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

By American College of Chest Physicians

ISBN-10: 0916609979

ISBN-13: 9780916609979

ACCP serious Care drugs Board evaluate: twenty first Edition
DOI: 10.5555/978-0-916609-76-4


Chapter 1. Endocrine Emergencies unfastened 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 protracted 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 extreme stomach, Pancreatitis, and the belly 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 issues, and Blood part Therapy
Chapter 25. Gastrointestinal Bleeding within the ICU
Chapter 26. Nutrition
Chapter 27. Resuscitation: Cooling, medicinal drugs, and Fluids
Chapter 28. moral matters in extensive Care Medicine
Chapter 29. reading medical learn and realizing Diagnostic checks in serious Care Medicine
Chapter 30. Imaging
Chapter 31. method of Acid-Base Disorders
Chapter 32. serious Pneumonia
Chapter 33. ICU instructions, 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 remedy in serious Illness
Chapter 37. Transplant-Related Issues
Chapter 38. Acute Kidney harm within the ICU
Chapter 39. worried approach Infections and Catheter Infections

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

Sample text

7. 8. sensitive trigger, periodically removing the mask to allow the patient to sense its effect. Education, reassurance, and modest sedation (when required) may improve tolerance to the mask and ventilator. Increase the PEEP to ease the work of triggering with a goal of (typically) 4 to 6 cm H2O; raise the level of PSV until the patient is subjectively improved, the VT is sufficient, and the rate begins to fall, with a goal of 10 to 15 cm H2O. Detect and correct mask leaks by repositioning, achieving a better fit, changing the type of mask, removing nasogastric tubes (gastric decompression is not recommended during NIV), or adjusting the ventilator to reduce peak airway pressure.

The gas exchange impairment results from intrapulmonary shunt that is largely refractory to oxygen therapy. In ARDS, the significantly reduced functional residual capacity arising from alveolar flooding and collapse leaves many fewer alveoli to accept the VT, making the lung appear stiff and Chapter 3. Mechanical Ventilation (Schmidt) dramatically increasing the work of breathing. The ARDS lung should be viewed as a small lung, however, rather than a stiff lung. 1,25 Ventilatory strategies have evolved markedly in the past decade, changing clinical practice and generating tremendous excitement.

This example serves to emphasize not only the relative lack of benefit of raising the flow rate but also the importance of minimizing minute ventilation when the goal is to reduce autoPEEP. Some patients who remain agitated during ACV can be made more comfortable by using PSV (or PACV) with a total inspiratory pressure of around 30 cm H2O. 23 Although this occasionally compounds the dynamic hyperinflation, potentially compromising cardiac output, usually autoPEEP increases little as long as PEEP is not set higher than about 85% of the autoPEEP.

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

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