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Now completely revised to bring you up to date with the latest advances in the field, Critical Care Medicine: Principles of Diagnosis and Management in the Adult, 5th Edition, delivers expert, practical guidance on virtually any clinical scenario you may encounter in the ICU. Designed for intensivists, critical care and pulmonology residents, fellows, practicing physicians, and nurse practitioners, this highly regarded text is clinically focused and easy to reference. Led by Drs. Joseph Parrillo and Phillip Dellinger, the 5th Edition introduces numerous new authors who lend a fresh perspective and contribute their expertise to that of hundreds of top authorities in the field.



Includes new chapters on current applications of bedside ultrasound in the ICU, both diagnostic and procedural; mechanical assist devices; and extra-corporeal membrane oxygenation (ECMO).
Contains new administrative chapters that provide important information on performance improvement and quality, length of stay, operations, working with the Joint Commission, and more.
Features new videos and images that provide visual guidance and clarify complex topics.
Keeps you up to date with expanded chapters on echocardiography in the ICU and valvular heart disease, including TAVR.
Includes separate chapters on mechanical ventilation of obstructive airway disease and acute respiratory distress syndrome (ARDS) - including the many recent changes in approach to positive end expiratory pressure setting in ARDS.
Covers key topics such as patient-ventilator synchrony and non-invasive ventilation for treating chronic obstructive pulmonary disease patients with acute respiratory failure.
Reflects the recent literature and guidance on amount of fluids, type of fluid, vasopressor selection, mean arterial pressure target, and decision on steroid use in septic shock.
Provides questions and answers in every chapter, perfect for self-assessment and review.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Critical Care Medicine: Principles of Diagnosis and Management in the Adult

Section 1: CRITICAL CARE PROCEDURES, MONITORING, AND PHARMACOLOGY



1. Cardiac Arrest and Cardiopulmonary Resuscitation



2. Airway Management in the Critically Ill Patient



3. Assessment of Cardiac Filling and Blood Flow



4. Arterial, Central Venous, and Pulmonary Artery Catheters



5. Cardiac Pacing



6. Pericardial Tamponade: Clinical Presentation, Diagnosis, and Catheter-Based Therapies



7. Intraaortic Balloon Counterpulsation & Percutaneous Ventricular Assist Devices



8. Echocardiography



9. General Principles of Mechanical Ventilation



10. Ventilatory Management of Obstructive Airway Disease



11. Mechanical Ventilation of Acute Respiratory Distress Syndrome



12. Bronchoscopy and Lung Biopsy in the Critically Ill



13. Noninvasive Respiratory Monitoring



14. Tracheostomy



15. Chest Tube Thoracostomy



16. Intracranial Monitoring



17. Gastrointestinal Endoscopy



18. Bedside Ultrasound in the Critically Ill Patient



19. Continuous Renal Replacement Therapy



20. Use of Sedatives, Analgesics, and Neuromuscular Blockers



21. Principles of Drug Dosing in Critically Ill



Section 2: CRITICAL CARE CARDIOVASCULAR DISEASE



22. SHOCK: Classification, Pathophysiology and Approach to Management



23. Cardiogenic Shock



24. Severe Sepsis and Septic Shock



25. Cardiac Tamponade



26. Traumatic Shock: Nonsurgical Management



27. Severe Heart Failure



28. Anaphylaxis and Anaphylactic Shock



29. Acute Coronary Syndromes and Acute Myocardial Infarction



30. Valvular Heart Disease



31. Cardiac Arrhythmias



32. Hypertensive Crises



33. Acute Aortic Dissection



34. General Principles of Postoperative ICU Care



35. Postoperative Management of the Cardiac Surgery Patient



Section 3: CRITICAL CARE PULMONARY DISEASE



36. Acute Respiratory Failure



37. Life-Threatening Asthma



38. Chronic Obstructive Pulmonary Disease



39. Hypoventilation and Respiratory Muscle Dysfunction



40. Pneumonia: Considerations for the Critically Ill Patient



41. Weaning from Mechanical Ventilation



42. Pulmonary Embolism



43. Pulmonary Hypertension



44. Massive Hemoptysis



45. Pneumothorax and Barotrauma



46. Toxic Gas, Fume, and Smoke Inhalation



Section 4: CRITICAL CARE INFECTIOUS DISEASE



47. Nosocomial Infection in the Intensive Care Unit



48. Antimicrobial Therapy



49. Antifungal and Antiviral Therapy



50. Critically Ill Immunosuppressed Host



51. Specific Infections with Critical Care Implications



Section 5: RENAL DISEASE AND METABOLIC DISORDERS IN THE CRITICALLY ILL



52. Acute Kidney Injury



53. Chronic Renal Failure



54. Acid-Base, Electrolyte, and Metabolic Abnormalities



55. Acute Diabetic Emergencies, Glycemic Control, and Hypoglycemia



56. Adrenal Insufficiency in the Critically Ill Patient



57. Thyroid Disorders



Section 6: NEUROLOGIC DISEASE IN THE CRITICALLY ILL



58. Coma



59. Neurologic Criteria for Death in Adults



60. Stroke



62. Seizures in the Critically Ill



63. Head Injury



Section 7: PHYSICAL AND TOXIC INJURY IN THE CRITICALLY ILL



64. Critical Care Management of the Severely Burned Patient



65. Poisonings



66. Hypothermia, Hyperthermia, and Rhabdomyolysis



Section 8: ADMINISTRATIVE, ETHICAL, AND PSYCHOLOGICAL ISSUES IN THE CARE OF THE CRITICALLY ILL



67. Performance Improvement in Critical Care



68. Ethical Considerations in Managing Critically Ill Patients



70. Administration and Education in the Intensive Care Unit



Section 9: OTHER CRITICAL CARE DISORDERS AND ISSUES IN THE CRITICALLY ILL



71. Diagnosis And Management Of Liver Failure In The Adult



72. Gastrointestinal Bleeding



73. Acute Pancreatitis



74. Hemorrhagic and Thrombotic Disorders



75. Use of Blood Components in the Intensive Care Unit



76. Intensive Care of the Cancer Patient



77. Critical Care Medicine in Pregnancy



78. Nutrition Support