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This book proves essential to understanding the problem of brain failure by emphasizing the various therapeutic approaches which have previously been somewhat neglected. The book summarizes the mechanisms involved in the pathogenesis of the various forms of brain failure, examining in detail structural and examining metabolic causes. Special consideration has been given to patients with severe head trauma, stroke, subarachnoid haemorrhage and to a variety of metabolic causes of coma. The relationship between cerebral blood flow and cerebral metabolic rate is explored, providing important conclusions with regard to therapy. New techniques of monitoring brain failure are described and their clinical usefulness defined, providing intensive care physicians, anaesthesiologists and neurologists a solid basis on which to build their knowledge of the brain-failure patient.
A workshop was organised in order to achieve multi-discipli- nary review of the pathogenesis and management of acute failure, particularly as it occurs and is managed in intensive therapy units. The book deals with the realities and practicalities of this important area of acute medicine. Each chapter is followed by a discussion, so that a concen- sus view is obtained from an international body of experts.
Every medical specialty has as its basis a core of classic papers which both reflects the historical background and gives insight into its present and future developments. The selected papers in this volume highlight landmarks in the development of critical care medicine. Internationally acclaimed experts have chosen what they consider to be the most important papers in their respective subspecialties. Each entry follows a set format, starting with the abstract and the reference to the original source of publication. This is followed by analysis of the strengths and weaknesses of the paper and the contribution it has made to the development of critical care. Additional information including citation score of each paper is given together with detailed analysis of the top 500 most widely cited papers.
Great progress has been made since the first description of the acute respiratory distress syndrome by the Denver group in 1967 (Lancet). Although we introduced the term 'adult respiratory distress syndrome' in our second and more detailed description of the syndrome (ehest, 1971), this was probably amistake for the simple reason that children also suffer the same syndrome fo11owing acute lung insults. Today, the syndrome of acute respiratory distress in adults (ARDS) is recognized as a worldwide problem, but the prevalence of disease varies in different parts of the world. A huge amount of research has focused on the mechanisms of acute lung injury and yet the exact sequence of events and m...
Hemofiltration is now recognised as the optimal therapeutic solution for supplying renal function in patients with acute renal failure associated with poor hemodynamic conditions This situation is often observed in patients with severe impairment in the function of one or several other organs Since its introduction in the intensive care units in the 1970s, hemofiltration has been subject to some major improvements regarding the required material and devices such as catheters, lines, filters, or pumps This progress has been accompanied by a better knowledge of the management of patients undergoing the technique, especially concerning nutritional support, drug administration, control of body temperature, as well as fluid and electrolytes balance or cost control Moreover, some additional beneficial effects of hemofiltration have been recently pointed out, suggesting that this technique could provide more than an already efficient renal support by removing some substances responsible for an exagger
Internists, surgeons, critical care physicians and nephrologists all treat critically ill patients with renal failure and the multiple system organ dysfunction syndrome. A comprehensive review of the state of the art of this topic is definitely needed both in academic and clinical medicine, and Critical Care Nephrology fulfils this need. It is a useful reference tool for both nephrologists and intensive care specialists and it is therefore no coincidence that the editors of the book are themselves specialists in these particular fields. The book addresses the following: definitions of critical illness, epidemiology, monitoring and diagnostic procedures, pathophysiology of organ systems in re...
First multi-year cumulation covers six years: 1965-70.
The sixth edition provides practical, concise information on all aspects of intensive care. Written in a clear and accessible style and now for the first time presented in colour throughout, this book enables the user to manage a patient in an ICU setting effectively without recourse to large text/reference works or specialized monographs. This thoroughly revised and updated edition reflects the best and most current practice from leading centres in Australia, the UK and Western Europe. Information on management and treatment of conditions is balanced by pathophysiological and pharmacological background. This is not just a "cook book" of procedures. It provides all of the essential information for candidates wishing to pass professional examinations. Addition of colour throughout to highlight summary boxes, tables, charts and flow diagrams.Will make key information more accessible, easier and faster to retrieve. Pitfalls in treatment and management emphasized in each chapter.Providers the user with expert advice on practical issues that will be encountered on a day-to-day basis in the ICU. Keeps the user abreast of the latest developments in diagnosis and management.