Description
The second edition of this text provides an expanded and comprehensive exploration of adult surgical critical care relevant for resource-replete and resource-constrained acute care settings. It can be used to review complex critical illness or injury topics in surgical patients, as a reference tool, a resource for board examination preparation, or as a guide for program development. Focused on the surgical patient, this text leverages a structured approach that includes key points, evidence-based management, and critical care principles underpinned by new knowledge discovery. Each chapter identifies controversies as well as adaptations for resource-constrained settings, and the international authorship underscores the global applicability of this work.
Novel topics for the second edition include caring for the neurodiverse patient, the role of disordered lymphatic flow, deresuscitation, vascular pathologies, management of complex intra-abdominal surgery patients, the role of the microbiome in surgical critical care, obstetric and gynecologic critical care, organ donor management, as well as ethical elements of multicultural care. The text is written with an expectation that the reader possesses a foundation in critical care pathophysiology and clinical practices acquired during parent discipline training. Organized into organ system-based sections, each section contains several chapters addressing relevant disorders, monitoring and treatment modalities, and outcomes. Sections are guided by expert Section Editors who are leaders within their respective fields.
Principles of Adult Surgical Critical Care, Second Edition will be of use to intensivists caring for surgical patients regardless of parent training domain. Additionally, this work is intended to be used by surgical critical care fellowship trainees as well as advanced practice providers such as nurse practitioners and physician assistants who provide care in ICUs and emergency departments alike.
Section I. Neurological Conditions.- Analgesia, Sedation and Sleep Hygiene.- Substance Withdrawal.- Bedside Neurologic Monitoring.- Traumatic Neurologic Injuries.- Non-Traumatic Neurologic Disorders.- Section II. Hemodynamics and Cardiovascular Conditions.- Hemodynamic Monitoring.- Hemodynamic Resuscitation and De-resuscitation.- Cardiac Emergencies.- Vascular Pathologies.- Extracorporeal Life Support.- Disorders of Lymphatic Flow.- Section III. Pulmonary Conditions.- Mechanical Ventilation.- Acute Respiratory Distress Syndrome.- Advanced Respiratory Monitoring and Adjunctive Interventions.- Care of the Surgical ICU Patient with Chronic Obstructive Pulmonary Disease and Pulmonary Hypertension.- Section IV. Renal Conditions.- Acute Kidney Injury: Diagnosis and Management.- Renal Replacement Therapies.- Urologic Resections and Reconstruction.- Section V. Abdominal Conditions.- Acute Gastrointestinal Hemorrhage.- Severe Acute Pancreatitis.- Acute Hepatic Failure.- Complex Intra-abdominal Surgery: Anticipation, Mitigation and Rescue from Postoperative Complications.- Intra-abdominal Hypertension, Abdominal Compartment Syndrome, and Open Abdomen Management.- Gut Physiology and the Microbiome.- Section VI. Infectious Disease and Hematology.- Anti-microbial Strategy and Stewardship.- Sepsis and Septic Shock.- Necrotizing Soft Tissue Infections.- Anemia Management and Prevention.- Coagulopathies and Thrombocytopenia.- Venous Thromboembolism Prophylaxis, Diagnosis, and Management.- Section VII. Metabolism and Unique Populations I.- Nutrition in the Surgical ICU Patient.- Glycemic Control in the Critically Ill or Injured.- The Endocrine Axis and Critical Illness.- Trauma Centers and Trauma Systems.- Immunocompromised Patients and Oncologic Complications.- Section VIII. Metabolism and Unique Populations II.- Solid Organ Transplantation.- Critical Care for the Obstetric Patient.- The Pediatric Patient Cared for in the Adult ICU.- Neuro-diverse Patient Management.- Organ Donor Management.- Section IX. ICU Operations.- ICU Administration.- ICU Disaster Management and Preparedness.- Global Health Disasters and Medical Tourism.- Operative Procedures in the Intensive Care Unit.- Telemedicine for Critical Care.- Interfacility Transport in Critical Care.- Section X. Special Topics.- Bio-statistics.- Practical Pharmacokinetics and Pharmacodynamics.- Ethics, Palliative Care, and End of Life Care.- Chronic Critical Illness and Post Intensive Care Syndrome.- Anesthesia-related Severe Morbidity Requiring Care in the Intensive Care Unit.- Multi-professional Teamwork.- Contemporary ICU Design.
Niels D. Martin, MD, FACS, FCCM, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Lewis J. Kaplan, MD, FACS, FCCP, FSIS, MCCM, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA



