    ·  Sodium-glucose cotransporter-2 inhibitors

    ·  Glucagon-like peptide-1 agonists

    ·  Dipeptidyl peptidase-4 inhibitors

    ·  Summary

    ·  Melatonin in Critical Care

    ·  Key points

    ·  Introduction

    ·  Sleep disorders and delirium in critically ill patients

    ·  Sepsis

    ·  Sedation and analgesia

    ·  Neuroprotection

    ·  Treatment and prevention of stress-induced gastric ulcers

    ·  Summary

    ·  Incretin Physiology and Pharmacology in the Intensive Care Unit

    ·  Key points

    ·  Incretin physiology

    ·  Incretins in type 2 diabetes

    ·  Recommendations for incretin-based therapies in the critically ill

    ·  Incretins in intensive care unit

    ·  Summary

    ·  Therapeutic Opportunities for Hepcidin in Acute Care Medicine

    ·  Key points

    ·  Introduction

    ·  History of discovery

    ·  Hepcidin mechanism of action

    ·  Catalytic free iron in acute illness

    ·  Hepcidin as an agent for siderotherapy

    ·  Use of hepcidin in acute illness

    ·  Summary

    ·  Thyroid Hormones in Critical Illness

    ·  Key points

    ·  Thyroid hormone physiology

    ·  Physiologic effects of thyroid hormone

    ·  Low triiodothyronine syndrome

    ·  Mechanism of the low triiodothyronine syndrome

    ·  Triiodothyronine treatment in critical illness

    ·  Summary

    ·  Hormonal Therapy in Organ Donors

    ·  Key points

    ·  Introduction

    ·  Brain death and sequelae

    ·  Hormonal therapy

    ·  Recommendations

    ·  Recommendations

    ·  Recommendations

    ·  Summary

  • 38500lei 349.00 lei

    This issue of Critical Care Clinics focuses on Mechanical Ventilation and Ventricular Assist Devices, with topics including: Targeted management approach to cardiogenic shock; Prevention and treatment of right heart failure during left ventricular assist device support therapy; Complications of durable left ventricular assist device support therapy; Patient and device management on left ventricular assist device support therapy; Challenges and future directions in left ventricular assist device support therapy; Monitoring global and regional mechanics; Asynchrony consequences and management; Determinants and prevention of ventilator-induced lung injury; Extracorporeal gas exchange; Non-invasive options; Mobilization and VIDD avoidance; Initiating and discontinuing invasive support; and Automation of ventilation.

    ·  Section I: Mechanical Ventilation

    ·  Preface

    ·  Critical Care Airway Management

    ·  Key points

    ·  Introduction

    ·  Complications of urgent endotracheal intubation

    ·  Identification of the difficult airway in urgent endotracheal intubation

    ·  Rapid sequence intubation versus graded sedation intubation for urgent endotracheal intubation

    ·  Direct laryngoscopy versus video laryngoscopy for urgent endotracheal intubation

    ·  Preoxygenation techniques for urgent endotracheal intubation

    ·  Gastric ultrasonography

    ·  Improving the safety of urgent endotracheal intubation

    ·  Summary

    ·  Asynchrony Consequences and Management

    ·  Key points

    ·  Introduction: what is dyssynchrony and why does it matter?

    ·  Dyssynchrony: definitions and mechanistic classification

    ·  Association with poor outcome

    ·  Management

    ·  Summary

    ·  Determinants and Prevention of Ventilator-Induced Lung Injury

    ·  Key points

    ·  Introduction

    ·  Definition of ventilator-induced lung injury

    ·  The nature of ventilator-induced lung injury

    ·  The assessment of ventilator-induced lung injury

    ·  Ventilator-induced lung injury in clinical practice

    ·  How best to prevent ventilator-induced lung injury

    ·  Avoiding Respiratory and Peripheral Muscle Injury During Mechanical Ventilation: Diaphragm-Protective Ventilation and Early Mobilization

    ·  Key points

    ·  Introduction

    ·  Definition and epidemiology

    ·  Clinical significance: impact on outcomes

    ·  Mechanisms of muscle injury and weakness during critical illness

    ·  Prevention and treatment

    ·  Summary

    ·  Automation of Mechanical Ventilation

    ·  Key points

    ·  Introduction

    ·  Definitions

    ·  Proposed advantages

    ·  Automated control of mechanical ventilation

    ·  Adaptive support ventilation

    ·  Summary

    ·  Noninvasive Options

    ·  Key points

    ·  Introduction

    ·  Noninvasive ventilation and continuous positive airway pressure

    ·  Noninvasive ventilation and high-flow nasal cannula oxygenation

    ·  Interfaces of noninvasive ventilation

    ·  Carbon dioxide rebreathing during noninvasive ventilation

    ·  Asynchrony during noninvasive ventilation

    ·  Main indications for noninvasive ventilation

    ·  Other applications of noninvasive ventilation

    ·  Practical advice

    ·  Intensity of inspiratory efforts and lung stretching during noninvasive ventilation

    ·  Summary

    ·  Extracorporeal Gas Exchange

    ·  Key points

    ·  Introduction

    ·  Evidence and indications for mid- to high-flow extracorporeal gas exchange

    ·  Evidence and indications for low flow extracorporeal gas exchange

    ·  Low-flow extracorporeal gas exchange to avoid intubation in acute respiratory failure

    ·  Low-flow extracorporeal gas exchange to facilitate lung-protective ventilation

    ·  Low-flow extracorporeal gas exchange to facilitate weaning

    ·  Actual status and outlook

    ·  Section II: Ventricular Assist Devices

    ·  Preface

    ·  A Targeted Management Approach to Cardiogenic Shock

    ·  Key points

    ·  Introduction

    ·  Etiology

    ·  Pathophysiology

    ·  Evaluation of a patient in cardiogenic shock

    ·  Risk stratification and clinical outcomes

    ·  Treatment

    ·  Summary

    ·  Prevention and Treatment of Right Ventricular Failure During Left Ventricular Assist Device Therapy

    ·  Key points

    ·  Introduction

    ·  Definition of right ventricular failure

    ·  Mechanisms of right ventricular failure

    ·  Prevention of right ventricular failure

    ·  Treatment of right ventricular failure

    ·  Summary

    ·  Device Management and Flow Optimization on Left Ventricular Assist Device Support

    ·  Key points

    ·  Introduction

    ·  Principles of left ventricular assist device function and normal left ventricular assist device physiology

    ·  Power, flow, and pulsatility

    ·  Decreased left ventricular assist device flow

    ·  Increased left ventricular assist device flow

    ·  Ramp study for assessment of device function and speed optimization

    ·  Evidence-based heart failure therapy

    ·  Summary

    ·  Complications of Durable Left Ventricular Assist Device Therapy

    ·  Key points

    ·  Introduction

    ·  Complications related to pump-patient interface

    ·  Complications related to the patient

    ·  Summary

    ·  Challenges and Future Directions in Left Ventricular Assist Device Therapy

    ·  Key points

    ·  Introduction

    ·  Focus on evolving indications

    ·  Focus on patient-centered care and quality of life

    ·  Focus on myocardial recovery and role of concomitant medical therapy

    ·  Focus on risk stratification

    ·  Focus on pulsatility and flow

    ·  Focus on cost-effectiveness of durable left ventricular assist devices

    ·  Focus on minimally invasive implantation techniques

    ·  Focus on durable biventricular support

    ·  Focus on fully implantable systems


  • 38500lei 349.00 lei

    This issue of Critical Care Clinics focuses on Post-intensive Care Syndrome & Chronic Critical Illness, with topics including: Chronic Critical Illness; Chronic Critical Illness and Predicting Outcomes; Persistent Critical Illness; Rehospitalization and Preventing CCI; Measuring Post-Intensive Care Syndrome; Post-Intensive Care Syndrome and teh Role of the ICU Clinician; Frailty and the Association between Long-Term Recovery After ICU; The Role of the Muscles in Post-Intensive Care Syndrome; Intensive Care Nutrition and Post-Intensive Care Recovery; Early mobilization in the ICU to Improve Long Term Recovery; The Use of Sedation in the ICU and Long-Term Outcomes; Cognitive Function after Critical Illness; Anxiety and Depression after ICU; and Family and Support Networks after ICU.

    ·  Section 1: Chronic Critical Illness

    ·  Patient and Population-Level Approaches to Persistent Critical Illness and Prolonged Intensive Care Unit Stays

    ·  Key points

    ·  The epidemiology of long stays in the intensive care unit

    ·  Patient-level differential diagnosis

    ·  Population impact

    ·  Implications of a persistent critical illness framework

    ·  Preventing Chronic Critical Illness and Rehospitalization: A Focus on Sepsis

    ·  Key points

    ·  Introduction

    ·  Medical setbacks and hospital readmission

    ·  Prevention, mitigation, and rehabilitation strategies

    ·  Summary

    ·  Section 2: Post-Intensive Care Syndrome

    ·  Measuring Outcomes After Critical Illness

    ·  Key points

    ·  Introduction

    ·  Outcome domains after critical illness

    ·  Functional status

    ·  Linking diseases with impairments and disabilities

    ·  Summary

    ·  Frailty and the Association Between Long-Term Recovery After Intensive Care Unit Admission

    ·  Key points

    ·  Introduction to frailty

    ·  Pathophysiology of frailty

    ·  Measurement of frailty

    ·  Frailty and critical illness

    ·  Outcomes of frailty in critical illness

    ·  Strategies and interventions

    ·  Addressing knowledge gaps with future work

    ·  Summary

    ·  The Pathophysiology of Neuromuscular Dysfunction in Critical Illness

    ·  Key points

    ·  Introduction

    ·  The condition

    ·  Risk factors

    ·  Mechanisms

    ·  Time frame

    ·  Summary

    ·  Early Mobilization in the Intensive Care Unit to Improve Long-Term Recovery

    ·  Key points

    ·  Introduction

    ·  Summary

    ·  Intensive Care Nutrition and Post–Intensive Care Recovery

    ·  Key points

    ·  Introduction

    ·  To feed or not to feed?

    ·  Is early supplementation of insufficient enteral nutrition with parenteral nutrition beneficial?

    ·  Is early enteral nutrition better than early parenteral nutrition?

    ·  Is early full enteral nutrition beneficial?

    ·  Do high doses of amino acids provide benefit?

    ·  Is indirect calorimetry–based feeding superior to calculation-based feeding?

    ·  Is there a role of adding immunonutrients?

    ·  Mechanisms explaining the absence of a benefit of early full feeding

    ·  Nutrition during recovery and after intensive care unit stay

    ·  Summary

    ·  Sedation, Delirium, and Cognitive Function After Critical Illness

    ·  Key points

    ·  Introduction

    ·  Sedation during critical illness

    ·  Delirium during critical illness

    ·  Cognition after critical illness

    ·  Summary

    ·  Psychiatric Morbidity After Critical Illness

    ·  Key points

    ·  What is meant by psychiatric morbidity?

    ·  How is psychiatric morbidity measured?

    ·  Why is psychiatric morbidity relevant to critical illness?

    ·  How often do critical illness survivors develop psychiatric morbidity?

    ·  Which patient factors are associated with psychiatric morbidity after critical illness?

    ·  What intensive care unit and early postintensive care unit factors are associated with later psychiatric morbidity?

    ·  Which interventions are effective in decreasing postcritical illness psychiatric morbidity?

    ·  What if patients have substantial psychiatric morbidity at follow-up visits?

