By Clifford S. Deutschman MS MD FCCM, Patrick J. Neligan MA MB FRCAFRCSI
Evidence-Based perform of serious Care, edited through Drs. Clifford S. Deutschman and Patrick J. Neligan, offers goal facts and professional counsel to assist solution an important questions not easy ICU physicians at the present time. It discusses the scientific suggestions, examines the proper examine, and provides professional tips on every thing from acute organ failure to prevention concerns. a good resource for "best practices" in severe care medication, this e-book is a precious framework for translating proof into perform. It additionally offers entry to the complete textual content on-line, with standard updates to rising scientific evidence.
- Gain precious evidence-based tips about key issues akin to acute organ failure, an infection, sepsis and irritation, and prevention concerns pointing the best way to the best methods.
- Get an summary of every query, an overview of administration innovations, a assessment of the suitable proof, components of uncertainty, present administration directions, and authors’ recommendations.
- Navigate an entire variety of demanding situations from regimen care to advanced and distinct situations.
- Find the data you would like speedy with tables that summarize the on hand literature and steered medical approaches.
- Stay present at the most recent advances within the box with full-text, on-line entry that incorporates normal updates to rising medical evidence.
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Additional info for Evidence-Based Practice of Critical Care
32. 33. 34. 35. 36. 37. 38. 19 in chronic obstructive pulmonary disease. N Engl J Med. 2007; 356:775–789. Tillie-Leblond I, Marquette CH, Perez T, et al. Pulmonary embolism in patients with unexplained exacerbation of chronic obstructive pulmonary disease: Prevalence and risk factors. Ann Intern Med. 2006;144:390–393. Rutschmann OT, Cornuz J, Poletti PA, et al. Should pulmonary embolism be suspected in exacerbation of chronic obstructive pulmonary disease? Thorax. 2007;62:103–104. Snow V, Lascher S, Mottur-Pilson C.
Arterial blood gases should be obtained before starting NIV in order to assess the severity of the gas exchange derangement (particularly PaCO2) and to establish a baseline for comparison after the first 1 to 2 hours. Acutely ill patients should be monitored initially in an ICU or stepdown unit to make sure the patient is improving and tolerating the mask. Trials have shown that the response at the 1- to 2-hour time point is highly predictive of subsequent outcome; patients improving at this point are likely to succeed, but those failing to respond are likely to fail.
27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 19 in chronic obstructive pulmonary disease. N Engl J Med. 2007; 356:775–789. Tillie-Leblond I, Marquette CH, Perez T, et al. Pulmonary embolism in patients with unexplained exacerbation of chronic obstructive pulmonary disease: Prevalence and risk factors. Ann Intern Med. 2006;144:390–393. Rutschmann OT, Cornuz J, Poletti PA, et al. Should pulmonary embolism be suspected in exacerbation of chronic obstructive pulmonary disease? Thorax. 2007;62:103–104.