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    Evidence-based practice of critical care / [edited by] Clifford S. Deutschman, Patrick J. Neligan.

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    • Title:Evidence-based practice of critical care / [edited by] Clifford S. Deutschman, Patrick J. Neligan.
    •    
    • Other Contributors/Collections:Deutschman, Clifford S.
      Neligan, Patrick J.
    • Published/Created:Philadelphia, PA : Saunders/Elsevier, ©2010.

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    • Library of Congress Subjects:Critical care medicine.
      Evidence-based medicine.
    • Medical Subjects: Critical Care.
      Evidence-Based Medicine.
      Intensive Care Units.
    • Description:xxiii, 718 pages : ill ; 28 cm.
    • Summary:This landmark book provides objective data and expert guidance to help answer the most important questions facing ICU physicians today. An outstanding source for "best practices" in critical care medicine and a valuable framework for translating evidence into practice, it discusses the clinical options, examines the relevant research, and presents authoritative recommendations.
      Your purchase entitles you to access the website until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the website be discontinued.
      Registration and use of the website is subject to the terms of the non-transferable, limited license under which access to the site and its content is granted by Elsevier. Access to the site by individuals is limited to the first retail purchaser and may not be transferred to another party by resale, lending or other means. --Book Jacket.
    • Notes:"Expert consult"--Cover.
      Includes bibliographical references and index.
    • ISBN:9781416054764
      1416054766
    • Contents:How does one evaluate and monitor respiratory function in the intensive care unit?
      What are the indications for intubation in the critically ill patient?
      How should exacerbations of COPD be managed in the intensive care unit?
      What is the role of noninvasive ventilation in the intensive care unit?
      How should acute severe asthma be managed in the intensive care unit?
      How should pulmonary embolism be diagnosed and treated?
      What is the optimal approach to weaning and liberation from mechanical ventilation?
      Is oxygen toxic?
      What is the role of hyperbaric oxygen therapy in the intensive care unit?
      What is the clinical definition of ARDS?
      What is the natural history of a patient with ARDS?
      Do nonventilatory strategies for acute lung injury and ARDS work?
      What are the pathologic and pathophysiologic changes that accompany acute lung injury and ARDS?
      Is acute lung injury a single syndrome?
      What is the best mechanical ventilation strategy in ARDS?
      Is permissive hypercapnia helpful or harmful?
      Do patient positioning in general and prone positioning in particular make a difference in ARDS?
      What is the role of airway pressure release ventilation in ARDS?
      What is the role of alveolar recruitment maneuvers in the management of ARDS?
      What is the role of high-frequency oscillation in ARDS?
      Inhaled vasodilators in ARDS: do they make a difference?
      Are anti-inflammatory therapies in ARDS effective?
      Is extracorporeal life support for adults with acute respiratory distress syndrome useful?
      What is inflammation? What is sepsis? What is MODS?
      Sepsis-source unknown: how should one work up and manage the patient?
      Which organs become dysfunctional in sepsis? How does the occur? How is it diagnosed and managed?
      Bacterial translocation and gut-derived sepsis: do they exist?
      Is invasive hemodynamic monitoring useful in sepsis?
      What is the role of empirical antibiotic therapy in sepsis?
      What is the best way to fluid-resuscitate a patient with sepsis?
      What vasopressor agent should be used in the septic patient?
      Should vasopressin be used in septic shock?
      What is the role of source control in sepsis?
      Is there immune suppression in the critically ill?
      Are the concepts of SIRS and MODS useful in sepsis?
      Is sepsis-induced organ dysfunction a manifestation of a prosurvival adaptive response?
      Is chronic critical illness a state of endocrine dysfunction?
      How does one diagnose and manage severe community-acquired pneumonia?
      How do I diagnose and manage catheter-related blood stream infections?
      What is the epidemiology of anti-microbial resistance in the intensive care unit?
      Is selective decontamination of the digestive tract useful?
