By Heidi L. Frankel, Bennett P. deBoisblanc
Bedside tactics for the Intensivist supplies functional assistance and transparent, step by step guideline at the commonest methods within the ICU. The handy and transportable guide makes a speciality of ultrasound-guided innovations, together with an advent to ultrasound physics and ideas, whereas person chapters offer concise “how-to” textual content supplemented with a variety of full-color figures and tables that summarize key content material. citizens, fellows, and trainees in severe care will enjoy the detailing of symptoms and contraindications for appearing center techniques, whereas more matured intensivists will locate the publication a competent resource of evaluation fabric. Key strategies defined contain: • Ultrasound-guided vascular entry • Ultrasound-guided drainage • centred echocardiography • Airway administration • Dialysis and apheresis • Pericardiocentesis • Insertion of vena cava filters • Percutaneous dilational tracheostomy • Open tracheostomy • Transbronchial biopsy • Percutaneous endoscopic gastrostomy • Intracranial monitoring
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Extra resources for Bedside Procedures for the Intensivist
Preoperative skin antiseptics for preventing surgical wound infections after clean surgery. Cochrane Database Syst Rev. 2004;3:CD003949 42. Moylan JA, Fitzpatrick KT, Davenport KE. Reducing wound infections. Improved gown and drape barrier performance. Arch Surg. 1987;122(2):152–157 43. Webster J, Alghamdi AA. Use of plastic adhesive drapes during surgery for preventing surgical site infection. Cochrane Database Syst Rev. 2007;4: CD006353. 44. Bratzler DW, Dale W, Houck PM, et al. Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project.
Crit Care Med. 1995;23:450–458. 3 Airway Management Patricia Reinhard and Irene P. Osborn ■■ INTRODUCTION Airway management is often a difficult but vitally important skill in the ICU. The first responsibility of a practitioner assessing a critically ill patient is to assess the airway, and if any compromise or potential compromise is found, it must be dealt with as a first priority. Unlike a relatively healthy patient undergoing elective surgery, ICU patients frequently have a wide range of comorbidities, which limit physiology reserve.
CD004423 31. Brady M, Kinn S, O’Rourke K, Randhawa N, Stuart P. Preoperative fasting for preventing perioperative complications in children. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. : CD005285. CD005285 32. Davis N, Pohlman A, Gehlbach B, et al. Improving the process of informed consent in the critically ill. JAMA. 2003;289(15):1963-1968. 33. Fan E, Shahid S, Kondreddi V, et al. Informed consent in the critically ill: a two-step approach incorporation delirium screening. Crit Care Med.