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ICU. Special edition


 

Contents

Editorial 4
Editor’s notes 6
GENERAL PRINCIPLES
Intensive care medicine in resource-limited settings: a general overview 7
Systematic assessment of an ICU patient 18 Intensive care medicine in rural sub-Saharan Africa - who to admit? 11
Identifying critically ill patients - Triage, Early Warning Scores and Rapid Response Teams 22
Critical care where there is no ICU: Basic management of critically ill patients in a low income country 27
MONITORING
Monitoring in ICU - ECG, pulse oximetry and capnography 32
Invasive blood pressure monitoring 37
Central venous cannulation 43
Cardiac output monitoring 51
Acid-base disorders in critical care 59
Delirium in critical care 67
Sedation in intensive care patients 74
Nutrition in the critically ill 79
Evidence-based medicine in critical care 88
TRAUMA
Management of major trauma 95
Management of head injuries 107
Acute cervical spine injures in adults: initial management 112
Thoracic trauma 119
Guidelines for management of massive blood loss in trauma 125
Rhabdomyolysis 130
Management of burns 133
Management of drowning 141
SEPSIS
Management of sepsis with limited resources 145
Abdominal compartment syndrome 156
MICROBIOLOGY
Bugs and drugs’ in the Intensive Care Unit 160
CARDIOVASCULAR
Inotropes and vasopressors in critical care 169
Management of cardiac arrest - review of the 2012 177
RESPIRATORY
Acute respiratory distress syndrome (ARDS) 183
Hospital-acquired pneumonia 188
An introduction to mechanical ventilation 192
Tracheostomy 199
RENAL
Acute kidney injury - diagnosis, management and prevention 207
Renal replacement therapy in critical care 215
Peritoneal dialysis in acute kidney injury 223
NEUROMUSCULAR DISEASE
Neurological causes of muscle weakness in the Intensive Care Unit 228
Tetanus 233
Brainstem death 240
Cultural issues in end-of-life care 243
MISCELLANEOUS
Diabetic ketoacidosis 247
Emergency management of poisoning 253
Management of snake envenomation 261
Полезная информация