    ·  Summary

    ·  Family and Support Networks Following Critical Illness

    ·  Key points

    ·  Introduction

    ·  Psychosocial outcomes of informal caregivers across the care arc

    ·  Outcome measurement

    ·  Interventional research to improve caregiver psychosocial outcomes

    ·  Innovative approaches to rapidly build social support networks


  • 38500lei 350.00 lei

    This issue of Critical Care Clinics, edited by Dr. Kianoush Kashani in collaboration with Consulting Editor Dr. John Kellum, is focused on Intensive Care Unit Telemedicine. Topics in this issue include: ICU telemedicine program administration: from start to full implementation; ICU telemedicine multidisciplinary care teams; ICU telemedicine technology; Impact of ICU telemedicine on outcomes; Quality assurance of ICU telemedicine; ICU telemedicine cost-effectiveness and financial analyses; ICU telemedicine care models; ICU telemedicine in the era of big data, artificial intelligence, and computer clinical decision support systems; ICU Telemedicine: Innovations and Limitations; ICU telemedicine: provider-patient satisfaction; and ICU telemedicine services beyond medical management: Tele-pharmacy, tele-procedure, tele-dialysis, tele-stroke: evidence, benefits, risks, and legal ramifications.

     Table of contents:

    ·  Important Administrative Aspects of Critical Care Telemedicine Programs

    ·  Key points

    ·  Introduction

    ·  Discussion

    ·  Summary

    ·  TeleICU Interdisciplinary Care Teams

    ·  Key points

    ·  Introduction

    ·  The essential TeleICU team structure

    ·  TeleICU team members

    ·  Getting teams to work together: the Synergy Model

    ·  Communication is key

    ·  Varying intensive care unit environments

    ·  Potential team extensions

    ·  One or multiple hub sites?

    ·  Additional uses of the TeleICU team/technology

    ·  Summary

    ·  Tele-ICU Technologies

    ·  Key points

    ·  Introduction

    ·  History and evolving technology of telemedicine in the intensive care unit

    ·  Tele-ICU technology

    ·  Hardware and software specifications

    ·  Regulations and cybersecurity

    ·  Health information technology standards and interoperability

    ·  Vendors and Tele-ICU technologies

    ·  Technology is important, but it is not everything

    ·  Impact of Intensive Care Unit Telemedicine on Outcomes

    ·  Key points

    ·  Meta-analysis

    ·  Process of care outcomes

    ·  Association of intensive care unit and intensive care unit telemedicine integration with results

    ·  Hospital impacts

    ·  Patients and providers

    ·  Final thoughts

    ·  Quality Improvement and Telemedicine Intensive Care Unit: A Perfect Match

    ·  Key points

    ·  Introduction

    ·  Medical errors in the intensive care unit and increasing safety in tele-intensive care using quality improvement tools

    ·  Quality improvement methodology examples: plan–do–study–act cycles, define–measure–analyze–improve–control, and lean

    ·  Tele-intensive care and its role in enhancing intensive care unit quality of care

    ·  Continuous quality improvement by tele-intensive care

    ·  Leveraging current and future knowledge to enhance intensive care unit metrics by tele-intensive care

    ·  Resource use and project prioritization

    ·  Diffusion of best practices across all intensive care units

    ·  Impact of quality improvement by tele-intensive care on interhospital transfers

    ·  Continuous quality improvement use in tele-intensive care

    ·  Handoff communication

    ·  Summary

    ·  Evolution of the Intensive Care Unit Telemedicine Value Proposition

    ·  Key points

    ·  Early warning systems

    ·  Intensive care unit telemedicine patient monitoring systems

    ·  Automated acuity and transfer readiness

    ·  Communication for team harmony and patient safety

    ·  Intensive care unit telemedicine sign-in and -out procedures enhance situational awareness

    ·  Delivering medical management and documentation services: more than advice

    ·  Pathways for escalation

    ·  Workforce leveraging

    ·  Incremental staffing resources for nascent physiologic instability

    ·  Teamwork for continuous management

    ·  An interprofessional approach to logistical support

    ·  Decreased time to rescue

    ·  Logistical support to increased access to care

    ·  Financial performance: a matter of perspective

    ·  Summary

    ·  Intensive Care Unit Telemedicine Care Models

    ·  Key points

    ·  Introduction

    ·  Basic principles

    ·  Intensity of the care models

    ·  Quality improvement

    ·  Intensive care unit telemedicine as a model for medical education

    ·  Summary

    ·  Intensive Care Unit Telemedicine in the Era of Big Data, Artificial Intelligence, and Computer Clinical Decision Support Systems

    ·  Key points

    ·  Introduction

    ·  History

    ·  State of clinical decision support systems in the telemedicine intensive care unit

    ·  Future telemedicine intensive care unit applications of machine learning

    ·  Telemedicine intensive care unit clinical decision support system considerations

    ·  Summary

    ·  Intensive Care Unit Telemedicine: Innovations and Limitations

    ·  Key points

    ·  Introduction

    ·  Recent innovations in intensive care unit telemedicine

    ·  Opportunities for intensive care unit telemedicine innovation

    ·  Limitations

    ·  Summary

    ·  Satisfaction in Intensive Care Unit Telemedicine Programs

    ·  Key points

    ·  Introduction

    ·  Tools for evaluating patient and provider satisfaction in an intensive care unit telemedicine program

    ·  Factors that affect satisfaction

    ·  Standards for measuring satisfaction in an intensive care unit telemedicine program

    ·  Summary

    ·  Appendix 1. Teamwork Climate Scale and Safety Climate Scale items

    ·  Expansion of Telemedicine Services: Telepharmacy, Telestroke, Teledialysis, Tele–Emergency Medicine

    ·  Key points

    ·  Introduction

    ·  Telepharmacy

    ·  Telestroke

    ·  Teledialysis

    ·  Tele–emergency medicine

    ·  Other telehealth services


  • 38600lei 350.00 lei

    Description:

    This issue of Critical Care Clinics, guest edited by Drs. Marie Baldisseri, Mary Reed, and Randy Wax, in collaboration with Consulting Editor John Kellum, is devoted to Intensive Care Unit in Disaster. Topics in this issue include: Intensive care role in disaster management; Preparing the ICU for disaster; Augmenting capacity; Triage; Natural disasters; Biological/pandemic disasters; Chemical disasters; Radiation; Anthropogenic (terrorist/criminal act) disasters; Special populations (i.e., chronically ill, morbidly obese, pregnant); Pediatrics; Austere environments; Hospital as disaster Ground Zero; and Special considerations (i.e., mental health, ethics, public relations).

     Table of contents:

    ·  Intensive Care Role in Disaster Management Critical Care Clinics

    ·  Key points

    ·  Defining disaster

    ·  Why critical care medicine is important in disaster preparedness

    ·  How critical care expertise is integral in disaster preparedness and response

    ·  Summary

    ·  Preparing the Intensive Care Unit for Disaster

    ·  Key points

    ·  For what disaster should we prepare?

    ·  Who should be involved in hospital critical care disaster planning and how can they contribute?

    ·  How can we teach, test, and tweak the critical care disaster plan?

    ·  Summary

    ·  Augmenting Critical Care Capacity in a Disaster

    ·  Key points

    ·  Introduction

    ·  Preparation

    ·  Personnel

    ·  Supplies

    ·  Space

    ·  Structure

    ·  Virtual critical care

    ·  Summary

    ·  Triage

    ·  Key points

    ·  What is triage?

    ·  When to triage

    ·  Different types of disaster triage

    ·  How to triage and who should do it

    ·  What are the ethics of triage and how to govern triage?

    ·  What research is required on triage?

    ·  Summary

    ·  Natural Disasters

    ·  Key points

    ·  Introduction

    ·  Natural disaster aftermath

    ·  Disruption of the initial emergency response: the rescue stage

    ·  Summary

    ·  Intensive Care Unit Preparedness During Pandemics and Other Biological Threats

    ·  Key points

    ·  Introduction

    ·  Intensive care unit planning for pandemics

    ·  Planning for pandemics

    ·  Summary

    ·  Disasters Resulting from Radiologic and Nuclear Events

    ·  Key points

    ·  Introduction

    ·  Basic radiation physics

    ·  Patterns of injury from radiation

    ·  Initial assessment and management

    ·  Decontamination

    ·  Dose estimation/triage

    ·  Management of internal contamination

    ·  Initial assessment for internal contamination

    ·  Treatment of internal radiation contamination

    ·  Hospital and critical care management

    ·  Management issues of the patient with radiation injury and trauma

    ·  Disaster planning/all-hazard preparedness

    ·  Summary

    ·  Chemical Agents in Disaster: Care and Management in the Intensive Care Unit

    ·  Key points

    ·  Introduction

    ·  Lung agents

    ·  Nerve agents

    ·  Vesicants

    ·  Blood agents

    ·  Summary

    ·  Anthropogenic Disasters

    ·  Key points

    ·  Introduction

    ·  Blast trauma

    ·  Penetrating trauma

    ·  Blunt trauma

    ·  Penetrating trauma: stab wounds

    ·  Wildfire

    ·  Summary

    ·  Appendix 1: agents of natural and manmade disasters

    ·  Provision of Care for Critically Ill Children in Disasters

    ·  Key points

    ·  Introduction

    ·  Essentials of formulating a pediatric disaster plan

    ·  Special clinical considerations

    ·  Chemical, biologic, radiation, nuclear, and explosive disasters

    ·  Ethics

    ·  Summary

    ·  Special Populations: Disaster Care Considerations in Chronically Ill, Pregnant, and Morbidly Obese Patients

    ·  Key points

    ·  Introduction

    ·  Defining the problem

    ·  Special population planning and care

    ·  A framework for planning and response to disaster

    ·  Future directions

    ·  Summary

    ·  Principles and Practices of Establishing a Hospital-Based Ebola Treatment Unit

    ·  Key points

    ·  Introduction

    ·  Historical care and isolation of patients with ebola

    ·  Rationale for establishing a hospital-based ebola treatment unit

    ·  Clinical presentation of ebola

    ·  Key principles and practices for establishing a hospital-based establishment of treatment units

    ·  Summary

    ·  Supplementary data

    ·  Battling Superstorm Sandy at Lenox Hill Hospital: When the Hospital Is Ground Zero

    ·  Key points

    ·  Hypothesis

    ·  Introduction

    ·  Methods

    ·  Results

    ·  Internal medicine

    ·  Intensive care

    ·  Pulmonary

    ·  Surgery

    ·  Pathology

    ·  Summary

    ·  Disaster Ethics: Shifting Priorities in an Unstable and Dangerous Environment

    ·  Key points

    ·  Introduction

    ·  Principlism and theories of justice

    ·  Disasters and ethical challenges to systems as usual (organizational ethics)

  • 39600lei 357.00 lei

    Description:

    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.

     

    ·  Section I. Critical Care And Critical Illness

    ·  1. Critical Care Versus Critical Illness

    ·  2. What Lessons Have Intensivists Learned During the Evidence-Based Medicine Era?

    ·  3. Have Critical Care Outcomes Improved?

    ·  4. What Problems Are Prevalent Among Survivors of Critical Illness and Which of Those Are Consequences of Critical Illness?

    ·  5. Do Early Warning Scores and Rapid Response Teams Improve Outcomes?

    ·  6. What Are the Indications for Intubation in the Critically Ill Patient?

    ·  7. What Is the Role of Noninvasive Ventilation in the Intensive Care Unit?

    ·  8. How Does One Evaluate and Monitor Respiratory Function in the Intensive Care Unit?

    ·  9. What Is the Optimal Approach to Weaning and Liberation from Mechanical Ventilation?

    ·  10. How Does Mechanical Ventilation Damage Lungs? What Can Be Done to Prevent It?

    ·  11. Is Extracorporeal Life Support an Evidence-Based Intervention for Critically Ill Adults with ARDS?

    ·  12. What Factors Predispose Patients to Acute Respiratory Distress Syndrome?

    ·  13. What Is the Role of Invasive Hemodynamic Monitoring in Critical Care?

    ·  14. Does the Use of Echocardiography Aid in the Management of the Critically Ill?

    ·  15. How Do I Manage Hemodynamic Decompensation in a Critically Ill Patient?

