1 When should your Acute Care Surgery (ACS) patient be admitted to the ICU or discharged from the ICU ? - A general review of ICU admission and discharge indications.- 2 Acute respiratory failure in the ACS patient - What are the indications for acute intervention?.- 3 Nuts and bolts of ventilator management - When is Invasive or Non-Invasive Mechanical Ventilation appropriate for your patient?.- 4 Principles of weaning from ventilatory support - When and why to wean, when to consider a tracheostomy.- 5 Circulatory failure/support in the ACS patient - What are the optimal methods of providing circulatory monitoring and support.- 6 Brain injury in the ACS patient - Nuts and bolts of neuromonitoring and management.- 7 Renal failure in the ACS patient - Understanding appropriate fluid management and renal replacement therapy.- 8 Acute hepatic failure in the ACS patient - Nuts and bolts of pathophysiology and therapy.- 9 Resuscitation and appropriate fluid therapy in the ACS patient - From pathophysiology to clinical practice.- 10 Blood therapy in the ACS patient - Choosing appropriate resuscitation and transfusion strategies.- 11 Coagulation derangements in the ACS patient - understanding prior anticoagulation therapy and addressing acute coagulopathy.- 12 Nutrition and Metabolic Support of the ACS patient - Understanding goals and ways to achieve them.- 13 Intra-abdominal hypertension, abdominal compartment syndrome and the open abdomen - Looking beyond basic pathophysiology, complications and therapies.- 14 Infectious complications in the ACS patients - Understanding appropriate antibiotic choice and utilization.- 15 Ongoing intra-abdominal infection requiring ICU care - prioritizing treatment decisions.- 16 Ultrasounds in the ICU - Nuts and bolts in the ACS patient management.- 17 Nuts and bolts of interventional radiology - a valuable adjunct for the care of ACS patient in the ICU.- 18 Ethical decisions and dilemmas in the ACS patients requiring ICU - Understanding when to start and when to stop.- 19 The ICU in mass casualty events - Changing priorities to meet ongoing demands.- 20 Care of the ACS patients in the low resource setting - How to make the maximum with the minimum.
This book provides the basis needed for a dialogue between intensivists and emergency surgeons regarding the management and monitoring of acute care surgery (ACS) patients who require Intensive Care Unit (ICU) admission. It puts forward a practical approach to the treatment of common emergencies in daily clinical practice, and shares essential information on the treatment and monitoring of hemodynamic, respiratory, metabolic and neurological problems related to acute surgical patients requiring ICU admission. Furthermore, it includes two chapters regarding diagnostic and interventional radiology (fundamentals in daily emergency clinical practice), and addresses important issues such as ethics, mass casualty care, and care in low-resource settings. As such, the book not only offers a valuable guide for all practicing surgeons and intensivists, but is also relevant for residents and fellows who are newcomers to ACS.
Edoardo Picetti is an anesthesiologist and intensivist working at the Intensive Care Unit of Parma University Hospital. His field of interest largely focuses on neurocritical care. He is the author of several publications and collaborates as a reviewer for various medical journals.
Dr. Bruno M Pereira, MD, MSc, PhD, FACS is a Trauma Surgeon and Surgical Critical Care specialist currently working as an Associate Professor of the Department of Surgery of the University of Campinas and Full Professor of Acute Care Surgery at University of Vassouras Masters Program in Applied Health Sciences. His areas of interest are: Trauma Surgery, New technologies in Trauma, Emergency Medicine, Intra-abdominal Hypertension and Abdominal Compartment Syndrome, Coagulophaty, War Medicine, Trauma Surgery Training, Surgical Critical Care, Medical Disaster Response and Medical Education. Currently Dr Pereira is the President of the World Abdominal Compartment Society (WSACS 2017-2019), Co-Director of the Disaster Committee of the Pan American Society of Trauma, Director of the Chapter Sao Paulo of the Brazilian Society of Trauma (SBAIT).
Tarek Razek has been the trauma program director and the chief of the trauma surgery division at McGill University Health Center (MUHC) since 2004. His fields of interest include surgical issues such as participation in and development of medical educational programs in Africa, as well as disaster medicine.
Mayur Narayan is an attending surgeon at the Division of Trauma, Burns, Critical and Acute Care Surgery, Weill Cornell Medical Center. Dr. Narayan has been an invited international lecturer for trauma and injury prevention. He is the recipient of numerous awards and a member of several professional organizations (such as the American College of Surgeons, the Eastern Association for the Surgery of Trauma, etc.).
Jeffry L Kashuk is a professor of surgery working in Tel Aviv. He is experienced in acute care surgery and critical care and his research mainly explores problems associated with blood coagulation after injury. He is the author or co-author of nearly 100 peer-reviewed articles and book chapters, and a senior member of many editorial review boards worldwide.