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, 4th 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.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. v 6. Contributors - p. vi 7. Preface - p. vii 8. Top secrets - p. 1 9. I. General Intensive Care Unit Care - p. 1 10. 1. Glycemic control in the intensive care unit - p. 1 11. 2. Early mobility - p. 4 12. 3. Sedation, analgesia, delirium - p. 9 13. 4. Pain management in the intensive care unit - p. 18 14. 5. Ethics and palliative care - p. 25 15. 6. Fluid therapy - p. 33 16. 7. Nutrition in critically ill patients - p. 35 17. 8. Mechanical ventilation - p. 40 18. 9. Noninvasive respiratory support - p. 47 19. 10. Weaning from mechanical ventilation, and extubation - p. 54 20. 11. Quality assurance and patient safety in the intensive care unit - p. 59 21. II. Monitoring - p. 64 22. 12. Pulse oximetry, capnography, and blood gas analysis - p. 64 23. 13. Hemodynamic monitoring - p. 69 24. 14. Neuromonitoring - p. 76 25. III. Procedures - p. 80 26. 15. Cardiopulmonary resuscitation - p. 80 27. 16. Arterial and central venous catheters - p. 86 28. 17. Critical care ultrasound - p. 89 29. 18. Ventricular assist device - p. 96 30. 19. Percutaneous assist devices - p. 101 31. 20. Intra-aortic balloon pump - p. 107 32. 21. Extracorporeal membrane oxygenation - p. 111 33. 22. Tracheal intubation and airway management - p. 116 34. 23. Tracheostomy and upper airway obstruction - p. 123 35. 24. Chest tubes and pneumothorax - p. 127 36. 25. Bronchoscopy - p. 132 37. 26. Pacemakers and defibrillators - p. 137 38. IV. Pulmonary - p. 143 39. 27. Acute pneumonia - p. 143 40. 28. Asthma - p. 152 41. 29. Chronic obstructive pulmonary disease - p. 159 42. 30. Acute respiratory failure/acute respiratory distress syndrome - p. 165 43. 31. Hemoptysis - p. 169 44. 32. Venous thromboembolism and fat embolism - p. 174 45. V. Cardiology - p. 180 46. 33. Heart failure and valvular heart disease - p. 180 47. 34. Acute myocardial infarction - p. 187 48. 35. Cardiac arrhythmia - p. 191 49. 36. Aortic dissection - p. 200 50. 37. Pericardial disease (pericardial tamponade and pericarditis) - p. 205 51. VI. Infectious Disease - p. 210 52. 38. Sepsis and septic shock - p. 210 53. 39. Endocarditis - p. 216 54. 40. Meningitis and encephalitis in the intensive care unit - p. 223 55. 41. Disseminated fungal infections - p. 229 56. 42. Multidrug-resistant bacteria - p. 234 57. 43. Skin and soft tissue infections - p. 240 58. 44. H1N1/Influenza - p. 247 59. 45. Immunocompromised host - p. 252 60. VII. Renal Disease - p. 261 61. 46. Hypertensive crises - p. 261 62. 47. Acute kidney injury - p. 266 63. 48. Renal replacement therapy and rhabdomyolysis - p. 271 64. 49. Hypokalemia and hyperkalemia - p. 279 65. 50. Hyponatremia and hypernatremia - p. 285 66. VIII. Gastroenterology - p. 290 67. 51. Upper and lower gastrointestinal bleeding in the critically ill patient - p. 290 68. 52. Acute pancreatitis - p. 299 69. 53. Hepatitis and cirrhosis - p. 305 70. IX. Endocrinology - p. 312 71. 54. Diabetic ketoacidosis and hyperosmolar hyperglycemic state - p. 312 72. 55. Adrenal insufficiency in the intensive care unit - p. 322 73. 56. Thyroid disease in the intensive care unit - p. 325 74. X. Hematology/Oncology - p. 330 75. 57. Blood products and coagulation - p. 330 76. 58. Thrombocytopenia and platelets - p. 337 77. 59. Disseminated intravascular coagulation - p. 343 78. XI. Neurology - p. 348 79. 60. Coma - p. 348 80. 61. Brain death - p. 355 81. 62. Status epilepticus - p. 363 82. 63. Stroke and subarachnoid hemorrhage - p. 366 83. 64. Guillain-barré syndrome and myasthenia gravis - p. 372 84. 65. Alcohol withdrawal - p. 377 85. XII. Surgery and Trauma - p. 381 86. 66. Burns and frostbite - p. 381 87. 67. Thoracic trauma (flail chest, and pulmonary and myocardial contusion) - p. 387 88. 68. Acute abdomen and peritonitis - p. 394 89. 69. Organ donation - p. 400 90. XIII. Emergency Medicine - p. 407 91. 70. Disaster medicine, bioterrorism and ebola - p. 407 92. 71. Allergy and anaphylaxis - p. 417 93. 72. Hypothermia - p. 423 94. 73. Heat stroke - p. 430 95. XIV. Toxicology - p. 434 96. 74. General approach to poisonings - p. 434 97. 75. Analgesics and antidepressants - p. 441 98. 76. Toxic alcohol poisoning - p. 449 99. 77. Cardiovascular medications - p. 454 100. 78. Neuroleptic malignant syndrome - p. 458 101. XV. Unique Patient Populations - p. 465 102. 79. Care of the critically ill pregnant patient - p. 465 103. 80. Care of the obese patient - p. 471 104. 81. Oncologic emergencies - p. 481 105. 82. Post-intensive care syndrome and chronic critical illness - p. 485 106. 83. Intensive care unit survivors - p. 489 107. XVI. Emerging Therapies - p. 493 108. 84. Sepsis: Emerging therapies - p. 493 109. Index - p. 498
