Disaster Response
Along with emergency planning, continuity of operations planning, response and recovery programs, efforts to ensure the welfare of employees who are required to remain at a given facility to support…
Post-ICU Syndrome and the Post-ICU Clinic
FIGURE 12.1 Onychomadesis after critical illness. Cognitive problems in ICU survivors occur in areas of memory, attention, and executive functioning, all domains that have clear implications for daily functioning (32–36)….
Neurologic Injury: Prevention and Initial Care
During the evaluation and observation of the TBI patient, repeated neurologic monitoring includes the vital signs with special attention to extremes in blood pressure. Hypotension may result in secondary injury,…
Gastrointestinal Physiology
FIGURE 17.1 Schematic depiction of a villus. The villi are foldings of the intestinal epithelium that greatly increase the surface area in contact with the contents within the lumen. They…
The Febrile Patient
TABLE 82.2 Noninfectious Causes of Fever in the ICU Noninfectious Causes A large number of noninfectious conditions result in tissue injury with inflammation and a febrile reaction. Those noninfectious disorders…
Burn Injury: Thermal and Electrical
Colloid infusion during the resuscitation of acutely injured patients has been debated for some time. Acute burn injury leads to capillary permeability, which allows loss of intravascular albumin into the…
Interventional Bronchoscopy and Massive Hemoptysis
TABLE 116.2 Causes of Alveolar Hemorrhage Physical Examination The physical examination may provide clues to the diagnosis of massive hemoptysis. A saddle nose deformity and/or septal perforation suggest Wegener granulomatosis….
Flexible Bronchoscopy
Bronchoscopy-associated hypoxemia may be minimized by providing 100% oxygen during the procedure, shortening bronchoscopy time, and frequently withdrawing the bronchoscope from the airway to allow adequate ventilation. Adequate tidal volume…
Small Bowel Transplantation
FIGURE 74.1 Causes of short bowel syndrome (SBS) leading to intestinal transplantation in children (A) and adults (B). There are no clear definitions of intestinal failure that allow patient status…
The Morbidly Obese Patient in the Critical Care Unit
RESPIRATORY CONSIDERATIONS IN THE MORBIDLY OBESE Morbidly obese patients have significant anatomic and pathophysiologic changes of the pulmonary system. Reduced lung volumes, increased work of breathing, respiratory muscle inefficiency, and…
