Applied Physiology in Intensive Care Medicine

Zusatztext

Te practice of intensiv e care medicine is at the very forefro n o tf titratio o nf treatmen t and monitorin g response . Te substrat o ef this care is the critical l il yl patien t who ,by defnition, is at the limits of his or her physiologic reserve s. uch patients need immediate , aggressiv b eut balance d life-alterin in g terventio n ts o minimize the detrimenta a lspects of acut e illnes a snd hasten recover yT . reatmen t decision s and response to therap y are usuall y assessed by measures of physiologic function, such as assessed by cardio-respirato ry monitoring h . owever ,how one uses such informatio n is ofen unclea rand rarel y supported by prospectiv e clinica t lrial s. i n realit y t,he bedside clinicia n is force d to rely primaril y on physiologic principles in determinin g the best treatmen ts and response to therapy h . owever t , he physiologic foundatio p nresent in practicin p ghysician s is uneven and occasional s lu ypported more by habit or prior trainin g than science. a series of shor tpapers published in i ntensiv e c are Medicine since 2002 under the heading Physiologic notes attempts to capture the essence of the physiologic perspectives that underpin both our understanding of disease and response to therapy. T is present vol ume combines the complete list of these Physiologic notes up until February 2009 with t he associat ed review art icl es over t he same int erval t hat al so addressed t hese cent ral issues. Tis volume was created to address this fundamental unevenness in our understanding of applied physiolog y and underscor w e hat is known and how measures and monitorin g interac w tith organ system functio n and response to therap y Ti . s collectio o n f physiologic perspectives and reviews, written by some of the most respected experts in the feld, represen t an up-to-dat e and invaluab le compendium of practic ab ledside knowledg e essentia t lo the efectiv e deliver y of acut e care medicine . a lthoug h this text can be read from cover to cover t , he reader is encourage t do use this text as a reference source reading individua P lhysiologic n otes and Review articles as they pertain to specifc clinica il ssues.

Weitere Details