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Continuous Hemofiltration in the Intensive Care Unit
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
Critical Care Nephrology
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...
Epuration extrarénale en réanimation
Un ouvrage complet et d'abord très pratique qui rend compte des nombreux progrès techniques enregistrés ces dernières années pour tous les soignants amenés à prescrire ou gérer des techniques d’épuration extrarénale L’épuration extrarénale en réanimation s’est enrichie de techniques nouvelles et de modalités de mise en œuvre. Le matériel et les méthodes des techniques de suppléance rénale chez les patients de réanimation sont en constante évolution. Pour cette raison, une très bonne connaissance des principes de fonctionnement et des bases physiologiques utilisées pour ces traitements est nécessaire dans la pratique quotidienne. Le choix des méthodes d’épura...
The Complete Spleen
In this thoroughly revised and updated second edition, a panel of distinguished clinical researchers from around the world takes stock of the wealth of new knowledge about the human spleen and applies it to the pathology and treatment of splenic diseases. This much enriched understanding encompasses the spleen's complex role in immunological defense, the recently defined function of particulate filtration by the spleen, and the structural basis for the functions of the spleen, most particularly the microvasculature around which it is organized. Among the diseases and disorders of the spleen considered in detail are splenomegaly, the consequences and management of hyper- and hyposplenism, and "dilutional anemia." Recent advances in splenic surgery are also reviewed, especially those techniques intended to preserve at least partial function while removing the greater part of the organ.
Septic Shock
A current, authoritative guide to the clinical management of the critically ill septic shock patient. Discusses the benefits and limitations of alternative management strategies. Identifies key clinical problems to be addressed, and assigns the correct priority to each problem in a step-by-step manner. Checklists and algorithms are provided as appropriate.
L'insuffisance rénale aiguë
Cet ouvrage se fixe pour objectif de rendre accessible aux lecteurs les données actuelles de la littérature expérimentale et clinique. Il focalise l’attention sur les situations cliniques caractérisées par le retentissement rénal des principales dysfonctions des fonctions vitales dont le pronostic est aggravé par la survenue de cette insuffisance rénale. Enfin, les données physiopathologiques issues des modèles expérimentaux trouvent progressivement leur écho dans le domaine de la clinique ouvrant des pistes thérapeutiques dont les évaluations récentes seront analysées.
