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

By American College of Chest Physicians

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


Chapter 1. Endocrine Emergencies loose TO VIEW
Chapter 2. Postoperative Crises
Chapter three. Mechanical Ventilation
Chapter four. Hypertensive Emergencies and Urgencies
Chapter five. being pregnant and important Illness
Chapter 6. Venous Thromboembolic Disease
Chapter 7. Acute Coronary Syndromes
Chapter eight. middle Failure and Cardiac Pulmonary Edema
Chapter nine. Acute and persistent 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 intense stomach, Pancreatitis, and the stomach 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, medicines, and Fluids
Chapter 28. moral concerns in in depth Care Medicine
Chapter 29. examining scientific study and figuring out Diagnostic checks in severe Care Medicine
Chapter 30. Imaging
Chapter 31. method of Acid-Base Disorders
Chapter 32. serious Pneumonia
Chapter 33. ICU instructions, most sensible 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 process Infections and Catheter Infections

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

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Does a higher positive end expiratory pressure decrease mortality in acute respiratory distress syndrome? A systematic review and meta-analysis. Anesthesiology. 2009;110(5):1098– 1105. Briel M, Meade M, Mercat A, et al. Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and metaanalysis. JAMA. 2010;303(9):865–873. Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury.

In the presence of a hypertensive emergency, the goal BP over the first hour should be a reduction in mean arterial pressure no greater than 20% to 25% (in consideration of the effects of BP lowering on the cerebrovascular blood flow autoregulation curve, which is likely to be shifted to the right in these patients). Exceptions to the 20% to 25% rule include unclipped or uncoiled aneurismal hemorrhage associated with hypertension and aortic dissection. There are many drugs used to treat hypertensive emergencies.

0 L/min/m2). 40% of myocardium involved) following infarction, typically STEMI. Other causes of shock include acute mitral regurgitation, acute ventricular septal defect, and right ventricular infarction (discussed below). When shock due to pump failure complicates infarction, the mortality is as high as 60% to 80%. The majority of patients in large registries do not undergo revascularization. The SHould we emergently revascularize Occluded Coronaries for cardiogenic shocK (SHOCK) trial examined the role of early revascularization by randomizing cardiogenic shock patients to early revascularization vs a strategy of aggressive initial medical stabilization.

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