    ·  16. What Are the Best Tools to Optimize the Circulation?

    ·  17. What Strategies Can Be Used to Optimize Antibiotic Use in the Critically Ill?

    ·  18. Is Prophylaxis for Stress Ulceration Useful?

    ·  19. Should Fever Be Treated?

    ·  20. What Fluids Should I Give to the Critically Ill Patient? What Fluids Should I Avoid?

    ·  21. Should Blood Glucose Be Tightly Controlled in the Intensive Care Unit?

    ·  22. Is Hypothermia Useful in Managing Critically Ill Patients? Which Ones? Under What

    ·  23. What Are the Special Considerations in the Management of Morbidly Obese Patients in the Intensive Care Unit?

    ·  24. How Do I Transport the Critically Ill Patient?

    ·  25. Are Computerized Algorithms Useful in Managing the Critically Ill Patient?

    ·  26. How Do I Diagnose and Treat Pulmonary Embolism?

    ·  27. Should Exacerbations of COPD Be Managed in the Intensive Care Unit?

    ·  28. What Is the Clinical Definition of ARDS?

    ·  29. What Are the Pathologic and Pathophysiologic Changes That Accompany Acute Lung Injury and ARDS?

    ·  30. What Is the Best Mechanical Ventilation Strategy in ARDS?

    ·  31. Is Permissive Hypercapnia Useful in ARDS?

    ·  32. Do Patient Positioning in General and Prone Positioning in Particular Make a Difference in ARDS?

    ·  33. Is Pulmonary Hypertension Important in ARDS? Should We Treat It?

    ·  34. Inhaled Vasodilators in ARDS: Do They Make a Difference?

    ·  35. Do Nonventilatory Strategies for Acute Respiratory Distress Syndrome Work?

    ·  36. Are Anti-inflammatory Therapies in ARDS Effective?

    ·  37. What Is Sepsis? What Is Septic Shock? What Are MODS and Persistent Critical Illness?

    ·  38. Is There Immune Suppression in the Critically Ill Patient?

    ·  39. What Is the Role of Empirical Antibiotic Therapy in Sepsis?

    ·  40. What MAP Objectives Should Be Targeted in Septic Shock?

    ·  41. What Vasopressor Agent Should Be Used in the Septic Patient?

    ·  42. How Can We Monitor the Microcirculation in Sepsis? Does It Improve Outcome?

    ·  43. Do the Surviving Sepsis Campaign Guidelines Work?

    ·  44. Has Outcome in Sepsis Improved? What Has Worked? What Has Not Worked?

    ·  45. How Do I Diagnose and Manage Catheter-Related Bloodstream Infections?

    ·  46. Is Selective Decontamination of the Digestive Tract Useful?

    ·  47. Is Persistent Critical Illness an Iatrogenic Disorder?

    ·  48. What Is the Role of Autonomic Dysfunction in Critical Illness?

    ·  49. Is Sepsis-Induced Organ Dysfunction an Adaptive Response?

    ·  Section X. Cardiovascular Critical Care

    ·  50. How Do I Manage Acute Heart Failure?

    ·  51. How Is Cardiogenic Shock Diagnosed and Managed in the Intensive Care Unit?

    ·  52. When Is Hypertension a True Crisis, and How Should It Be Managed in the Intensive Care Unit?

    ·  53. How Does One Prevent or Treat Atrial Fibrillation in Postoperative Critically Ill Patients?

    ·  54. Is Right Ventricular Failure Common in the Intensive Care Unit? How Should It Be Managed?

    ·  Section XI. Kidney Injury And Critical Illness

    ·  55. How Does One Rapidly and Correctly Identify Acute Kidney Injury?

    ·  56. How Does One Optimize Care in Patients at Risk for or Presenting with Acute Kidney Injury?

    ·  57. What Is the Role of Renal Replacement Therapy in the Intensive Care Unit?

    ·  Section XII. Metabolic Abnormalities In Critical Illness

    ·  58. How Should Acid-Base Disorders Be Diagnosed and Managed?

    ·  59. What Is the Meaning of a High Lactate? What Are the Implications of Lactic Acidosis?

    ·  60. How Does Critical Illness Alter Metabolism?

    ·  Section XIII. Neurologic Critical Care

    ·  61. Is It Really Necessary to Measure Intracranial Pressure in Brain-Injured Patients?

    ·  62. How Should Traumatic Brain Injury Be Managed?

    ·  63. How Should Aneurysmal Subarachnoid Hemorrhage Be Managed?

    ·  64. How Should Acute Ischemic Stroke Be Managed in the Intensive Care Unit?

    ·  65. How Should Status Epilepticus Be Managed?

    ·  66. How Should Guillain-Barré Syndrome Be Managed in the ICU?

    ·  Section XIV. Nutrition, Gastrointestinal, And Hepatic Critical Care

    ·  67. Is It Appropriate to “Underfeed” the Critically Ill Patient?

    ·  68. How Does Critical Illness Alter the Liver?

    ·  69. How Is Acute Liver Failure Managed?

    ·  70. How Does Critical Illness Alter the Gut? How Does One Manage These Alterations?

    ·  Section XV. Endocrine Critical Care

    ·  71. Is There a Place for Anabolic Hormones in Critical Care?

    ·  72. How Do I Diagnose and Manage Acute Endocrine Emergencies in the ICU?

    ·  Section XVI. Preventing Suffering In The ICU

    ·  73. How Does One Diagnose, Treat, and Reduce Delirium in the Intensive Care Unit?

    ·  74. How Should Trauma Patients Be Managed in the Intensive Care Unit?

    ·  75. What Is Abdominal Compartment Syndrome and How Should It Be Managed?

    ·  76. How Should Patients with Burns Be Managed in the Intensive Care Unit?

    ·  77. What Is the Best Approach to Fluid Management, Transfusion Therapy, and the Endpoints of Resuscitation in Trauma?

    ·  78. How Should the Critically Ill Pregnant Patient Be Managed?

    ·  79. How Do I Diagnose and Manage Patients Admitted to the ICU After Common Poisonings?

    ·  80. How Should Acute Spinal Cord Injury Be Managed in the ICU?

    ·  Section XVIII. Hematology Critical Care

    ·  81. When Is Transfusion Therapy Indicated in Critical Illness and When Is It Not?

    ·  82. Which Anticoagulants Should Be Used in the Critically Ill Patient? How Do I Choose?

    ·  Section XIX. Critical Care Resource Use And Management

    ·  83. How Can Critical Care Resource Utilization in the United States Be Optimized?

    ·  84. Does ICU Admission Improve Outcome?

    ·  85. How Should Care Within an Intensive Care Unit or an Institution Be Organized?

    ·  86. What Is the Role of Advanced Practice Nurses and Physician Assistants in the ICU?

    ·  87. What Factors Influence a Family to Support a Decision Withdrawing Life Support?

     

  • 360.00 lei

     This book will provide all the basic details of neuroanaesthesia and how management of different neurosurgical cases may differ. Simple issues such as neurological examination of patient, understanding CT-scan and MRI scans along with anaesthetic management are discussed in simple language, making this book a ready-reckoner. The title provides an insight into all possible aspects of anesthetic management of neurosurgical and commonly encountered neurologic patients. The book also includes chapters related to allied specialities such as critical care, neurology and neuroradiology, making it a complete package.

  • 365.00 lei

    From basic sciences to general anesthesia and subspecialty considerations, Anesthesia: A Comprehensive Review prepares you for certification and re-certification examinations as well as clinical practice. One thousand completely updated review questions-vetted by Mayo residents-cover the latest discoveries and techniques in physics, biochemistry, and anesthesia equipment; the newest drugs and drug categories; and the most recent information on all anesthesia subspecialties. Easily accessible and concise, this is the perfect resource to ensure mastery of anesthesiology.

  • 370.00 lei

    The updated guide to the Australian and New Zealand College of Anaesthetists final fellowship examination The format of the Australian and New Zealand College of Anaesthetists (ANZCA) final examination has evolved in recent years. This updated exam guide keeps pace with these developments and assists anaesthetic trainees in preparation for the exam. Examination Anaesthesia, 2nd Edition is a comprehensive study guide that focuses solely on the anaesthetic exam, eliminating confusion between this and the intensive care exams. This invaluable medical text itemises all requirements of the Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) training scheme. Components of the final examination are also detailed, including a breakdown of the marking scheme and recent results. Helpful resources outlined in Examination Anaesthesia, 2nd Edition include new developments on the ANZCA website, textbooks, journals and exam courses along with a broad list of anaesthesia reference and review articles. Trainees will also benefit from separate chapters based on the major components of the written and clinical ANZCA examinations, plus practical strategies for restructuring life around exam preparation.

  • 40100lei 370.00 lei

    The fully updated third edition of this popular handbook provides a concise summary of perioperative management of high-risk surgical patients. Written by an international group of senior clinicians, chapters retain the practical nature of previous editions, with concise text in a bulleted format offering rapid access to key facts and advice. Several new chapters cover topics including: anesthetic mortality; cardiopulmonary exercise testing; perioperative optimization; obstructive sleep apnea and obesity hypoventilation syndrome; smoking, alcohol and recreational drug abuse; intraoperative ventilatory management; the role of simulation in managing the high-risk patient; anesthesia, surgery and palliative care; anesthesia and cancer surgery; neurotrauma and other high-risk neuro cases; anesthesia for end-stage renal and liver disease; and transplant patients. Essential reading for trainee anesthesiologists managing seriously ill patients during surgery or studying for postgraduate examinations, this is also a valuable refresher for anesthesiologists and intensivists looking for an update on the latest evidence-based care.

  • Kaplan s Essentials of Cardiac Anesthesia
    La comanda in aproximativ 4 saptamani
    41100lei 370.00 lei

    Authored by the same stellar editors and contributors responsible for Kaplan's Cardiac Anesthesia, this title presents today's most essential clinical knowledge in cardiac anesthesia in a practical, user-friendly format. A manageable size and affordable price makes this an ideal purchase for every clinician who would like an economical yet dependable resource in cardiac anesthesia. Trusted authorities deliver the key cardiac anesthesia knowledge you need to know. A concise, user-friendly format and key points boxes in each chapter help you quickly locate crucial information. Annotated references guide you to the most practical additional resources. A portable size and clinical emphasis facilitates and enhances bedside patient care. Designed as a companion to Kaplan's Cardiac Anesthesia. Includes new topics vital to the current practice of cardiac anesthesiologists, such as transesophageal echocardiography; percutaneous valve procedures; new pacemakers and automatic internal defibrillators used for cardiac resynchronization therapy; left ventricular assist devices and extracorporeal membrane oxygenation therapy of heart failure; and patient safety issues. Focuses on today's most current and relevant therapies, including New Cardiac Drugs, and Heart Mate, Heart Ware, and Impella LVADs. Describes care of the cardiac patient in Hybrid Operating Rooms, Catheterization Laboratories, and Electrophysiology Laboratories, as well as the Cardiac Operating Rooms. Perfectly suited for residents, fellows, nurse anesthetists and anesthesiologists in practice.

