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Reaching beyond traditional nutrition support The care of ICU patients has seen many improvements over the years, both with regard to technical aspects and supportive measures. The first part of this book analyzes nutritional support at various levels, ranging from the cell level to the whole-body aspect; drawing on recent prospective randomized studies, the authors propose a new approach for oral, enteral and/or parenteral nutrition. The second part underlines the interference between nutrition and outcome to reach recovery, giving to this field an increased importance for better short and long term management: The best glucose control, individualized nutritional support and the avoidance o...
This new addition to the 5-Minute Clinical Consult Series covers all aspects of adult critical care. Following the highly successful format of the series, each entry consists of a two-page spread covering basics such as definition and pathophysiology and progressing through diagnosis to medications and synopses of surgical interventions and complications. Over 200 topics are covered. Algorithms for common and complex diagnoses and treatment options are included in a special section.
Many people who are experiencing unacceptable suffering or deterioration in the present, or who fear them in the near future, do not know their full range of options to hasten death. This is particularly true if they live in jurisdictions that do not allow a physician assisted death - over forty jurisdictions in the U.S. and most countries across the world. Though VSED is readily available, and not illegal, most people are unaware of it as an option. The informationin this book is vital to those considering their options either hypothetically or in real time, providing an integrated, balanced, and nuanced exploration of VSED with contributions from legal, medical, and ethical experts.
Provides comprehensive and practical guidance for managing the nutritional requirements of critically ill patients and thereby improving prognosis.
Mechanical ventilation, ventilator management, and weaning from mechanical ventilation vary based on location within the hospital, type of lung injury, and medical condition of the patient. Understanding the types of lung injury and various methods of achieving ventilation expand the armamentarium of the practitioner and allow for the best management decisions. This book begins with the use of a high-flow nasal cannula (HFNC) and a detailed description of the advanced modes of ventilation. The information on the types of ventilation can then be applied to the ventilation approaches in different populations of patients: the trauma patients, the obese patients, and the patients under neurocritical care. The conclusion contains a discussion of the mechanisms on how to wean from mechanical ventilation and how certain medical conditions affect the weaning process.
A concise and practical summary of principles of therapy for critically ill patients, fully updated with thirteen new chapters.
This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative nutritional management of all surgical patients. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors, and focuses on appropriate nutritional repletion for various common disease states. Specifically, the text addresses the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. In addition, the book addresses the growing problem of obesity in surgical populations, including appropriate strategies directed towards the metabolic management of these patients. The text is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient. Written by experts in the field, Surgical Metabolism: The Metabolic Care of the Surgical Patient is a valuable resource for all clinicians involved in the care of the critically ill.
Selected Letters of Robert Penn Warren, Volume three, provides an indispensable glimpse of Warren the writer and the man, covering a crucial decade in his life. Edited by Randy Hendricks and James A. Perkins, and introduced by William Bedford Clark, this collection of largely previously unpublished letters and newly discovered material documents Warren's time at the University of Minnesota, his writing and publication of the Pulitzer Prize–winning novel All the King's Men, his appointment as Consultant in Poetry at the Library of Congress, and his divorce from Emma “Cinina” Brescia and subsequent marriage to the writer Eleanor Clark. The period 1943–1952 also saw the publication of ...