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Summary Handbook of Critical and Intensive Care Medicine Fourth Edition

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Handbook of Critical and Intensive Care Medicine Fourth Edition 1 Approach to the Intensive Care Unit (ICU) . . . . . . . . 1 Welcome to the ICU. . . . . . . . . . . . . . . . . . . . . . . . . . . 1 What Is an ICU? . . . . . . . . . . . . . . . . . . . . . . . . . 1 Historical Development of the ICU . . . . . . . . . 1 Economic Impact of the ICU . . . . . . . . . . . . . . . 2 Organization of the ICU . . . . . . . . . . . . . . . . . . . 2 Teamwork . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 The Flow Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 The Critically Ill Patient . . . . . . . . . . . . . . . . . . . . . . . . 4 System-Oriented Rounds . . . . . . . . . . . . . . . . . . . . . . . 5 Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Major Events Over the Last 24 h . . . . . . . . . . . . 8 System Review . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Do Not Resuscitate (DNR) and Ethical Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2 The Basics of Critical Care . . . . . . . . . . . . . . . . . . . . . . 17 Cardiac Arrest and Resuscitation . . . . . . . . . . . . . . . . 17 The Alveolar Air Equation . . . . . . . . . . . . . . . . . . . . . 28 Oxygen Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Mechanical Ventilation . . . . . . . . . . . . . . . . . . . . . . . . 42 Hemodynamics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 The Cardiopulmonary Interaction . . . . . . . . . . . . . . . 72 Integrated Cardiopulmonary Management Principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 3 Cardiovascular Disorders . . . . . . . . . . . . . . . . . . . . . . . 79 Ischemic Heart Disease . . . . . . . . . . . . . . . . . . . . . . . . 79 Unstable Angina Pectoris . . . . . . . . . . . . . . . . . . 79 Myocardial Infarction . . . . . . . . . . . . . . . . . . . . . 85

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Handbook of Critical
and Intensive Care
Medicine
Joseph Varon
Fourth Edition




123

,Handbook of Critical and
Intensive Care Medicine

,Joseph Varon



Handbook of Critical
and Intensive Care
Medicine
Fourth Edition

, Joseph Varon
United Memorial Medical Center/United General
United Memorial Medical Center and United General
Hospital Chief of Staff and Chief of Critical Care Services
Houston, TX
USA




ISBN 978-3-030-68269-9    ISBN 978-3-030-68270-5 (eBook)
https://doi.org/10.1007/978-3-030-68270-5

© Springer Nature Switzerland AG 2021
This work is subject to copyright. All rights are reserved by the Publisher, whether
the whole or part of the material is concerned, specifically the rights of transla-
tion, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on
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and retrieval, electronic adaptation, computer software, or by similar or dissimi-
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The use of general descriptive names, registered names, trademarks, service
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statement, that such names are exempt from the relevant protective laws and
regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and
information in this book are believed to be true and accurate at the date of pub-
lication. Neither the publisher nor the authors or the editors give a warranty,
expressed or implied, with respect to the material contained herein or for any
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with regard to jurisdictional claims in published maps and institutional
affiliations.

This Springer imprint is published by the registered company Springer
Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

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