  • 41100lei 375.00 lei

    Encompassing all anesthesia topics from basic to advanced, Miller's Anesthesia Review, 3rd Edition, by Drs. Lorraine M. Sdrales and Ronald D. Miller, is an ideal study guide to assess your knowledge and deepen your understanding. This easy-to-use resource is conveniently cross-referenced to the newest edition of Miller & Pardo: Basics of Anesthesia. Hundreds of questions cover everything from physiologic and pharmacologic principles through anesthetic machine systems, anesthetic delivery in a variety of settings, and anesthesia administration for a full range of disease states. Corresponds to Miller & Pardo's Basics of Anesthesia to help you make the most of your study time and learn more efficiently. Provides immediate feedback with detailed answers to each question at the end of every chapter, cross-referenced to specific pages in Basics of Anesthesia. Includes new chapters on Neurotoxicity of Anesthesia, Palliative Care, Sleep Medicine, and Perioperative Surgical Home. Brings you fully up to date with revised questions throughout, progressing logically from basic to advanced topics. Covers hot topics such as Implantable Cardiac Pulse Generators, Anesthesia for Robotic Surgery, Perioperative Blindness, Human Performance and Patient Safety, and Civil, Chemical, and Biological Warfare. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

  • Basics of Anesthesia, 7e
    La comanda in aproximativ 4 saptamani
    41000lei 375.00 lei

    The undisputed leading text in its market, Basics of Anesthesia, 7th Edition, provides comprehensive coverage of both basic science and clinical topics in anesthesiology. Drs. Manuel C. Pardo, Jr. and Ronald D. Miller, in conjunction with many new contributors, have ensured that all chapters are thoroughly up to date and reflect the latest advances in today's practice. Unparalleled authorship, concise text, easy-to-read chapters, and a user-friendly format make this text the #1 primer on the scope and practice of anesthesiology. Presents the combined expertise of two of the most prolific and renowned anesthesia experts worldwide, along with more than 80 expert contributing authors. Uses a concise, at-a-glance format to cover both the basic science and essential clinical aspects of the field, including pathophysiology, pharmacology, regional anesthesia, anesthetic management, and special problems and patient groups. Features high-quality images that offer a detailed visual understanding of regional anesthesiology and much more. Includes new topics and chapters on Neurotoxicity of Anesthesia, Palliative Care, Sleep Medicine, Perioperative Surgical Home, Trauma, and Natural/Human-Induced Disasters. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

  • 42000lei 380.00 lei

    Practical Ambulatory Anesthesia covers all aspects of sedation, anesthesia, and pain relief for patients undergoing day (ambulatory) surgery. Written and edited by leading clinical anesthesiologists from the USA and Europe, it provides clear guidance on how to handle particular patients in particular situations. Comprehensive in scope, each chapter summarizes major studies and review papers, followed by practical advice based on the authors' and editors' clinical and scientific expertise. This combination of authoritative evidence-based guidance and personal advice ensures the reader benefits from the latest scientific knowledge and the authors' wealth of experience. Chapters discuss how to plan, equip and staff an ambulatory unit, pharmacology, key concepts of ambulatory care, pre- and post-operative issues, quality assurance, and current controversies. There are also dedicated chapters for topics including regional anesthesia for ambulatory surgery and pediatric ambulatory anesthesia. This text provides a much-needed comprehensive and evidence-based guide for clinical anesthesiologists

  • 43200lei 395.00 lei

    Get a quick, expert overview of the many key facets of neuropathic pain syndromes with this concise, practical resource by Drs. Mitchell Freedman, Jeff Gehret, George Young, and Leonard Kamen. This easy-to-read reference presents a summary of today's best evaluation methods and evidence-based treatment options for complex regional pain syndrome as well as other challenging syndromes. Covers key topics such as: Evidence Based Approach to Many Uncommon and Difficult Neuropathic Pain Syndromes Review of Pathophysiology of Pain Approach to Chronic Pain Syndromes Work Up and Treatments for Complex Regional Pain Syndromes Consolidates today's available information and experience in this multifaceted area into one convenient resource.

  • Anesthesia for Cesarean Section
    La comanda in aproximativ 4 saptamani
    47500lei 400.00 lei

    This book examines every aspect of anesthesia in patients undergoing cesarean section. Anesthetic and surgical techniques are clearly described, with detailed guidance on indications and contraindications and identification of potential complications. Practical information is provided on postoperative analgesia, postoperative course and nursing, the significance of cesarean section for breastfeeding, and the occurrence of long-term problems and chronic pain after cesarean section. Other topics to be addressed include the history and epidemiology of cesarean delivery, effects on the fetus and neonate, ethical issues, the humanization of childbirth, and maternal expectations and satisfaction. While many books are available on obstetric anesthesia, none is exclusively devoted to cesarean section although it is one of the most frequently performed surgeries. Anesthesia for Cesarean Section will be appreciated by all anesthesiologists and will be a useful source of information for obstetricians, gynecologists, midwives, nurses, medical students, and trainees.

  • 46000lei 415.00 lei

    Apply the latest advances in regional anesthesia and acute pain medicine! Originally authored by Michael F. Mulroy, MD, this respected title has helped practitioners provide effective regional anesthesia for nearly 30 years. Now it has been retitled A Practical Approach to Regional Anesthesiology and Acute Pain Medicine to reflect the Accreditation Council for Graduate Medical Education's recent establishment of Regional Anesthesiology and Acute Pain Medicine as an anesthesiology fellowship. This clinical reference has evolved with the many changes in this subspecialty to continue bringing you the up-to-date, clinically focused, hands-on guidance you need to offer your patients the best possible care. Master the latest advances in the field with expanded coverage of truncal blocks, systems-based practice, acute pain medicine, and much more.Make optimal use of ultrasound guidance as a nerve localization tool for peripheral nerve blocks, thanks to updated and expanded coverage as well as many new and improved illustrations.The techniques, approaches, and systems-based practices covered in 5th edition will enhance the application and role of regional anesthesia in Enhanced Recovery After Surgery (ERAS) pathways and the perioperative surgical home. Easily find and apply the answers you need thanks to a highly readable, focused, richly illustrated format that provides balanced discussions of indications, complications, and techniques.Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offlinePowerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooksMultiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive designThe ability to highlight text and add notes with one clickSee the inside front cover to find out how to access your eBook!

  • 45800lei 415.00 lei

    Approach any critical care challenge using a practical, consistent strategy based on best practices with Evidence-Based Practice of Critical Care, 3rd Edition. Unique, question-based chapters cover the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Drs. Clifford S. Deutschman and Patrick J. Nelligan, along with nearly 200 critical-care experts, provide a comprehensive framework for translating evidence into practice, helping both residents and practitioners obtain the best possible outcomes for critically ill patients. Covers a full range of critical care challenges, from routine care to complicated and special situations. Helps you think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Features revised and updated information based on current research, and includes all-new cases on key topics and controversies such as the use/overuse of antibiotics, drug resistance in the ICU, non-invasive mechanical ventilation, frequency of transfusions, and duration of renal replacement therapies. Provides numerous quick-reference tables that summarize the available literature and recommended clinical approaches. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

  • 48400lei 440.00 lei

    Accessible, concise, and clinically focused, Essentials of Pain Medicine, 4th Edition, by Drs. Honorio T. Benzon, Srinivasa N. Raja, Scott M. Fishman, Spencer S. Liu, and Steven P. Cohen, presents a complete, full-color overview of today's theory and practice of pain medicine and regional anesthesia. It provides practical guidance on the full range of today's pharmacologic, interventional, neuromodulative, physiotherapeutic, and psychological management options for the evaluation, treatment, and rehabilitation of persons in pain. Covers all you need to know to stay up to date in practice and excel at examinations - everything from basic considerations through local anesthetics, nerve block techniques, acupuncture, cancer pain, and much more. Uses a practical, quick-reference format with short, easy-to-read chapters. Presents the management of pain for every setting where it is practiced, including the emergency room, the critical care unit, and the pain clinic. Features hundreds of diagrams, illustrations, summary charts and tables that clarify key information and injection techniques - now in full color for the first time. Includes the latest best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics). Discusses recent global developments regarding opioid induced hyperalgesia, addiction and substance abuse, neuromodulation and pain management, and identification of specific targets for molecular pain. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

  • 51800lei 470.00 lei

     Written and edited by experts in the field, the Handbook of Clinical Anaesthesia provides all the essential practical knowledge required by anaesthetists on co-existing medical conditions, operative procedures, and techniques. The fourth edition retains the concise and comprehensive nature of the third, giving readers all they need to know about each part of the FRCA syllabus in short, digestible, practical entries.

     

    The first part covers Patient Conditions; the second Surgical Procedures; and the third Anaesthetic Factors. Each part is subdivided into chapter on each organ system, and each chapter is divided into bite-sized entries. These are in alphabetical order, and cover all common and rare conditions that anaesthetists will encounter within their practice. Avoiding prolonged discussion and multiple references, this is the ideal book to ‘dip into’ either for specific advice or general education, providing quick and reliable information. 

     

    This is the most thorough handbook to cover the entire FRCA syllabus in a consistent and instructive manner. It continues to be accessible and relevant to all anaesthetists from middle grade trainee up to consultant/specialist.

  • 56000lei 505.00 lei

     Patients with cardiac conditions routinely present for noncardiac surgeries, requiring special protocols for perioperative assessment and management by the anesthesiologist. Essentials of Cardiac Anesthesia for Noncardiac Surgery: A Companion to Kaplan's Cardiac Anesthesia provides current, easily accessible information in this complex area, ideal for general anesthesiologists and non-cardiac subspecialists. From preoperative assessment through postoperative care, this practical reference covers all perioperative approaches to today's patients with cardiac conditions.

    Provides guidance on the anesthetic diagnosis and management of the full range of cardiac lesions, helping minimize adverse outcomes and reduce complications for patients with common, complex, or uncommon cardiac conditions.

    Includes complete coverage of echocardiography and current monitoring techniques needed for thorough perioperative assessment - all from the anesthesiologist's perspective.

    Discusses safe and effective perioperative anesthetic management of patients presenting with advanced levels of cardiac care such as drug-eluting stents, multiple antiplatelet drugs, ventricular assist devices, multiple drugs for end-stage heart failure, and implanted electrical devices that produce cardiac resynchronization therapy, as well as patients with complicated obstetric problems or other significant cardiovascular issues.

    Features a concise, easy-to-navigate format and Key Points boxes in each chapter that help you find answers quickly.

    Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

  • 60700lei 535.00 lei

    This easy-to-use resource details all of the complications likely to be encountered in clinical practice. The scope has been expanded to include the critical care setting. Internationally renowned authorities explain the nature, likelihood, and causes of each problem, and then guide you through the appropriate treatment measures. Each type of complication is discussed in its own concise chapter making it easier to quickly locate and research specific topics of interest. Presents content in an updated, logical organization covering various types of complications (drugs, testing, intubation, line insertion, surgical procedures, etc.) followed by differential diagnosis and treatment of signs of complications (intraoperative, such as hypoxia or hypotension; and postoperative, such as MI). Follows a problem-based, practice-oriented approach throughout; case synopses are followed by concise coverage of recognition, risk assessment, implications, management, and prevention. Allows you to review the case reports, contemplate the implications, then check your response against what the experts have to say. Includes numerous photographs, diagrams, flow charts, and tables that illustrate key concepts. Ideal as a clinical reference and as a study tool when preparing for oral boards. Brings you up to date with new safety standards and the latest ASA guidelines. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

  • 61700lei 545.00 lei

    This book focuses on controversial issues in neuroanesthesia and neurocritical care that in general have been subjected to insufficient professional scrutiny. The book is in three parts, the first of which is devoted to topics relating to traumatic brain and spinal cord injury, such as brain tissue oxygenation, the role of biomarkers, and diagnosis of brain death. Aspects of airway and pain management are then addressed, covering, for example, airway management in an emergency setting, airway evaluation in the edentulous patient, and pain management in neurosurgery and after craniotomy. The final part of the book considers a wide range of other challenging subjects in the field of neuroanesthesia and neurocritical care. Throughout, much information is provided on the latest, state of the art management. The authors are acknowledged experts in the issues they discuss, and the book will be of interest for graduate and undergraduate students, residents, neuroanesthetists, neurointensivists, emergency medicine residents and specialists, fellows in neurocritical care and all those directly involved in the perioperative care of patients with head and neck pathology.

