THE INTENSIVE CARE MANUAL

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The
Intensive Care
Manual
MICHAEL J. APOSTOLAKOS, M.D.
ASSOCIATE
PROFESSOR OF MEDICINE
DIRECTOR
,ADULT CRITICAL CARE
UNIVERSITY OF
ROCHESTER
SCHOOL OF MEDICINE AND DENTISTRY
PETER J. PAPADAKOS, M.D.
ASSOCIATE PROFESSOR OF ANESTHESIOLOGY AND SURGERY
DIRECTOR,DIVISION OF CRITICAL CARE MEDICINE
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
PROFESSOR OF RESPIRATORY CARE
STATE UNIVERSITY OF NEW YORK
GENESEE COMMUNITY COLLEGE
McGRAW-HILL
MEDICAL PUBLISHING DIVISION
New York   Chicago   San Francisco   Lisbon   London   Madrid   Mexico City
Milan   New Delhi   San Juan   Seoul   Singapore   Sydney   Toronto

Contents
Contributors ix
Preface xiii
1 The Critically Ill Patient: Overview of Respiratory Failure
and Oxygen Delivery
MICHAEL J. APOSTOLAKOS 1
2 Approach to Intravascular Access and Hemodynamic Monitoring
JAMES E. SZALADOS 15
3 Approach to Shock
PETER J. PAPADAKOS 55
4 Approach to Mechanical Ventilation
ANTHONY P. PIETROPAOLI 71
5 Approach to Renal Failure
ANDREW B. LEIBOWITZ 103
6 Approach to Infectious Disease
DOUGLAS SALVADOR AND ROBERT F. BETTS 119
7 Approach to Nutritional Support
PAMELA R. ROBERTS 169
8 Approach to Cardiac Arrhythmias
ANDREW CORSELLO,JOSEPH M. DELEHANTY, AND DAVID HUANG 185
9 Approach to Acute Myocardial Infarction: Diagnosis and Management
SETH M. JACOBSON AND
JOSEPH M. DELEHANTY
213
10 Approach to Endocrine Disease
DAVID KAUFMAN 227
11 Approach to Gastrointestinal Problems in the Intensive Care Unit
J AMES R. BURTON,JR. AND THOMAS A. SHAW-STIFFEL 243
12 Approach to Hematologic Disorders
JANICE L. ZIMMERMAN 299
13 Approach to Coma
CURTIS BENESCH 321
14 Approach to Sedation and Airway Management in the ICU
PETER J. PAPADAKOS
349