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Richard S. Irwin - Irwin and Rippes Intensive Care Medicine

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Selected as a Doodys Core Title for 2022!
With a focus on evidence-based, state-of-the-art information throughout, the eighth edition of Irwin and Rippes Intensive Care Medicine offers authoritative guidance to the wide variety of specialty physicians and non-physicians practicing in the adult intensive care environment. This comprehensive textbook covers both the theoretical and practical aspects of the field, and has been completely updated to provide encyclopedic, interprofessional coverage to support practitioners in every area of this complex field.
Features:
  • Approaches intensive care from an interprofessional, collaborative perspective, encompassing anesthesia, surgery, trauma, and neurology, as well as cardiovascular and medical intensive care.
  • Maintains a practical, clinically-oriented approach, with comprehensive sections on procedures, techniques, and ultrasound; minimally invasive monitoring; pharmacology, overdoses, and poisoning; infectious disease; transplantation; critical care consequences of agents of mass destruction; and many more.
  • Features many new chapters, and an entirely new section on Palliative Care and Ethical Issues in the Critical Care Unit.
  • Reflects the rising importance of point-of-care ultrasonography with five hours of expertly narrated video embedded into 23 relevant chapters, clearly depicting the ideal use of this tool for intensivists .
  • Includes a section on ICU Design, Organization, Operation, and Outcome Measures that addresses important changes and advances regarding safety, clinical practice guidelines, decreasing the cost of care, tele-ICU, and more.
  • Provides extensive updates reflecting advances in cardiovascular intensive care, surgical critical care, shock and trauma, and sepsis management.
  • Includes recommendations reflecting randomized controlled clinical trials, summarized, when possible, in quick-reference tables throughout.
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Irwin and Rippes Intensive Care Medicine EIGHTH EDITION Irwin and Rippes - photo 1

Irwin and Rippes

Intensive Care
Medicine

EIGHTH EDITION

Irwin and Rippes

Intensive Care
Medicine

EIGHTH EDITION

Editors

Richard S. Irwin, MD, Master FCCP

Professor of Medicine and Nursing

University of Massachusetts Medical School

Chair, Critical Care Operations

UMass Memorial Medical Center

Worcester, Massachusetts

Craig M. Lilly, MD, FCCP

Professor of Medicine, Anesthesiology, and Surgery

University of Massachusetts Medical School

Vice Chair, Critical Care Operations

Director, Tele-ICU Program

UMass Memorial Medical Center

Worcester, Massachusetts

Paul H. Mayo, MD, FCCP

Academic Director Critical Care

Division of Pulmonary, Critical Care, and Sleep Medicine

Department of Medicine

Northwell Health LIJ/NSUH Medical Center

Professor of Clinical Medicine

Zucker School of Medicine at Hofstra/Northwell

Hempstead, New York

James M. Rippe, MD

Founder and Director

Rippe Lifestyle Institute

Shrewsbury, Massachusetts

Acquisitions Editor Brian Brown Product Development Editor Lauren Pecarich - photo 2

Acquisitions Editor: Brian Brown

Product Development Editor: Lauren Pecarich

Marketing Manager: Dan Dressler

Production Project Manager: David Saltzberg

Design Coordinator: Holly Reid McLaughlin

Manufacturing Coordinator: Beth Welsh

Prepress Vendor: S4Carlisle Publishing Services

Eighth edition

Copyright 2018 by Richard S. Irwin, M.D., James M. Rippe, M.D., and Craig M. Lilly, M.D.

7th Edition 2012 by Richard S. Irwin, M.D. and James M. Rippe, M.D., 6th Edition 2008 by Richard S. Irwin, M.D. and James M. Rippe, M.D., 5th Edition 2003 by Richard S. Irwin, M.D. and James M. Rippe, M.D., 4th Edition 1999 by Richard S. Irwin, M.D., Frank B. Cerra, M.D., and James M. Rippe, M.D., 3rd Edition 1996 by James M. Rippe, M.D., Richard S. Irwin, M.D., Mitchell P. Fink, M.D., and Frank B. Cerra, M.D., 2nd Edition 1991 by James M. Rippe, M.D., Richard S. Irwin, M.D., Joseph S. Alpert, M.D., and Mitchell P. Fink, M.D., 1st Edition 1985 by James M. Rippe, M.D., Richard S. Irwin, M.D., Joseph S. Alpert, M.D., and James E. Dalen, M.D. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).

9 8 7 6 5 4 3 2 1

Printed in China

Library of Congress Cataloging-in-Publication Data

ISBN-13: 978-1-4963-0608-1

e-ISBN: 978-1-9751-0223-4 (eBook)

ISBN-10: 1-4963-0608-2

Cataloging-in-Publication data available on request from the Publisher.


This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

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To Our Families and Patients

Contributors List

Cynthia K. Aaron, MD, FACMT, FACEP

Program Director, Medical Toxicology

Regional Poison Center

Childrens Hospital of Michigan

Detroit, Michigan

Gregory A. Abrahamian, MD

Surgical Director of Kidney Transplantation

University Transplant Center

University of Texas Health Science Center, San Antonio

San Antonio, Texas

Konstantin Abramov, MD, MHL

Assistant Professor of Medicine

Division of Renal Medicine

UMass Memorial Medical Center

Worcester, Massachusetts

Christopher D. Adams, PharmD

Clinical Assistant Professor

Department of Pharmacy

Robert Wood Johnson University at Somerset

Somerville, New Jersey

Sumera R. Ahmad, MD

Division of Pulmonary, Allergy and Critical Care

Department of Medicine

University of Massachusetts Medical School

Worcester, Massachusetts

Alfred Aleguas, Jr, BS Pharm, PharmD, DABAT, FAACT

Managing Director

Florida Poison Information Center-Trauma

Tampa General Hospital

Tampa, Florida

Gilman B. Allen, MD

Associate Professor

Department of Medicine

Division of Pulmonary Medicine and Critical Care

University of Vermont Medical Center

Burlington, Vermont

Jennifer E. Allen, MD

Palliative Medicine Consultant

Department of Oacis Services

Lehigh Valley Health Network

Allentown, Pennsylvania

Diana C. Anderson, MD, MArch

Founder, Dochitect

Physician, American Board of Internal Medicine (ABIM)

Architect, American College of Healthcare Architects (ACHA)

Montreal, Quebec, Canada

Gustavo Guillermo Angaramo, MD

Associate Professor of Anesthesiology and Critical Care

Director of Perianesthesia Unit

Department of Anesthesiology and Perioperative Medicine

University of Massachusetts Medical School

Worcester, Massachusetts

Luis F. Angel, MD

Professor, Department of Medicine

Professor, Department of Cardiothoracic Surgery

Medical Director, Lung Transplantation

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