  • Trauma Anesthesia
    Ultima bucata in stoc
    67000lei 589.00 lei

    Trauma patients present a unique challenge to anesthesiologists, since they require resource-intensive care, often complicated by pre-existing medical conditions. This fully revised new edition focuses on a broad spectrum of traumatic injuries and the procedures anesthesiologists perform to care for trauma patients perioperatively, surgically, and post-operatively. Special emphasis is given to assessment and treatment of co-existing disease, including surgical management of trauma patients with head, spine, orthopedic, cardiac, and burn injuries. Topics such as training for trauma (including use of simulation) and hypothermia in trauma are also covered. Six brand new chapters address pre-hospital and ED trauma management, imaging in trauma, surgical issues in head trauma and in abdominal trauma, anesthesia for oral and maxillofacial trauma, and prevention of injuries. The text is enhanced with numerous tables and 300 illustrations showcasing techniques of airway management, shock resuscitation, echocardiography and use of ultrasound for the performance of regional anesthesia in trauma.

  • 72000lei 635.00 lei

    This text is designed for those who may become consultants in pediatric anesthesia. It is based on a curriculum developed since 1992 to illustrate the breadth and depth of the practice of pediatric anesthesia and the program is an integral part of the didactic series in the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children's Hospital. This second edition has the same purpose as the first – to accompany the reader’s journey in attaining proficiency, expertise and finally, mastery in pediatric anesthesiology. The format of the book is designed to encourage the readers’ free flow of ideas and the written examinations, seen at the beginning of the text as a baseline in pediatric medicine, are primarily knowledge-based, reflecting factual medical information necessary for the subspecialty practice of pediatric anesthesiology. With this basic guidance, the reader can bring him or herself "into the operating room" and manage the patient in an expert fashion.

  • 652.00 lei

    To an unusual degree, the shared “working space” of otolaryngologists and anesthesiologists means that issues important to one are important to the other. Anesthesiology and Otolaryngology is the first book to address the closely overlapping information needs of both groups of specialists. It is collaboratively written and edited by anesthesiologists and otolaryngologists, and the chapters are carefully designed to insure maximal relevance to members of both specialties. The heart of the book consists of chapters on managing patients during the full range of otolaryngologic procedures. These chapters are structured chronologically, and otolaryngologic and anesthesiologic perspectives are systematically presented for each operative stage. Foundational topics such as gross and radiographic anatomy, physiology, and pharmacology are covered. The book includes a unique chapter on oxygen delivery systems that serves as a comprehensive review for anesthesiologists and an overview for the otolaryngologist. Special topics addressed include acute and chronic pain management, and the logistics of managing an office-based surgical practice. · “All-in-one” reference for otolaryngologists and otolaryngologic anesthesiologists · Surgical and anesthesiologic perspectives marshaled for pre-operative, intraoperative, and postoperative periods · Pearls and Insights at end of chapters · Organized by surgical region · Special challenges of difficult airway and of pediatric otolaryngologic procedures addressed

  • 77100lei 680.00 lei

    Divided into twelve sections that cover the entirety of anesthetic practice, this is a case-based, comprehensive review of anesthesiology that covers the basics of anesthetic management and reflects all new guidelines and recently developed standards of care. Each chapter of Anesthesiology: Clinical Case Reviews begins with a specific clinical problem or a clinical case scenario, followed by concise discussions of preoperative assessment, intraoperative management, and postoperative pain management. In addition to residents and fellows, this book is written for practicing anesthesiologists, student nurse anesthetists, and certified registered nurse anesthetists (CRNAs).

  • 77200lei 680.00 lei

    A classic since its first publication nearly 25 years ago, Stoelting's Anesthesia and Co-Existing Disease, 7th Edition, by Drs. Roberta L. Hines and Katherine E. Marschall, remains your go-to reference for concise, thorough coverage of pathophysiology of the most common diseases and their medical management relevant to anesthesia. To provide the guidance you need to successfully manage or avoid complications stemming from pre-existing conditions there are detailed discussions of each disease, the latest practice guidelines, easy-to-follow treatment algorithms, and more.

    New to this edition
    • Includes brand new chapters on sleep-disordered breathing, critical care medicine and diseases of aging as well as major updates of nearly all other chapters.
    •  

    • Covers respiratory disease in greater detail with newly separated chapters on Sleep Disordered Breathing; Obstructive Lung Disease; Restrictive Lung Disease; and Respiratory Failure.
    •  

       

    • Provides the latest practice guidelines, now integrated into each chapter for quick reference.

  • 84000lei 740.00 lei

    Get up-to-date on all of the techniques that are rapidly becoming today's standard of care with Ultrasound-Guided Regional Anesthesia and Pain Medicine, 2nd Edition. With this extensively revised edition, you'll see how the increased use of ultrasound for diagnosis and treatment of chronic pain and other medical conditions can transform your patient care. Noted authorities discuss the techniques you need to know for upper and lower extremity blocks, truncal blocks, pain blocks, trauma and critical care, and more. Key Features: quickly grasp the salient features of each block, including indications, relevant anatomy, the transducer type, needle, local anesthetic, technique, tips, and references for further study. You can learn from global experts on topics such as recent ultrasound-guided musculoskeletal blocks and the uses of ultrasound in the treatment of shock and trauma. You can get up to speed on new techniques, thanks to 48 new chapters covering transforaminal cervical injections, cervical facet injections, insertion of peripheral nerve stimulators using ultrasound guidance, genital femoral nerve injections, suprascapular nerve injection, ultrasound guidance to fill implanted pain reservoir, sacroiliac injections, and much more. You can care for your young patients more effectively with a separate section devoted to pediatric regional anesthesia. You can see exactly how to perform the techniques with high-quality ultrasound images and depictions of relevant anatomy. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: videos of selected procedures; complete content with enhanced navigation; powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web; cross-linked pages, references, and more for easy navigation; highlighting tool for easier reference of key content throughout the text; ability to take and share notes with friends and colleagues; and quick reference tabbing to save your favorite content for future use.

  • Trauma, Eighth Edition
    La comanda in aproximativ 4 saptamani
    85300lei 750.00 lei

    The world’s leading resource on trauma surgery with an expanded full-color atlas

    Hailed by readers and reviewers for its expert authorship and high-yield clinical content, Trauma is unquestionably the field’s definitive text. Enhanced by a full-color design and a high-quality atlas of anatomic drawings and surgical approaches, this trusted classic takes readers through the full range of injuries the trauma surgeon is likely to encounter. 

    Supported by numerous x-rays, CT scans, plus tables throughout, Trauma begins with an informative look at kinematics and the mechanisms of trauma injury. Subsequent chapters provide useful background information on the epidemiology of trauma; injury prevention; the basics of trauma systems, triage, and transport; and much more. The next section meticulously reviews generalized approaches to the trauma patient, from pre-hospital care and managing shock, to emergency department thoracotomy and the management of infections. Trauma then delivers a clear organ-by-organ survey of treatment protocols designed to help clinicians respond to any critical care situation with confidence, no matter what body system is involved. The remaining sections of the book will help readers successfully handle specific challenges in trauma including alcohol and drug abuse, and combat-related wounds in addition to post-traumatic complications such as multiple organ failure.

    •       NEW online video content
    •       Increased number of algorithms and illustrations
    •       More international authors
    •       Expanded Trauma Atlas contains precise, full-color anatomical illustrations and proven surgical techniques
    •       High-yield section on specific approaches to the trauma patient prepares readers for the complete spectrum of cases in trauma/critical surgery care they will face in real-world practice
    •       A-to-Z overview of the management of specific traumatic injuries
    •       Detailed discussion of the management of complications

  • 88000lei 765.00 lei

    Neural therapy is widely used throughout Europe and is rapidly gaining worldwide acceptance in the therapeutic armamentarium. It is known to provide instant relief of pain, improved motion, and return of function and can be used for a variety of health problems unresolved by other methods. This book covers the methodology, indications, and techniques for injecting local anesthetics to specific nerve and tissue sites to restore proper biological function. With this striking visual guide at hand, even physicians without prior experience in neural therapy should be able to implement the techniques successfully in their everyday practice.

    Key Features:

    • Unique "hybrid" illustrations composed of body photographs and drawings of underlying anatomy on the skin clarify the anatomic landmarks for pinpointing the best sites for injections
    • Useful as a primary teaching tool, but also to add value to the general practitioner's or surgeon's existing practice
    • Concise explanatory texts on facing pages support the images

    Barop's Textbook and Atlas of Neural Therapy will be valued by all students and practitioners involved in the treatment of patients with chronic pain syndromes.

  • 87500lei 768.00 lei

     

    • Covers the latest trends in all aspects of neuroanesthesia
    • Addresses the brain and spinal injuries associated with cardiovascular anesthesia
    • Written for both junior residents and senior doctors interested in anesthesiology

     

    About this book

    This book is a knowledge-based text that covers the anatomy, neurophysiology, and neuropharmacology needed to carry out the necessary management and cerebrospinal protection during neuroanesthesia. Especially to make the subject of neuroanesthesia more approachable, we introduce surgical measures utilized in neurosurgery, cardiovascular surgery, neuromodulation, and related procedures.

    The main purpose of neuroanesthesia/neurocritical care is to deliver cerebrospinal protection in neurosurgical and cardiovascular surgeries. How should we select the best anesthetic management to prevent neurological complications for patients who, for instance, undergo different types of surgery for subarachnoid hemorrhage, stroke, head trauma, carotid endarterectomy, or cardiovascular surgery under cardiopulmonary bypass? These pathological conditions include the risk of transient cerebrospinal ischemia, and if our management is not precise, it may induce serious neurological sequelae. Although there is an urgent need to establish the treatment and elucidate the molecular mechanisms of cerebrospinal injury, many components are intertwined, making this a challenge we have not completely solved yet.

    This volume makes the management of neuroanesthesia more accessible not only for primary residents but also for specialists, providing a valuable resource on the current perspectives of neuroanesthesia.

    Reviews

    “This overview of neuroanesthesia covers both basic science and clinical aspects. … The intended audience is in-training and postgraduate neuroanesthesiologists, and the book is written to suit everyone’s needs. … This book is very well written. … It’s easy on the eye and captivating, making reading it very pleasurable.” (Tariq M. Malik, Doody’s Book Reviews, November, 2015)

     

    Table of contents (61 chapters)

    ·         Anatomy of Adult Central Nervous System: Structure and Function of the Brain and Spinal Cord

    Ohtaki, Hirokazu (et al.)

    Pages 3-22

    ·         Cerebrospinal Blood Flow and Its Regulation

    Yamashita, Toru (et al.)

    Pages 25-29

    ·         The Neuroendocrine System and Its Regulation

    Nishiyama, Yasuhiro (et al.)

    Pages 31-38

    ·         Molecular Mechanisms of Brain Ischemia and Its Protection

    Uchino, Hiroyuki (et al.)

    Pages 39-51

    ·         Molecular Mechanism of Ischemic Damage to the Spinal Cord and Its Protection

    Matsumoto, Mishiya (et al.)

    Pages 53-61

    ·         Mitochondrial Physiology and Cerebrospinal Protection

    Suzuki, Morika (et al.)

    Pages 63-70

    ·         Stem Cells: How We Could Restore the Brain Function After Ischemic Damage

    Kokaia, Zaal (et al.)

    Pages 71-80

    ·         Volatile Anesthetics and Neuroprotection

    Mishima, Yasunori (et al.)

    Pages 83-92

    ·         Intravenous Anesthetics and Neuroprotection

    Inoue, Satoki (et al.)

    Pages 93-101

    ·         Opioids and Adjuvant Drugs

    Yoshida, Takayuki (et al.)

    Pages 103-112

    ·         Steroids, Diuretics, and Anticonvulsants

    Sugiyama, Yuki (et al.)

    Pages 113-118

    ·         Neuroprotective Drugs

    Murozono, Michihiro

    Pages 119-126

    ·         Neurotoxicity of Anesthetic Agents for Developing and Adult Brain

    Kato, Rui (et al.)