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, 4th 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.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. v 6. Contributors - p. vi 7. Preface - p. vii 8. Top secrets - p. 1 9. I. General Intensive Care Unit Care - p. 1 10. 1. Glycemic control in the intensive care unit - p. 1 11. 2. Early mobility - p. 4 12. 3. Sedation, analgesia, delirium - p. 9 13. 4. Pain management in the intensive care unit - p. 18 14. 5. Ethics and palliative care - p. 25 15. 6. Fluid therapy - p. 33 16. 7. Nutrition in critically ill patients - p. 35 17. 8. Mechanical ventilation - p. 40 18. 9. Noninvasive respiratory support - p. 47 19. 10. Weaning from mechanical ventilation, and extubation - p. 54 20. 11. Quality assurance and patient safety in the intensive care unit - p. 59 21. II. Monitoring - p. 64 22. 12. Pulse oximetry, capnography, and blood gas analysis - p. 64 23. 13. Hemodynamic monitoring - p. 69 24. 14. Neuromonitoring - p. 76 25. III. Procedures - p. 80 26. 15. Cardiopulmonary resuscitation - p. 80 27. 16. Arterial and central venous catheters - p. 86 28. 17. Critical care ultrasound - p. 89 29. 18. Ventricular assist device - p. 96 30. 19. Percutaneous assist devices - p. 101 31. 20. Intra-aortic balloon pump - p. 107 32. 21. Extracorporeal membrane oxygenation - p. 111 33. 22. Tracheal intubation and airway management - p. 116 34. 23. Tracheostomy and upper airway obstruction - p. 123 35. 24. Chest tubes and pneumothorax - p. 127 36. 25. Bronchoscopy - p. 132 37. 26. Pacemakers and defibrillators - p. 137 38. IV. Pulmonary - p. 143 39. 27. Acute pneumonia - p. 143 40. 28. Asthma - p. 152 41. 29. Chronic obstructive pulmonary disease - p. 159 42. 30. Acute respiratory failure/acute respiratory distress syndrome - p. 165 43. 31. Hemoptysis - p. 169 44. 32. Venous thromboembolism and fat embolism - p. 174 45. V. Cardiology - p. 180 46. 33. Heart failure and valvular heart disease - p. 180 47. 34. Acute myocardial infarction - p. 187 48. 35. Cardiac arrhythmia - p. 191 49. 36. Aortic dissection - p. 200 50. 37. Pericardial disease (pericardial tamponade and pericarditis) - p. 205 51. VI. Infectious Disease - p. 210 52. 38. Sepsis and septic shock - p. 210 53. 39. Endocarditis - p. 216 54. 40. Meningitis and encephalitis in the intensive care unit - p. 223 55. 41. Disseminated fungal infections - p. 229 56. 42. Multidrug-resistant bacteria - p. 234 57. 43. Skin and soft tissue infections - p. 240 58. 44. H1N1/Influenza - p. 247 59. 45. Immunocompromised host - p. 252 60. VII. Renal Disease - p. 261 61. 46. Hypertensive crises - p. 261 62. 47. Acute kidney injury - p. 266 63. 48. Renal replacement therapy and rhabdomyolysis - p. 271 64. 49. Hypokalemia and hyperkalemia - p. 279 65. 50. Hyponatremia and hypernatremia - p. 285 66. VIII. Gastroenterology - p. 290 67. 51. Upper and lower gastrointestinal bleeding in the critically ill patient - p. 290 68. 52. Acute pancreatitis - p. 299 69. 53. Hepatitis and cirrhosis - p. 305 70. IX. Endocrinology - p. 312 71. 54. Diabetic ketoacidosis and hyperosmolar hyperglycemic state - p. 312 72. 55. Adrenal insufficiency in the intensive care unit - p. 322 73. 56. Thyroid disease in the intensive care unit - p. 325 74. X. Hematology/Oncology - p. 330 75. 57. Blood products and coagulation - p. 330 76. 58. Thrombocytopenia and platelets - p. 337 77. 59. Disseminated intravascular coagulation - p. 343 78. XI. Neurology - p. 348 79. 60. Coma - p. 348 80. 61. Brain death - p. 355 81. 62. Status epilepticus - p. 363 82. 63. Stroke and subarachnoid hemorrhage - p. 366 83. 64. Guillain-barré syndrome and myasthenia gravis - p. 372 84. 65. Alcohol withdrawal - p. 377 85. XII. Surgery and Trauma - p. 381 86. 66. Burns and frostbite - p. 381 87. 67. Thoracic trauma (flail chest, and pulmonary and myocardial contusion) - p. 387 88. 68. Acute abdomen and peritonitis - p. 394 89. 69. Organ donation - p. 400 90. XIII. Emergency Medicine - p. 407 91. 70. Disaster medicine, bioterrorism and ebola - p. 407 92. 71. Allergy and anaphylaxis - p. 417 93. 72. Hypothermia - p. 423 94. 73. Heat stroke - p. 430 95. XIV. Toxicology - p. 434 96. 74. General approach to poisonings - p. 434 97. 75. Analgesics and antidepressants - p. 441 98. 76. Toxic alcohol poisoning - p. 449 99. 77. Cardiovascular medications - p. 454 100. 78. Neuroleptic malignant syndrome - p. 458 101. XV. Unique Patient Populations - p. 465 102. 79. Care of the critically ill pregnant patient - p. 465 103. 80. Care of the obese patient - p. 471 104. 81. Oncologic emergencies - p. 481 105. 82. Post-intensive care syndrome and chronic critical illness - p. 485 106. 83. Intensive care unit survivors - p. 489 107. XVI. Emerging Therapies - p. 493 108. 84. Sepsis: Emerging therapies - p. 493 109. Index - p. 498
