ACCP Critical Care Medicine Board Review: 21st Edition 2012 by American College of Chest Physicians

By American College of Chest Physicians

ACCP severe Care medication Board overview: twenty first Edition
DOI: 10.5555/978-0-916609-76-4


Chapter 1. Endocrine Emergencies loose TO VIEW
Chapter 2. Postoperative Crises
Chapter three. Mechanical Ventilation
Chapter four. Hypertensive Emergencies and Urgencies
Chapter five. being pregnant and demanding Illness
Chapter 6. Venous Thromboembolic Disease
Chapter 7. Acute Coronary Syndromes
Chapter eight. center Failure and Cardiac Pulmonary Edema
Chapter nine. Acute and persistent Liver Failure within the ICU
Chapter 10. Hemodynamic Monitoring
Chapter eleven. Tachycardia and Bradycardia within the ICU
Chapter 12. Infections in AIDS sufferers and different Immunocompromised Hosts
Chapter thirteen. Liberation From Mechanical Ventilation
Chapter 14. Trauma and Burns
Chapter 15. Airway administration, Sedation, and Paralytic Agents
Chapter sixteen. Acute Lung Injury/Acute breathing misery Syndrome
Chapter 17. Coma and Delirium
Chapter 18. the intense stomach, Pancreatitis, and the stomach Compartment Syndrome
Chapter 19. Hypothermia/Hyperthermia and Rhabdomyolysis
Chapter 20. Ventilatory Crises
Chapter 21. Poisonings and Overdoses
Chapter 22. Anemia and RBC Transfusion within the ICU
Chapter 23. Shock
Chapter 24. Coagulopathies, Bleeding problems, and Blood part Therapy
Chapter 25. Gastrointestinal Bleeding within the ICU
Chapter 26. Nutrition
Chapter 27. Resuscitation: Cooling, medicines, and Fluids
Chapter 28. moral concerns in extensive Care Medicine
Chapter 29. studying scientific study and realizing Diagnostic assessments in severe Care Medicine
Chapter 30. Imaging
Chapter 31. method of Acid-Base Disorders
Chapter 32. critical Pneumonia
Chapter 33. ICU guidance, top Practices, and Standardization
Chapter 34. prestige Epilepticus, Stroke, and elevated Intracranial Pressure
Chapter 35. Derangements of Serum Potassium, Sodium, Calcium, Phosphate, and Magnesium
Chapter 36. Antibiotic treatment in serious Illness
Chapter 37. Transplant-Related Issues
Chapter 38. Acute Kidney damage within the ICU
Chapter 39. worried method Infections and Catheter Infections

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Extra resources for ACCP Critical Care Medicine Board Review: 21st Edition 2012

Example text

Derdak S, Mehta S, Stewart TE, et al. Highfrequency oscillatory ventilation for acute respiratory distress syndrome in adults: a randomized, controlled trial. Am J Respir Crit Care Med. 2002;166(6):801–808. Brochard L, Mancebo J, Wysocki M, et al. Noninvasive ventilation for acute exacerbations Chapter 3. Mechanical Ventilation (Schmidt) of chronic obstructive pulmonary disease. N Engl J Med. 1995;333(13):817–822. 20. Kramer N, Meyer TJ, Meharg J, Cece RD, Hill NS. Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure.

Finally, one should ensure that the patient and ventilator are synchronized, that is, that each attempt by the patient to trigger the ventilator generates a breath. The most common situation in which the patient fails to trigger breaths occurs in severe obstruction when autoPEEP is present. This is recognized at the bedside when the patient makes obvious efforts that fail to produce a breath. Using waveforms, these ineffective efforts cause a temporary slowing of expiratory flow, sometimes halting it completely.

While waveform recognition is extremely helpful in positioning the catheter, and often makes the use of fluoroscopic techniques unnecessary, it is essential for the measurement and interpretation of waveforms displayed during PA catheterization to be correlated to the ECG tracing so that specific components of the waveform can be identified and various pitfalls in measurement of intravascular pressure can be avoided. The Normal Atrial Pressure Waveform In sinus rhythm, the atrial pressure waveform is characterized by two major positive deflections (A and V waves) and two negative deflections (x- and y-descents) (Fig 3).

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