CRITICAL CARE

Acute cerebrovascular complications

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Chapter 44 Acute cerebrovascular complications Bernard Riley Cerebrovascular disease is common and its acute manifestations, known as stroke, produce considerable morbidity and mortality. Stroke is defined as an acute focal…

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Acute calcium disorders

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Chapter 54 Acute calcium disorders Balasubramanian Venkatesh Calcium is an important cation and the principal electrolyte of the body. A total of 1–2 kg is present in the average adult,…

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Sedation and analgesia in children

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Chapter 100 Sedation and analgesia in children Geoff Knight All children, including preterm infants, feel and remember pain and discomfort.1 Provision of adequate sedation and analgesia should therefore be a…

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Heart and lung transplantation

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Chapter 95 Heart and lung transplantation Cliff J. Morgan The first successful cardiac transplantation was performed at Groote Schuur, South Africa in 1967 and was followed by operations in other…

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Organ donation

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Chapter 93 Organ donation Stephen J. Streat Intensivists often have responsibility for the care of organ transplant recipients and have seen the benefits they obtain from transplantation. Clinical results continue…

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Principles of antibiotic use

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Chapter 64 Principles of antibiotic use Jeffrey Lipman The intensive care unit (ICU) is always the area of any hospital associated with the greatest use of antibiotics. Much of this…

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Metabolic response to injury and infection

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Chapter 86 Metabolic response to injury and infection Ian K S. Tan Injury and infection evoke in the host a hypermetabolic inflammatory response and a compensatory hypometabolic hypoimmune response. The…

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Severe and multiple trauma

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Chapter 66 Severe and multiple trauma James A. Judson Trauma can be defined as physical injury from mechanical energy. It is usually categorised as blunt or penetrating. In Western countries,…

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Nosocomial infection

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Chapter 62 Nosocomial infection Neil Soni Nosocomial or hospital-acquired infections are a major problem in hospitals, affecting up to 9% of inpatients at any one time. Intensive care units (ICUs)…

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Humidification and inhalation therapy

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Chapter 28 Humidification and inhalation therapy Andrew D. Bersten The upper airway normally warms, moistens and filters inspired gas. When these functions are impaired by disease, or when the nasopharynx…

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