Rational Use Of Intravenous Fluids In Critically Ill Patients
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Rational Use of Intravenous Fluids in Critically Ill Patients
Author: Manu L.N.G. Malbrain
language: en
Publisher: Springer Nature
Release Date: 2023-11-29
This open access book, published by Springer under the Open Access CC BY 4.0 Licence in collaboration with the International Fluid Academy (IFA, www.fluidacademy.org), explores rationalized intravenous fluid therapy for critically ill patients. Despite being commonly prescribed in inpatient settings, intravenous fluids are often administered without evidence-based guidelines, neglecting essential considerations such as the fact they are drugs, that need proper dosing, duration, indications, contraindications, side effects, and de-escalation. This book fills this knowledge gap. Each chapter starts with a clinical vignette and a related question, followed by a concise summary abstract, key learning points, main text, and a conclusion that addresses the clinical question and provides relevant take-home messages. Additionally, every chapter includes an IFA commentary referencing the latest literature and evidence. The book begins with an introductory chapter that provides definitions and terminology, followed by four sections. The first section covers the fundamentals of intravenous fluid therapy, including fluid compartments in sick patients, fluid bolus dynamics, heart-lung interactions, fluid challenge, fluid responsiveness, arterial blood gas analysis based on traditional and Stewart concepts, and electrolyte physiology relevant to clinical issues. The second section discusses commercially available intravenous fluids, while the third section focuses on fluid therapy in specific clinical situations. The final section introduces the concepts of fluid stewardship and appropriate fluid prescription. Aligned with the International Fluid Academy's mission to enhance education and promote research on fluid management and monitoring, ultimately improving patient survival rates, this book contributes significantly to establishing fluid stewardship at the bedside. It provides valuable support for physicians, nurses, pharmacists, and other healthcare professionals across various clinical disciplines working in emergency rooms, operating rooms, or intensive care units, aiding their everyday clinical practice.
ICU Protocols
The third edition of this highly successful book includes up-to-date notes on the stepwise management of clinical emergencies encountered in everyday intensive care units (ICU). Each thoroughly revised chapter provides concise information for point-of-care treatment, making it a practical guide clinicians can refer to daily at work while traveling, or just to expand their knowledge. Volume 1 of ICU Protocols covers topics in pulmonology, cardiology, neurology, gastroenterology, nephrology, and infectious diseases. The endocrine and metabolic systems, oncology, trauma, toxicology, envenomation and thermoregulation, obstetrics, and perioperative care are covered in the second volume of ICU Protocols. This two-volume book is a must-read for intensivists, critical care specialists, junior trainees, and residents working in ICUs. It is also relevant as course material for workshops on critical care, and essential for all hospital-based libraries. “This book provides junior trainees with an introduction to the management of problems common to the critical care unit.” David J Dries, Doody’s Book Reviews, March 2013, for the first edition of ICU Protocols.
Neurocritical Care of Trauma, An Issue of Neurosurgery Clinics of North America
Author: P. B. Raksin
language: en
Publisher: Elsevier Health Sciences
Release Date: 2025-06-27
In this issue of Neurosurgery Clinics, guest editors Drs. P.B. Raksin and Laura B. Ngwenya bring their considerable expertise to the topic of Neurocritical Care of Trauma. Critical care management of individuals who have experienced a traumatic insult to the brain and/or spinal cord is essential in the acute phase post-injury to ensure appropriate resuscitation, support operative interventions, and mitigate the risk of secondary insults. This issue will review aspects of clinical care as well as explore topics of interest with respect to medical ethics and systems of care delivery. - Contains 16 relevant, practice-oriented topics including fundamentals of care for severe traumatic brain injury and acute spinal cord injury; fluids, electrolytes, and nutrition; disorders of electrophysiology following severe traumatic brain injury; rehabilitation in the ICU; neuroprognostication and ethical considerations in neurotrauma; and more - Provides in-depth clinical reviews on neurocritical care of trauma, offering actionable insights for clinical practice - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews