Ian McConachie - Handbook of ICU Therapy (Greenwich Medical Media)
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Handbook of ICU Therapy provides rapid access to important information on the treatment of the critically ill patient. It comprises a series of cutting edge reviews of the most advanced treatment concepts available in the modern ICU. Whilst assuming a basic knowledge of underlying conditions, it nonetheless outlines key physiological principles where necessary, and critically reviews current literature and best practice. The heart of the book is aimed at providing key practical information on treatment techniques to the busy clinician in an easily accessible style. In addition to conventional drug therapy, ventilator, fluid and physical therapies are also discussed in detail. All of the authors are directly involved in ICU research and practice and are familiar with all of the latest developments in this fast-moving field of medicine.
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1999 Greenwich Medical Media Ltd 219 The Linen Hall 162-168 Regent Street London W1R 5TB
ISBN 1 900151 782
First Published 1999
While the advice and information in this book is believed to be true and accurate, neither the authors nor the publisher can accept any legal responsibility or liability for any loss or damage arising from actions or decisions based in this book. The ultimate responsibility for the treatment of patients and the interpretation lies with the medical practitioner. The opinions expressed are those of the authors and the inclusion in this book relating to a particular product, method or technique does not amount to an endorsement of its value or quality, or of the claims made of it by its manufacture. Every effort has been made to check drug dosages; however, it is still possible that errors have occurred. Furthermore, dosage schedules are constantly being revised and new side effects recognised. For these reasons, the medical practitioner is strongly urged to consult the drug companies' printed instructions before administering any of the drugs recommended in this book.
Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the UK Copyright Designs and Patents Act, 1988, this publication may not be reproduced, stored, or transmitted, in any form or by any means, without the prior permission in writing of the publishers, or in the case of reprographic reproduction only in accordance with the terms of the licences issued by the Copyright Licensing Agency in the UK, or in accordance with the terms of the licences issued by the appropriate Reproduction Rights Organization outside the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publishers at the London address printed above.
The right of Ian McConachie to be identified as editor of this work has been asserted by him in accordance with the Copyright, Designs and Patents Act 1988.
The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made.
A catalogue record for this book is available from the British Library
Distributed worldwide by Oxford University Press
Project Manager Gavin Smith
Production and Design by Saxon Graphics Limited, Derby
Printed in Great Britain by Ashford Colour Press
Page v
PREFACE
This text:
Is aimed primarily at trainees working in intensive care. Hopefully it will appeal to multidisciplinary trainees being exposed to ICU for the first time under joint college guidelines for ICU training. It may also be of interest to ICU nurses looking for information on modern medical (in the strictest sense) approaches to ICU therapy. A basic knowledge of physiology and pharmacology is assumed as well as either a medical background or advanced nursing experience in intensive care.
May also be a useful aide-mmoire for ICU examinations especially for the FRCA and future diplomas in intensive care.
Arose out of a series of ICU study days organized by the Editor in the North West region since 1992. All the authors have been lecturers on these courses. The other main source and inspiration for this text was a folder of `Guidelines for Therapy' written by the author in 1991 and 1993 while working at a previous hospital.
The authors are all either experienced ICU practitioners or invited experts on specialist issues. Being involved in ICU research was not a prerequisite although many of the authors have been or are involved in ICU research - a clinical commitment at the bedside was thought more important for this text.
Aims to provide practical information on the management of common and/or important problems in the critically ill patient as well as sufficient background information to enable understanding of the principles and rationale behind their therapy. We hope it will prove useful at the bedside but we would like to emphasize that this, or any other book, is no substitute for experienced supervision, support and training.
Emphasizes the importance of cardiac function throughout.
Does not aim to cover all ICU practice and is not a substitute to the major ICU reference textbooks. For example, monitoring techniques
Page vi
are not covered (best learnt at the bedside) but, however, the philosophy of monitoring is covered where necessary to illustrate important management points. Similarly, pathophysiology is included to help understand management principles.
Has a format designed for easy access to information also presented in a concise manner. We have tried to eliminate all superfluous material. Selected important or controversial references are presented as well as suggestions for further reading.
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