      What is the evidence that supports current resuscitation guidelines for cardiac arrest?
      Should we abandon the pulmonary artery catheter in the intensive care unit?
      How does one diagnose and manage acute myocaridal ischemia in the intensive care unit?
      How is cardiogenic shock diagnosed and managed in the intensive care unit?
      When is hypertension a true crisis and how should it be managed in the intensive care unit?
      How does one manage and treat atrial fibrillation in postoperative critically ill patients?
      Is right ventricular failure common in the intensive care unit? How should it be managed?
      Pulmonary hypertension in ARDS: is it important and should we treat it?
      How does one manage postsurgical patients with known coronary artery disease in the intensive care unit? What is the value of non-dialytic therapy in acute kidney injury?
      How does one optimize care in patients at risk for or presenting with acute kidney injury?
      What is the role of renal replacement therapy in the intensive care unit?
      Do renal replacement therapy strategies in the intensive care unit affect clinical outcomes?
      Can radiographic contrast nephropathy be prevented?
      How should acid-base disorders be diagnosed and managed?
      What are the etiology, pathogenesis, and pathophysiology of elevated intracranial pressure?
      How should traumatic brain injury be managed?
      How should aneurysmal subarachnoid hemorrhage be managed?
      How should i manage acute ischemic stroke in the intensive care unit?
      Is there a polymyopathy or polyneuropathy of critical illness? What is it and how is it diagnosed and managed? How does it affect outcome?
      Is hypothermia useful in managing critically ill patients? Which ones? Under what conditions?
      How does critical illness change metabolism?
      Does enteral nutrition (including early enteral) result in better outcomes than parenteral nutrition in critically ill patients?
      Is it important to deliver enhanced levels of arginine to critically ill patients? Should it be treated?
      Do immunonutrients improve outcome in the critically ill?
      Is it appropriate to underfeed the critically ill patient?
      How do i diagnose and manage acute gastrointestinal bleeding?
      Is prophylaxis for stress ulceration useful?
      How is acute liver failure managed (including hepatic encephalopathy)?
      Should blood glucose be tightly controlled in the intensive care unit?
      Can acute adrenal insufficiency be diagnosed in the intensive care unit? If so, how should it be managed?
      Is there a mineralocorticoid deficinecy in critically ill patients? How can it be diagnosed? Should it be treated?
      How do I diagnose and manage acute endocrine emergencies in the intensive care unit?
      What is the best way to sedate critically ill patients?
      What is the role of a₂-adrenergic receptor agonists in the intensive care unit?
      How does on prevent, diagnose and treat delirium in the intensive care unit?
      Sleep disturbance in the intensive care unit: do they matter?
      How should patients with thoracic trauma be managed in the intensive care unit?
      What is abdominal compartment syndrome and how should it be managed?
      How should pelvic fractures be managed in the intensive care unit?
      How should patients with burns be managed in the intensive care unit?
      What is the best approach to fluid management, transfusion therapy, and the end points of resuscitation in trauma?
      What are the critical care implications of muscle and long bone trauma?
      How should the critically ill pregnant patient be managed?
      Should one prevent or treat hypothermia in the intensive care unit?
      What are the special considerations in the management of morbidly obese patients in the intensive care unit?
      How do I transport the critically ill patient?
      How are patients who are admitted to the intensive care unit after common poisonings diagnosed and managed?
      How does one care for the heart-beating, brain dead, adult organ donor patient?
      What platelet disorders occur in the intensive care unit and how should they be treated?
      When is transfusion therapy indicated in critical illness and when is it not?
      Is there a better way to deliver optimal critical care services?
      What is the role of the intensivist and of the intensive care unit medical director?
      What is the role of teamwork in the intensive care unit?
      Is a closed intensive care unit better than an open intensive care unit?
      Does telemedicine have a role in the intensive care unit? What is it? Does it make a difference?
      When is intensive care unit care innovative therapy and when is it clinical research?
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