This book presents a comprehensive overview of both pathophysiological and practical aspects of circulatory and respiratory extracorporeal support. The basics of ECMO, including its history, the “ECMO team”, cannulation, materials, and blood-surface interactions, are first discussed. The various indications for and particular characteristics of circulatory and respiratory extracorporeal life support are then described in detail in the main part of the book. Patient care during ECMO and monitoring of the ECMO patient are also carefully covered, with explanation of the management of technical and clinical complications and transport-related problems. Further topics include long-term therapy options beyond ECMO, such as ventricular assist devices and transplants, outcome, the new frontiers of ECMO for organ procurement and future challenges.
The authors are well-known experts in the field whose authoritative contributions and attention to practical aspects will be invaluable for novices and experienced practitioners alike.
Dr. Rana Awdish never imagined that an emergency trip to the hospital would result in hemorrhaging nearly all of her blood volume and losing her unborn first child. But after her first visit, Dr. Awdish spent months fighting for her life, enduring consecutive major surgeries and experiencing multiple overlapping organ failures. At each step of the recovery process, Awdish was faced with something even more unexpected: repeated cavalier behavior from her fellow physicians—indifference following human loss, disregard for anguish and suffering, and an exacting emotional distance.
Hauntingly perceptive and beautifully written, In Shock allows the reader to transform alongside Awidsh and watch what she discovers in our carefully-cultivated, yet often misguided, standard of care. Awdish comes to understand the fatal flaws in her profession and in her own past actions as a physician while achieving, through unflinching presence, a crystalline vision of a new and better possibility for us all.
As Dr. Awdish finds herself up against the same self-protective partitions she was trained to construct as a medical student and physician, she artfully illuminates the dysfunction of disconnection. Shatteringly personal, and yet wholly universal, she offers a brave road map for anyone navigating illness while presenting physicians with a new paradigm and rationale for embracing the emotional bond between doctor and patient.
Drs James Willerson, Jay Cohn, Hein Wellens, David Holmes – and over 150 world authorities – offer their decades of scientific and clinical experience. One of the main features of the book is the consistent chapter organization relevant to modern cardiovascular practice, clear design and engaging text that includes specific features such as tables, lists and treatment boxes that are designed to allow easy access to key information. The reader will have all the guidance to diagnose and manage the full range of cardiovascular conditions in one textbook resource, while also benefiting from access to additional video material from the integral DVD-ROM.
More than 1800 illustrations – including a wealth of color Doppler, nuclear and CT imaging, surgical and pathological images – clarify complex principles and help in the understanding of the subtleties of technique and their application, so that they can be quickly and easily implemented into the reader’s practice.
Cardiovascular Medicine, 3rd Edition is the premier resource of its kind, advancing readers’ knowledge and stimulating further study in cardiovascular medicine. New to the third edition are:
- Expanded coverage of the coronary heart disease syndromes; congestive heart failure; arrhythmias; pacing; sudden death; lipid management (including clinical results), and a completely revised and updated section on noninvasive imaging.
- An updated review of the mechanisms, recognition, and treatment of aortic coronary syndromes – plus updates on the results of the most recent clinical trials with antithrombotic interventions.
- New chapters to elucidate the uses of invasive and non-invasive cardiac imaging with greater emphasis on the role of cardiac imaging within cardiovascular medicine.
- The latest knowledge of the mechanisms responsible for congestive heart failure and its treatment including beta-blockers, ACE inhibitors and angiotensin receptor antagonists, mechanical assist devices and transplantation.
- The most current information on current clinical drug trials for the treatment of stable and unstable angina, as well as the latest in arrhythmia development and modern therapy.
- The DVD-ROM contains video imagery for selected chapters, the full text of the book plus an interactive heart sounds presentation. This contains over 100 individual heart sounds with correlated videos and imaging and a full narrative.
Since 1980, Fishman's Pulmonary Diseases and Disorders has delivered unparalleled coverage of pulmonary medicine and the underlying basic and applied science upon which clinical practice is based. The Fifth Edition, with 270 contributing authors, includes over 2,000 illustrations, 60 videos, and 18,000 references. The book opens with a comprehensive overview of the scientific basis of lung function in health and disease. It then provides detailed coverage of the broad array of diseases and disorders affecting the respiratory system, including obstructive and restrictive diseases, pulmonary vascular disorders, sleep-disordered breathing, lung neoplasms, respiratory infections, and respiratory failure, among others.
The Fifth Edition has been completely updated to reflect the many advancements that have been made in pulmonary medicine over the past few years, including:Molecular development of the lung Stem cells and respiratory disease Genetics of pulmonary disease and the growth of personalized medicine Technical advances in lung transplantation Growth in immunology and immunosuppressive management Diagnosis and treatment of pulmonary hypertension Circadian rhythms and sleep biology Rapid evolution in lung imaging techniques, including functional imaging Contemporary interventional bronchoscopic techniques
You will also find state-of-the-art coverage of the latest topics in critical care medicine, including:Early diagnosis and management of sepsis Multiple organ dysfunction syndrome (MODS) Acute respiratory distress syndrome (ARDS) Management of agitation and delirium in the ICU The newly defined entity of "chronic critical illness"
-Includes stunning color echocardiographic images of various heart diseases with reference to their pathologic appearance and physiology
-Includes clinical comments on patient management, which is not included in other echocardiography texts