    Pages 127-137

    ·         Role of Electroencephalography for Cerebral Functions in Neuroanesthesia

    Maehara, Taketoshi

    Pages 141-151

    ·         Role and Management of Intracranial Pressure in Neuroanesthesia

    Ikeda, Yukio (et al.)

    Pages 153-161

    ·         Role of Jugular Venous Oxygen Saturation in Neuroanesthesia

    Hiraki, Teruyuki (et al.)

    Pages 163-171

    ·         Role of Microdialysis in Neuroanesthesia

    Kuroda, Yasuhiro (et al.)

    Pages 173-183

    ·         Role of Evoked Potentials in Neuroanesthesia

    Fukuda, Masafumi (et al.)

    Pages 185-192

    ·         Role of Transcranial Doppler Ultrasonography in Neuroanesthesia

    Ishida, Kazuyoshi (et al.)

    Pages 193-213

    ·         Role of Near-Infrared Spectroscopy in Neuroanesthesia

    Kuwajima, Ken (et al.)

    Pages 215-221

    ·         Role of Pressure Reactivity Index in Neurocritical Care

    Czosnyka, Marek (et al.)

    Pages 223-236

    ·         Preoperative Assessment

    Naito, Hiromichi (et al.)

    Pages 239-247

    ·         Neurosurgical Technique and Approach

    Suehiro, Eiichi (et al.)

    Pages 249-254

    ·         The Management of Intracranial Pressure and Cerebral Edema

    Kuroda, Yasuhiro (et al.)

    Pages 255-267

    ·         Basics of Required Neuroimaging for Neuroanesthesia

    Kawai, Nobuyuki

    Pages 269-278

    ·         Positioning of Neurosurgical Patients

    Jimbo, Hiroyuki (et al.)

    Pages 279-290

    ·         Fluid Management

    Ishikawa, Masashi (et al.)

    Pages 291-299

    ·         Anesthesia for Intracranial Vascular Surgery

    Ogihara, Yukihiko

    Pages 303-319

    ·         Anesthesia for Carotid Endarterectomy

    Kadoi, Yuji

    Pages 321-330

    ·         Anesthesia for Adult Brain Arteriovenous Malformations and Moyamoya Disease

    Minami, Kimito (et al.)

    Pages 331-342

    ·         Anesthesia for Posterior Fossa Tumor Surgery

    Sekimoto, Kenichi (et al.)

    Pages 345-355

    ·         Anesthesia for Supratentorial Tumor Surgery

    Ito, Kenji (et al.)

    Pages 357-370

    ·         Anesthesia in Awake Craniotomy

    Ishida, Takashi (et al.)

    Pages 371-379

    ·         Anesthetic Management of Severe Head Injury

    Kuroda, Yasuhiro (et al.)

    Pages 383-403

    ·         Anesthetic Management of Spinal Cord Injury (Unstable Cervical Spine)

    Omi, Akibumi (et al.)

    Pages 405-414

    ·         Anesthesia for Spinal Surgery

    Matsumoto, Mishiya (et al.)

    Pages 417-428

    ·         Anesthesia for Epilepsy Surgery

    Ida, Mitsuru (et al.)

    Pages 429-436

    ·         Anesthesia for Pituitary Surgery

    Iida, Hiroki

    Pages 437-447

    ·         Anesthesia for Interventional Radiology

    Ida, Mitsuru (et al.)

    Pages 449-456

    ·         Neuromodulation: Deep Brain Stimulation

    Oshima, Hideki (et al.)

    Pages 457-464

    ·         Anesthesia for Stereotaxic Neurosurgery and Deep Brain Stimulation

    Maeda, Takeshi (et al.)

    Pages 465-472

    ·         Anesthetic Management of Pregnant Women with Stroke

    Yoshitani, Kenji (et al.)

    Pages 473-480

    ·         Anesthesia for Patients with Neuromuscular Disease

    Gotanda, Yuki (et al.)

    Pages 481-490

    ·         Management for Massive Hemorrhage During Surgery

    Inada, Eiichi

    Pages 491-504

    ·         Anesthesia for Pediatric Tumor Surgery

    Otake, Hiroshi

    Pages 507-513

    ·         Anesthesia During Surgery for Pediatric Traumatic Brain Injury

    Toda, Yuichiro

    Pages 515-541

    ·         Anesthesia During Surgery for Meningomyelocele

    Horiki, Toshimi

    Pages 543-549

    ·         Anesthesia During Surgery for Vascular Anomalies

    Horiki, Toshimi

    Pages 551-558

    ·         Anesthesia for Pediatric Cardiac Surgery and Brain Protection

    Shimizu, Kazuyoshi

    Pages 559-572

    ·         Anesthesia for Diagnostic and Perioperative MRI

    Otake, Hiroshi

    Pages 573-579

    ·         Cardiovascular Surgical Technique Under Cardiopulmonary Bypass and Cerebrospinal Protection

    Ogino, Hitoshi

    Pages 583-597

    ·         Brain Protection and Anesthetic Management During Cardiac Surgery

    Miyata, Kazuto (et al.)

    Pages 599-608

    ·         Anesthesia for Adult Vascular Surgery and Cerebrospinal Protection

    Kakinuma, Takayasu

    Pages 609-618

    ·         Postoperative Cognitive Dysfunction After Cardiac Surgery and Neuroprotection

    Maekawa, Kengo

    Pages 619-629

    ·         Postoperative Cognitive Dysfunction After Noncardiac Surgery and Neuroprotection

    Miyashita, Ryoichi

    Pages 631-639

    ·         Electrolyte Disorders

    Goyagi, Toru

    Pages 643-651

    ·         Crisis Management for Perioperative Complications (Seizure, Hemorrhage, Neurogenic Pulmonary Edema, and Venous Embolism)

    Kushikata, Tetsuya (et al.)

    Pages 653-661

    ·         Pain Management in Neuroanesthesia

    Fukui, Hidekimi

    Pages 663-674

    ·         Hypothermia for Brain Protection

    Takeda, Yoshimasa

    Pages 675-685

    ·         PCPS for Brain Extracorporeal Cardiopulmonary Resuscitation (ECPR)

    Nagao, Ken

    Pages 687-699

    ·         Brain Death and Organ Donation

    Kumaido, Kuniyoshi (et al.)

    Pages 701-707

  • 87500lei 768.00 lei

    This comprehensive textbook, covering all aspects of the perioperative management of patients undergoing organ transplantation, serves as the standard reference for clinicians who care for transplant patients on a day-to-day basis as well as those who encounter organ transplantation only occasionally in their clinical practice. Anesthesia and Perioperative Care for Organ Transplantation covers transplantation of the heart, lung, liver, pancreas, and kidney, as well as multivisceral and composite tissue graft transplantations. For each kind of transplantation, the full spectrum of perioperative considerations is addressed: preoperative preparation, intraoperative anesthesia management, surgical techniques, and postoperative care. Each chapter contains evidence-based recommendations, relevant society guidelines, management algorithms, and institutional protocols as tables, flow diagrams, and figures. Photographs demonstrating surgical techniques, anesthesia procedures, and perfusion management are included. Anesthesia and Perioperative Care for Organ Transplantation is for anesthesiologists and critical care physicians; transplantation surgeons; nurse anesthetists; ICU nurses; and trainees.​​

  • 1,06000lei 899.00 lei

    Featuring new co-editor Piyush Patel, MD, the updated edition of Cottrell and Patel's Neuroanesthesia continues to serve as the definitive reference on this important field of medicine. Clinically oriented chapters are clearly organized and cover key clinical points, case presentations, and discussions, delivering the complete and authoritative guidance you need to ensure optimal perioperative safety for neurosurgical patients.

    Features:

    • Integrates current scientific principles with the newest clinical applications.
    • Explains what to do under any set of circumstances, the logic behind why it should be done, and how to avoid complications.
    • Clear conceptual illustrations make complex concepts easier to understand at a glance.
    • Comprehensive and broad coverage of all important aspects of neuroanesthesia enables you to find reliable answers to any clinical question.

    New To This Edition:

    • Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.
    • Access brand-new information to keep you current! All chapters have been thoroughly updated to reflect the latest developments in neurosurgical anesthesia.
    • A completely reorganized TOC offers easier access to information.
    • Covers the latest advances in neuromodality monitoring — brain tissue oxygenation oximetry; microdialysis; and depth of anesthesia.
    • Includes a brand-new chapter on end-of-life care and the diagnosis and management of brain death, as well as a new chapter on minimally invasive techniques.
    • New information on Parkinson’s disease has been added to the chapter on Awake Craniotomy.

    Table Of Contents:

    1 Brain Metabolism, the Pathophysiology of Brain Injury, and Potential Beneficial Agents and Techniques, 2 Cerebral and Spinal Cord Blood Flow, 3 Cerebrospinal Fluid, 4 Effects of Anesthetic Agents and Other Drugs on Cerebral Blood Flow, Metabolism, and Intracranial Pressure, 5 Modern Neuroradiology Relevant to Anesthetic and Perioperative Management, 6 Evoked Potentials, 7 Transcranial Doppler Ultrasonography in Anesthesia and Neurosurgery, 8 Multi-modality Neurologic Monitoring, 9 Fluid Management during Craniotomy, 10 Care of the Acutely Unstable Patient, 11 Supratentorial Masses : Anesthetic Considerations, 12 Anesthetic Management for Posterior Fossa Surgery, 13 Anesthetic Management of Cerebral Aneurysm Surgery, 14 Interventional Neuroradiology: Anesthetic Management, 15 Anesthetic Considerations for Surgical Resection of Brain Arteriovenous Malformations, 16 Occlusive Cerebrovascular Disease: Anesthetic Considerations, 17 Awake Craniotomy, Epilepsy, Minimally Invasive, and Robotic Surgery, 18 Stereotactic surgery, deep brain stimulation, brain biopsy, and gene therapies, 19 Perioperative Management of Adult Patients with Severe Head Injury, 20 Pediatric Neuroanesthesia and Critical Care, 21 Neurosurgical Diseases and Trauma of the Spine and Spinal Cord: Anesthetic Considerations, 22 Neurologic Disease and Anesthesia, 23 Postoperative and Intensive Care including Head Injury and Multisystem Sequelae, 24 Chronic Pain Management, 25 Anesthesia for Neurosurgery in the Pregnant Patient, 26 Ethical Considerations in the Care of Patients with Neurosurgical Disease, 27 Future Advances in Neuroanesthesia, 28 Information Management and Technology, 29 The Pituitary Gland and Associated Pathologic States

     

  • Cardiac Intensive Care, 3e
    La comanda in aproximativ 4 saptamani
    1,02300lei 900.00 lei

     Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field.

    Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions.

    Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia.

    Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more.

    Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care.

    Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions.

    Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists.

    Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.

  • 1,03900lei 910.00 lei

    For nearly 30 years, Dr. Meir Kryger’s must-have guide to sleep medicine has been the gold standard in this fast-changing field. This essential, full-color reference includes more than 20 unique sections and over 170 chapters covering every aspect of sleep disorders, giving you the authoritative guidance you need to offer your patients the best possible care. For this updated 6th edition, extensive additional online material enhances the value of Principles and Practice of Sleep Medicine to your practice. Features: Evidence-based content helps you make the most well-informed clinical decisions. An ideal resource for preparing for the sleep medicine fellowship examination. New To This Edition: New content on sleep apnea, neurological disorders, legal aspects of sleep medicine, dental sleep medicine genetics, circadian disorders, geriatrics, women’s health, cardiovascular diseases, and occupational sleep medicine, keeps you fully up to date. Updates to scientific discoveries and clinical approaches ensure that you remain current with new knowledge that is advancing the diagnosis and management of sleep disorders. Online access to a wealth of extra material, including case studies, video clips, an image collection, updates to the text, self-assessment questions, a drug guide, classic articles, practice guidelines, patient brochures, Weblinks, information on the pioneers of sleep medicine, and more.

