The Handbook of Surgical Intensive Care

The Handbook of Surgical Intensive Care: Practices of the Surgical Residents at Duke University Medical Center
By Bryan M. Clary MD, Carmelo A. Milano MD, Brian M. Clary, Carmelo A. Milano



Publisher: Mosby
Number Of Pages: 482
Publication Date: 2000-06-15
ISBN-10 / ASIN: 0323011063
ISBN-13 / EAN: 9780323011068


Product Description:


This compact little handbook is now even more efficient and user- friendly in the fifth edition. Theoretical and basic science information has been omitted to focus solely on the clinical management of surgical intensive care patients. Quick and thorough answers are provided to the diagnostic and therapeutic questions common in Surgical Intensive Care Units (SICU). Efficiently organized by organ system, it aids trainees in day-to-day management issues and provides additional critical content on SICU procedures, anesthesia, nutrition, and drug dosing. This handbook provides every ICU practitioner with an insightful and functional reference to assist them in the care of

critically ill patients. Four new chapters: Nutrition, Anesthesia and Analgesia, Burns, and Common ICU Procedures. Extensively updated and expanded chapter on medications.


PREFACE
The Duke Surgical ICU Handbook was first compiled in the mid-1980s by David C.
Sabiston, Jr., M.D. and H. Kim Lyerly, M.D. for residents at the institution. Due to its
popularity within the institution, it was expanded and published. Now as we submit the
new fifth edition of this handbook, there are many changes relative to the original edition.
The goal of the handbook, however, remains the same: to provide ICU practitioners
with a insightful and functional reference to assist them in the care of their critically ill
patients. In addition to providing a reference to practitioners with experience, this
manual is designed for residents and other trainees with limited ICU experience.
ICU patients represent perhaps the most challenging of patients for new trainees.
ICU patients frequently present complex problems with ventilator management, inotropic
support, renal, and metabolic issues. While medical students often receive formal
lectures regarding the pathophysiology related to these topics, residents may still find
the actual clinical management of these patients difficult or even overwhelming. Furthermore,
management decisions often need to be executed quickly or at odd hours,
making reference to a formal textbook impractical. We have tried to limit the discussion
of physiology and pathophysiology in order to focus on clinical management. We have
shortened the text to provide a more user-friendly format. Four new chapters have been
added, three of which address the important topics of nutrition, anesthesia, and the
management of burns and wounds. A chapter focusing specifically on the techniques of
common ICU procedures has also been added. Lastly, the chapter on medications has
been greatly expanded and updated to include those medications that have been incorporated
into clinical practice since the release of the last edition.
This book has been written predominantly by senior surgical residents at Duke University
Medical Center who have recently completed or are near completion of their surgical
training. We feel this has helped to focus the content away from theoretical aspects
toward practical ICU management issues that younger residents face on a daily basis.
Furthermore, while ICU management is becoming a subspecialty itself, the authorship of
this handbook reflects our program's continued emphasis that surgeons remain not only
involved in the management of their ICU patients but leaders in the field.
We thank Dr. David C. Sabiston, Jr. and Dr. Robert W. Anderson, our Chairmen, for
their continued support and guidance on this project. The editors are indebted to our
contributing authors for their dedication and perseverance in maintaining the quality of
this manual. We also thank our wives and families whose constant support facilitated
the completion of this project.
Bryan M. Clary
Carmelo A. Milano


CONTENTS
PART I Fundamental Principles of Surgical Intensive Care
1 Hemodynamic Monitoring, 3
R. Eric Lilly
2 Shock, 9
James D. St. Louis
3 Fluids, Electrolytes, and Acid-Base Management, 17
Robert B. Noone
4 Cardiopulmonary Resuscitation, 39
Alan P. Kypson
5 Procedures, 59
Lisa A. Clark
PART II Pathophysiology
6 The Cardiac System, 87
Carmelo A. Milano
7 The Pulmonary System, 101
Lynne A. Skaryak
8 The Renal System, 115
G. Chad Hughes
9 The Gastrointestinal System, 147
Kirsten Bass Wilkins
10 The Vascular System, 177
Paul M. Kirshbom
11 The Endocrine System, 189
Bryan M. Clary
12 The Hematologic System, 201
Jeffrey H. Lawson
13 The Central Nervous System, 223
John C. Wellons III
PART III Specialized Patient Management
14 Trauma, 255
Scott C. Silvestry
15 Transplantation, 271
Larkin J. Daniels
xi
Contents
16 Cardiac Surgery, 295
Hartmuth Bruno Bittner
17 Pediatric Surgery, 309
Bryan C. Weidner
18 Burns, 335
Andrew J. Lodge
19 Extracorporeal Membrane Oxygenation, 351
Joseph M. Forbess
PART IV Selected Problems in Patient Management
20 Infection and Sepsis, 363
Charles W. Hoopes
21 Ventilator Management, 387
R. Anthony Perez-Tamayo
22 Nutrition, 401
J.E. (Betsy) Tuttle-Newhall
23 Anesthesia and Analgesia, 415
Eugene W. Moretti
24 Medications and Drips, 433
Shahab A. Akhter
xii


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