Intensive Care Medicine 5th Ed.
Richard S. Irwin M.D.James M. Rippe M.D
Информация chm
2274стр
2003г.
Язык:английский
The fifth edition of Irwin and Rippe's Intensive Care Medicine is smaller and more portable than the fourth edition. We challenged every author and every section editor to carefully edit his or her materials, emphasizing that new, state-of-the-art information must be added and that outdated and less clinically relevant information must be discarded. Our section editors and chapter authors have risen admirably to this challenge. Every section has been fundamentally rewritten, updated, and streamlined. Virtually every chapter has been updated with recent references and other materials that reflect current information, techniques, and principles. New chapters have been added in emerging areas of interest, such as medical aspects of biologic and chemical agents of mass destruction and noninvasive mechanical ventilation.
In medical intensive care, important changes and advances have occurred since the publication of the fourth edition. Many of these reflect increasing emphasis on evidence-based medicine in the managed-care era. We continue to make advances in our understanding of the pathophysiology of critical illness with evolving knowledge about which therapeutic modalities are likely to be efficacious and which therapies are less likely to be helpful and, in fact, in some instances, could even be harmful. Guided by results of numerous prospective, randomized, controlled clinical trials, the care provided to critically ill patients continues to be increasingly scientifically grounded. Trials are increasingly characterized by grouping patients according to their degree of physiologic severity to allow meaningful comparisons among studies. We have become increasingly aware of the vital importance of better defining and characterizing the diseases we are studying (e.g., acute lung injury/acute respiratory distress syndrome, systemic inflammatory response syndrome/sepsis). We have become increasingly focused on ethical issues of caring for the critically ill, such as patient autonomy and the right of patients to die. Data continue to evolve, demonstrating that the quality of patient care can be preserved or improved, while intensive care unit use, length of stay, and cost can be decreased.
Surgeons and medical intensivists caring for critically ill patients often encounter many of the same problems, including sepsis, acute lung injury, shock, and multiple organ system dysfunction. In chapters dealing with these and many other issues, surgeons and medical intensivists have been asked to share information across subspecialty lines. Certain issues, such as traumatic brain injury and burns, are peculiar to surgical patients. These and many other advances in surgical intensive care are addressed in major sections on trauma and surgery. We welcome our new trauma section editor, Dr. Stephen M. Cohn, who has fundamentally updated and expanded the trauma section in this edition.
In coronary care, new techniques and interventions continue to evolve, particularly in the areas of acute myocardial infarction and other acute coronary syndromes. The entire coronary care section has been updated, rewritten, and combined with the cardiology section to emphasize new understandings and protocols based on continuing advances in the treatment of the multiple cardiovascular conditions encountered in intensive and coronary care. We welcome our new section editor, Dr. Patrick T. O'Gara, who has done a superb job in updating and combining these sections.
As we updated and broadened the textbook to include new understandings and information, the editorial challenge was not to abandon the practical, clinically oriented approach that readers have come to expect from previous editions. To accomplish this task, our editorial focus and conceptual framework have remained consistent, incorporating the same overall approach that many found so useful in the first four editions.
Intensive care represents advanced medical and surgical care practiced by physicians possessing the specialized skills, clinical judgment, and knowledge required to treat the most complicated and desperately ill patients. Our editorial approach flows from this basic premise. Only conditions requiring the specialized resources of adult multidisciplinary medical, surgical, coronary, and neurologic intensive care units are covered. Our focus remains on clinical management. The elements of basic history and physical examination, which are so critical for beginning physicians, are less emphasized.
As in the past, our textbook opens with a detailed section, which many of our readers have found particularly useful, on commonly performed techniques and procedures in the intensive care unit. All chapters within this section have been updated. New figures and descriptions of techniques have been added to reflect changes since the fourth edition of the textbook.
The sections that follow explore major disease entities treated in the intensive care unit. Sections related to all aspects of surgical intensive care have been expanded to underscore our balanced editorial approach, equally emphasizing medical and surgical intensive care. The pharmacology, overdoses, and poisonings section, consisting of 33 chapters, remains a central highlight of the fifth edition. It essentially represents a textbook on these topics embedded in our larger book. In this edition, we welcome Dr. Luke Yip as Dr. Christopher H. Linden's co-editor of the section.
The pulmonary, infectious disease, renal, gastrointestinal, endocrine, neurology, transplantation, metabolism and nutrition, rheumatology, psychiatry, and hematology sections are updated for this edition and will continue to be major sections of our book. We welcome our new hematology section editor, Dr. F. Marc Stewart.
Приложение к учебнику С.В. Петрова "Общая хирургия"
Приложение к учебнику С.В. Петрова "Общая хирургия"
Премьера: 2005
Автор: С.В. Петров
Раздел: Хирургия
Издание: ГЭОТАР-Медиа
ISBN: 5-9704-0257-5
Информация: HTML (образ MDF)
Сюжет: В учебнике рассматриваются основные вопросы асептики и антисептики, десмургии, анестезиологии и реаниматологии; подробно излагаются разделы, посвященные переливанию крови, кровотечениям и методам его остановки, а также хирургической операции. Представлены учение о ранах и методики обследования хирургического больного, описаны: основные принципы диагностики и лечения травматических повреждений, гнойных хирургических заболеваний, некрозов, ожогов и обморожений, онкологических заболеваний, трансплантации органов и тканей. Особое внимание уделено результатам современных научных разработок и новым хирургическим технологиям. Данное третье издание (предыдущие вышли в 1999 и 2002 гг.) переработано и дополнено, впервые к нему прилагается компакт-диск с фото- и видеоматериалами. Предназначено для студентов медицинских вузов и медицинских факультетов университетов. Рекомендуется УМО по медицинскому и фармацевтическому образованию вузов России в качестве учебного пособия для студентов медицинских вузов.
Здесь только диск, самой книги нет.
Подробнее:
Постер
Читайте также:
Секреты гибкости