  • 1,08000lei 942.00 lei

     Medicine: Principles of Diagnosis and Management in the Adult, 5th Edition, delivers expert, practical guidance on virtually any clinical scenario you may encounter in the ICU. Designed for intensivists, critical care and pulmonology residents, fellows, practicing physicians, and nurse practitioners, this highly regarded text is clinically focused and easy to reference. Led by Drs. Joseph Parrillo and Phillip Dellinger, the 5th Edition introduces numerous new authors who lend a fresh perspective and contribute their expertise to that of hundreds of top authorities in the field.

    Includes new chapters on current applications of bedside ultrasound in the ICU, both diagnostic and procedural; mechanical assist devices; and extra-corporeal membrane oxygenation (ECMO).

    Contains new administrative chapters that provide important information on performance improvement and quality, length of stay, operations, working with the Joint Commission, and more.

    Features new videos and images that provide visual guidance and clarify complex topics.

    Keeps you up to date with expanded chapters on echocardiography in the ICU and valvular heart disease, including TAVR.

    Includes separate chapters on mechanical ventilation of obstructive airway disease and acute respiratory distress syndrome (ARDS) - including the many recent changes in approach to positive end expiratory pressure setting in ARDS.

    Covers key topics such as patient-ventilator synchrony and non-invasive ventilation for treating chronic obstructive pulmonary disease patients with acute respiratory failure.

    Reflects the recent literature and guidance on amount of fluids, type of fluid, vasopressor selection, mean arterial pressure target, and decision on steroid use in septic shock.

    Provides questions and answers in every chapter, perfect for self-assessment and review.

    Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

  • 1,11600lei 950.00 lei

    Covering everything from preoperative evaluation to neonatal emergencies to the PACU, A Practice of Anesthesia in Infants and Children, 6th Edition, features state-of-the-art advice on the safe, effective administration of general and regional anesthesia to young patients. It reviews underlying scientific information, addresses preoperative assessment and anesthesia management in detail, and provides guidelines for postoperative care, emergencies, and special procedures. Comprehensive in scope and thoroughly up to date, this 6th Edition delivers unsurpassed coverage of every key aspect of pediatric anesthesia.

    Features:

        Includes a laminated pocket reference guide inside - also available as an expanded online version ("Pedi Anesth" from the Starship Children’s Hospital in Auckland, NZ).
        Features key references at the end of each chapter that provide a quick summary for review.

    New To This Edition:

        Presents must-know information on standards, techniques, and the latest advances in pediatric anesthesia from global experts.
        Provides access to a video library of 70 pediatric anesthesia procedures - 35 are new! Videos include demonstrations on managing the difficult pediatric airway, cardiac assist devices in action, new positioning devices, management of burn injuries, and many demonstrations of ultra-sound guided regional anesthesia blocks and techniques.
        Features extensive revisions of all chapters with many new contributors, and numerous new figures and tables throughout.
        Introduces new drugs such as those used to premedicate children and facilitate emergence from anesthesia, plus an up-to-date discussion of the drug approval process and detailed information on opioid safety for children with obstructive sleep.
        Includes new chapters on pharmacogenomic implications of drugs in children and the anesthetic implications when caring for children with cancer.
        Offers up-to-date information on the management of emergence agitation, sleep-disordered breathing, neonatal and pediatric emergencies, and the obese child and bariatric surgery.
        The Essentials chapters, with extensive input from pediatrician experts, provide the latest information concerning hematology, pulmonology, oncology, hepatology, nephrology, and neurology.
        Contains significant updates on perioperative fluid management, pharmacology, intravenous anesthesia and target controlled infusions, cystic fibrosis, new interventional devices for children with congenital heart defects, cardiopulmonary resuscitation, simulation in pediatric anesthesia, and much more.
        Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

  • 1,10200lei 975.00 lei

    As surgical critical care continues to evolve, this handbook provides the framework for the surgical intensivist, and focuses specifically on the surgical considerations encountered in the care of the critically ill patient. Drawing from decades of experience at one of the world's busiest and most innovative trauma/ surgical intensive care units, the handbook systematically addresses all aspects of surgical critical care. Chapters are presented in an easy-to-access, bullet point format, with each chapter ending in a practical algorithm and review of recent literature. This text will serve as a guide, learning tool, and reference manual for all levels of practitioners, from aspiring student to seasoned attending.

  • 1,11600lei 975.00 lei

    Now thoroughly up to date with new chapters and new multimedia resources, Smith’s Anesthesia for Infants and Children, 9th Edition, by Drs. Peter Davis and Franklyn Cladis, covers the information you need to provide effective perioperative care for any type of pediatric surgery. Leading experts in pediatric anesthesia bring you up to date with every aspect of both basic science and clinical practice, helping you incorporate the latest clinical guidelines and innovations in your practice.

    Features:

    • Quick-reference appendices: drug dosages, growth curves, normal values for pulmonary function tests, and a listing of common and uncommon syndromes.
    • Outstanding visual guidance in full color throughout the book.
    • Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

    New To This Edition:

    • More than 100 video demonstrations, including new regional anesthesia videos, echocardiograms of congenital heart lesions, anatomic dissections of various congenital heart specimens with audio explanations, various pediatric surgical operative procedures, airway management, and much more.
    • Table of Contents has been reorganized and new chapters added on statistics, sedation, pediatric obesity, and cardiac critical care pediatrics.
    • A new chapter on regional anesthesia for pediatrics, including video and ultrasound demonstrations online.
    • A new chapter on dermatology, specifically for the anesthesiologist, with more than 100 photos.
    • A new chapter on medical missions to third-world countries, including what you should know before you go.
    • A new Questions chapter provides opportunities for self-assessment.
    • New coverage includes cardiac anesthesia for congenital heart disease, anesthesia outside the operating room, and a new neonatology primer for the pediatric anesthesiologist.

    Table Of Contents:

    PART I Basic Principles and Physiology

    1. Special Characteristics of Pediatric Anesthesia

    2. Behavioral Development

    3. Respiratory Physiology

    4. Cardiovascular Physiology

    5. Regulation of Fluids and Electrolytes

    6. Thermoregulation

    PART II Pharmacology

    7. Developmental Pharmacology

    8. Intravenous Agents

    9. Inhaled Anesthetic Agents

    10. Local Anesthetic Agents

    11. Opioids

    12. Neuromuscular Blocking Agents

    13. Anesthetic Adjuncts

    PART III General Approach

    14. Psychological Aspects of Pediatric Anesthesia

    15. Preoperative Preparation

    16. Equipment

    17. Monitoring

    18. Airway Management

    19. Induction, Maintenance, and Recovery

    20. Blood Conservation and Transfusion Medicine

    21. Pain Management

    22. Regional Anesthesia

    PART IV Clinical Management of Specialized Surgical Problems

    23. Neonatology for Anesthesiologists

    24. Anesthesia for General Surgery in the Neonate

    25. Anesthesia for Fetal Surgery

    26. Anesthesia for Congenital Heart Disease

    27. Congenital Cardiac Anesthesia: Non-Bypass Procedures

    28. Anesthesia for Neurosurgery

    29. Anesthesia for Thoracic Surgery

    30. Anesthesia for General Abdominal and Urologic Surgery

    31. Anesthesia for Pediatric Otorhinolaryngologic Surgery

    32. Anesthesia for Pediatric Plastic Surgery

    33. Anesthesia for Orthopedic Surgery

    34. Anesthesia for Opthalmic Surgery

    35. Anesthesia for Organ Transplantation

    36. Anesthesia for Conjoined Twins

    37. Anesthesia for the Pediatric Trauma Patient

    38. Anesthesia for Burn Injuries

    39. Anesthesia for Pediatric Dentistry

    40. Anesthesia and Sedation for Pediatric Procedures Outside the Operating Room

    41. Pediatric Sedation

    42. Anesthesia for Same-Day Surgery

    43. Anesthesia for Surgical Missions

    PART V Systemic Disorders and Associated Problems

    44. Endocrine Disorders

    45. Respiratory Disorders

    46. Cardiovascular Disorders

    47. Hematology and Coagulation Disorders

    48. Oncologic Disorders

    49. Genetic Muscle Disorders

    50. Malignant Hyperthermia

    51. Pediatric Obesity

    52. Special Pediatric Disorders

    53. Dermatology for the Anesthesiologist

    PART VI Critical Care in Pediatric Anesthesia

    54. Cardiopulmonary Resuscitation

    55. Critical Care Medicine

    56. Cardiac Intensive Care Unit

    57. Safety and Outcome in Pediatric Anesthesia

    58. History of Pediatric Anesthesia

    59. Medicolegal and Ethical Aspects

    60. Statistics

     

  • 1,16300lei 987.00 lei

    Top of Form

    Description:
    Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from the leading centers around the world present the collaborative perspectives, concepts, and state-of–the-art knowledge required to care for children with congenital and acquired heart disease in the ICU. Their multidisciplinary approach encompasses every aspect of the relevant basic scientific principles, medical and pharmacologic treatments, and surgical techniques and equipment. From the extracardiac Fontan procedure, and the Ross procedure through new pharmacologic agents and the treatment of pulmonary hypertension to mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization—all of the developments that are affecting this rapidly advancing field are covered in depth.

    Features:

    • Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access.
    • Features chapters each written and reviewed by intensivists, surgeons, and cardiologists.
    • Integrates the authors' extensive experiences with state-of-the-art knowledge from the literature.

    New To This Edition:

    • Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation.
    • Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents.
    • Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications.
    • Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization.
    • Examines issues affecting adults with congenital heart disease.

    Table Of Contents:

    1. The Segmental Approach to Congenital Heart Disease

    2. Cardiovascular Physiology and Shock

    3. Regulation of Pulmonary Vascular Resistance and Blood Flow

    4. Renal Function and Heart Disease

    5. Splanchnic Function and Heart Disease

    6. Cerebral Function and Heart Disease

    7. Pharmacology of Cardiovascular Drugs

    8. Pediatric Arrhythmias

    9. Pericardial Effusion and Tamponade

    10. Anesthesia for Pediatric Cardiac Surgery

    11. Applied Respiratory Physiology

    12. Respiratory Support

    13. Cardiac Arrest and Cardiopulmonary Resuscitation

    14. Coagulation Disorders in Congenital Heart Disease

    15. Nutrition

    16. Transplantation

    17. Noninvasive Diagnosis of Heart Disease

    18. Diagnostic and Therapeutic Cardiac Catheterization

    19. Perioperative Monitoring

    20. Cardiopulmonary Bypass

    21. Mechanical Circulatory Support in Infants and Children

    22. Nursing Care

    23. Perioperative Management of Patients with Congenital Heart Disease

    24. ASD/VSD

    25. Atrioventricular Septal Defects

    26. Aortic Valve Disease

    27. CoA and IAA

    28. Mitral Valve Disease

    29. AP Window/PDA

    30. ACLA

    31. Persistent Truncus Arteriosus

    32. Total Anomalous Pulmonary Venous Return

    33. Transposition of the Great Arteries and the Arterial Switch Operation

    34. DORV/DOLV

    35. TOF with PAT and VSD

    36. Pulmonary Atresia with Intact Ventricular Septum (PA/IVS)

    37. Ebstein’s Anomaly

    38. Single Ventricle

    39. Tricuspid Atresia and the Fontan Operation

    40. HLHS

    41. Staged Operative Management of the SV

    42. Critical Appraisal and Use of Evidence about Therapy

    43. Cor Pulmonale

    44. Inflammatory Heart Disease

    45. Infective Endocarditis

    46. Syndromes and Congenital Heart Defects

    47. Heritable Disease

    48. Cardiomyopathy

       

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  • 1,19900lei 1050.00 lei

    1164 RON 990 RON

    The third edition of Anesthesia for Congenital Heart Disease, the recognized gold-standard reference in this field, offers a major update and expansion of the textbook to reflect the ongoing development of the practice of pediatric and congenital cardiac anesthesia and the burgeoning knowledge base in this exciting field.
    • Includes two new chapters addressing key areas; anesthetic and sedative neurotoxicity in the patient with congenital heart disease, and anesthesia in the patient with pulmonary hypertension
    • Now in full color, with over 200 illustrations and photographs
    • Multiple-choice questions accompany each chapter covering the most crucial learning points to optimize the learning experience for readers at all levels

  • 1,28500lei 1098.00 lei

    With a focus on evidence-based, state-of-the-art information throughout, the eighth edition of Irwin and Rippe�s Intensive Care Medicine offers authoritative guidance to the wide variety of specialty physicians and non-physicians practicing in the adult intensive care environment. This comprehensive textbook covers both the theoretical and practical aspects of the field, and has been completely updated to provide encyclopedic, interprofessional coverage to support practitioners in every area of this complex field. Features: � Approaches intensive care from an interprofessional, collaborative perspective, encompassing anesthesia, surgery, trauma, and neuro [should this be neurology, or something different?], as well as cardiovascular and medical intensive care. � Maintains a practical, clinically-oriented approach, with comprehensive sections on procedures, techniques, and ultrasound; minimally invasive monitoring; pharmacology, overdoses, and poisoning; infectious disease; transplantation; critical care consequences of agents of mass destruction; and many more. � Features many new chapters, and an entirely new section on Palliative Care and Ethical Issues in the Critical Care Unit. � Reflects the rising importance of point-of-care ultrasonography with five hours of expertly narrated video embedded into 23 relevant chapters, clearly depicting the ideal use of this tool for intensivists. � Includes a section on ICU Design, Organization, Operation, and Outcome Measures that addresses important changes and advances regarding safety, clinical practice guidelines, decreasing the cost of care, tele-ICU, and more. � Provides extensive updates reflecting advances in cardiovascular intensive care, surgical critical care, shock and trauma, and sepsis management. � Includes recommendations reflecting randomized controlled clinical trials, summarized, when possible, in quick-reference tables throughout. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: � The ability to download the eBook on multiple devices at one time � providing a seamless reading experience online or offline � Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks � Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design

  • 1,35100lei 1150.00 lei

    Written and edited by an internationally known team of experts, Anesthesiology, Third Edition delivers a 360-degree view of the field, covering all of the anesthetic considerations, preparations, and procedures for the surgical patient, the pain patient, or the critical care patient. Readers will find a unique balance between clinical information, practical clinical procedures, and the molecular and basic scientific underpinnings of anesthesiology practice. This acclaimed text offers a multi-perspective, wide-ranging view of anesthetic drugs, procedures, co-morbid diseases, and need-to-know postoperative pain management strategies. This essential guide not only focuses on general anesthesia, but was the first to feature a detailed look at the subspecialty of regional anesthesia. • NEW! Revamped section on co-existing disease, a more streamlined presentation, and completely updated content • Complete coverage that spans the entire field, including all of the anesthetic considerations, preparations, and procedures for the surgical patient, the pain patient, and critical care patient • Ideal for anesthesiology residents and practitioners preparing for the Maintenance of Certification in Anesthesiology (MOCA) exam • Balanced presentation surveys clinical information, practical clinical procedures, and the molecular and basic scientific foundations of anesthesiology practice • Learning aids such as key points, numerous tables and algorithms, and key references • Engaging full-color presentation

  • 1,80000lei 1537.00 lei

     From fundamental principles to advanced subspecialty procedures, Miller’s Anesthesia covers the full scope of contemporary anesthesia practice. This go-to medical reference book offers masterful guidance on the technical, scientific, and clinical challenges you face each day, in addition to providing the most up-to-date information available for effective board preparation.

    New to this edition

    • Stay current on today's most recent anesthetic drugs and guidelines/protocols for anesthetic practice and patient safety, andaccess expanded coverage on new techniques such as TEE and other monitoring procedures.
    • Remain at the forefront of new developments in anesthesia with coverage of hot topics including Non-OR Anesthesia; Role of the Anesthesiologist in Disasters; Sleep Medicine in Anesthesia; Perioperative and Anesthesia-related Neurotoxicity; Anesthetic Implications of Complementary and Alternative Medicine; and Robotics.
    • Study brand-new chapters on Perioperative Fluid Management; Extracorporeal Support Therapies; Anesthesia for Organ Donation/Procurement; and Malignant Hyperthermia and other Genetic Disorders.
    • Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to conveniently search the full text, references, tables, and index from the book on your favorite devices, in addition to accessing regular updatesrelated websites, and an expanded collection of procedural videos.

  • 1,98000lei 1690.00 lei

    This definitive resource from the eminent Oxford Textbooks series, the Oxford Textbook of Anaesthesia addresses the fundamental principles, underpinning sciences and the full spectrum of clinical practice. It brings together the most pertinent research from on-going scientific endeavours with practical guidance and a passion to provide the very best clinical care to patients. This comprehensive work covers all aspects of anaesthesia; volume one addresses the fundamental principles and the basic sciences whose understanding is required for a logical, effective and evidence-based approach to practice. Volume two focuses on the clinical aspects of anaesthesia, including those aspects of intensive care and pain medicine that are required by all general anaesthetists as well as sections dedicated to procedures, surgical specialities, paediatrics, the conduct of anaesthesia outside the theatre, and concurrent disease. In 91 finely crafted and highly illustrated chapters, experts in anaesthesia review the supporting evidence and key techniques for the clinical management of specific conditions and patient groups. International contributors share their research and extensive experience to provide a wealth of practical advice for use in clinical situations in a global context. The Oxford Textbook of Anaesthesia will publish both in print and online on Oxford Medicine Online where it can be accessed via smartphone or similar devices and will be updated annually to reflect major changes in clinical practice. The print edition of the Oxford Textbook of Anaesthesia comes with a year's access to the online version. This essential reference tool supports all anaesthetists seeking an up-to-date and trustworthy account of all aspects of anaesthesia. It will be an indispensable guide to anaesthetists of all grades and subspecialty interest.

  • 1,99700lei 1700.00 lei

    Description:

    Covering everything from historical and international perspectives to basic science and current clinical practice, Miller's Anesthesia, 9th Edition, remains the preeminent reference in the field. Dr. Michael Gropper leads a team of global experts who bring you the most up-to-date information available on the technical, scientific, and clinical issues you face each day - whether you’re preparing for the boards, studying for recertification, or managing a challenging patient care situation in your practice.

    Table Of Contents:

    Section 1 INTRODUCTION
    1. Scope of Modern Anesthetic Practice
    2. The International Scope and Practice of Anesthesia
    3. Perioperative Medicine
    4. Informatics in Perioperative Medicine
    5. Quality Improvement in Anesthesia Practice
    6. Human Performance and Patient Safety
    7. Patient Simulation
    8. Ethical Aspects of Anesthesia Care

    Section 2 ANESTHETIC PHYSIOLOGY
    9. Consciousness, Memory, and Anesthesia
    10. Sleep Medicine
    11. Cerebral Physiology and the Effects of Anesthetic Drugs
    12. Neuromuscular Physiology
    13. Respiratory Physiology and Pathophysiology
    14. Cardiac Physiology
    15. Gastrointestinal Physiology and Pathophysiology
    16. Hepatic Physiology and Pathophysiology
    17. Renal Anatomy, Physiology, Pharmacology and Evaluation of Function
    18. Basic Principles of Pharmacology
    19. Inhaled Anesthetics: Mechanisms of Action
    20. Inhaled Anesthetic Pharmacokinetics: Uptake, Distribution, Metabolism and Toxicity
    21. Pulmonary Pharmacology and Inhaled Anesthetics                                 
    22. Inhaled Anesthetics: Delivery Systems
    23. Intravenous Anesthetics
    24. Opioids
    25. Nonopioid Pain Medications
    26. Intravenous Drug Delivery Systems
    27. Pharmacology of Neuromuscular Blocking Drugs
    28. Reversal (Antagonism) of Neuromuscular Blockade
    29. Local Anesthetics
    Section 3 ANESTHESIA MANAGEMENT
    30. Risk of Anesthesia
    31. Preoperative Evaluation
    32. Anesthetic Implications of Concurrent Diseases
    33. Complementary and Alternative Therapies                                        
    34. Patient Positioning for Anesthesia        
    35. Neuromuscular Disorders and Other Genetic Disorders                             
    36. Cardiovascular Monitoring
    37. Perioperative Echocardiography
    38. Implantable Cardiac Pulse Generators:  Pacemakers and Cardioverter-Defibrillators
    39. Neurologic Monitoring
    40. Monitoring Depth of Anesthesia (Monitoring Brain State)
    41. Respiratory Monitoring
    42. Renal Pathophysiology and Treatment for Perioperative Ischemia and Nephrotoxic Injury
    43. Neuromuscular Monitoring
    44. Airway Management in the Adult
    45. Spinal, Epidural, and Caudal Anesthesia
    46. Peripheral Nerve Blocks
    47. Perioperative Fluid and Electrolyte Therapy                                         
    48. Perioperative Acid-Base Balance
    49. Patient Blood Management: Transfusion Therapy
    50. Patient Blood Management: Coagulation

    Section 4 ADULT SUBSPECIALTY MANAGEMENT
    51. Management of the Patient with Chronic Pain
    52. Palliative Medicine
    53. Anesthesia for Thoracic Surgery
    54. Anesthesia for Cardiac Surgical Procedures                                        
    55. Anesthesia for Cardiac Catherization and Electroconversion
    56. Anesthesia for Vascular Surgery
    57. Anesthesia for Neurologic Surgery and Neurointerventions
    58. Anesthesia for Bariatric Surgery
    59. Anesthesia and the Renal and Genitourinary Systems
    60. Anesthesia for Organ Transplantation
    61. Anesthesia for Organ Procurement
    62. Anesthesia for Obstetrics
    63. Anesthesia for Fetal Surgery and Other Fetal Therapies
    64. Anesthesia for Orthopaedic Surgery
    65. Geriatric Anesthesia
    66. Anesthesia for Trauma
    67. Anesthesia in Prehospital and Emergency Care
    68. Biologic, Natural and Human-induced Disasters: The Role of the Anesthesiologist
    69. Anesthesia for Ophthalmic Surgery
    70. Anesthesia for Otolaryngologic and Head-Neck Surgery                                            
    71. Anesthesia for Robotic Surgery
    72. Anesthesia for Ambulatory (Outpatient) Surgery
    73. Non-Operating Room Anesthesia (NORA)
    74. Clinical Care in Extreme Environments: At High and Low Pressure and in Space (AKA Hyperbaric)
    75. Extreme Physiology

    Section 5 PEDIATRIC ANESTHESIA
    76. Regional Anesthesia in Children
    77. Pediatric Anesthesia                           
    78. Anesthesia for Pediatric Cardiac Surgery
    79. Pediatric and Neonatal Intensive Care

    Section 6 POSTOPERATIVE CARE
    80. The Postanesthesia Care Unit            
    81. Immediate and Long-Term Complications
    82. Acute Postoperative Pain
    83. Cognitive Dysfunction and Other Long-Term Complications of Surgery and Anesthesia

    Section 7 CRITICAL CARE MEDICINE
    84. Critical Care Anesthesiology           
    85. Neurocritical Care
    86. Extracorporeal Membrane Oxygenation and Cardiac Devices
    87. Cardiopulmonary Resuscitation and Advanced Cardiac Life Support

    Section 8 ANCILLARY RESPONSIBILITIES AND PROBLEMS
    88. Electrical Burns and Other Burns
    89. Environmental Safety and Chemical Dependency
    90. Evidence and Clinical Trials
    91. Interpreting the Medical Literature

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