By Burke A. Cunha
Publish Year : 2006
E-Book readable online or download on PDF DJVU TXT DOC MP3 CFM mobi and more formats for PC PDA MAC IPAD IPHONE Nook Kindle Android Tablets mobile phone and more devices. You can find AUDIO Books in mp3 formats
From The New England Journal of Medicine
The demand for increasing accountability with respect to the cost of health care has escalated pressure on physicians to manage an increasing fraction of their patients' illnesses in the outpatient setting. Primary care physicians, in conjunction with an expanding health care team, now provide diagnostic evaluations and treatment for patients with increasingly complex health problems outside the hospital. As a consequence, patients who do require hospitalization are extremely sick. One can envision that with progressive advances in outpatient care, many of our acute care hospitals will consist almost entirely of wards of intensive care or step-down units capable of providing cardiopulmonary monitoring and support for patients with multiple-organ failure.
Moreover, as a result of impressive improvements in supportive care in the intensive care unit, very sick patients are surviving the acute phase of their illnesses. Simultaneously, the microbial world has mounted creative counteroffensives by becoming increasingly resistant to antibiotics (e.g., vancomycin-resistant enterococcus). This, together with the rising prevalence of the human immunodeficiency virus and the emergence of such pathogens as ehrlichia and human herpesvirus 6, makes Infectious Diseases in Critical Care Medicine a welcome addition to the medical literature.
This multiauthored book has four main sections ("General Concepts," "Clinical Syndromes," "Special Problem Areas," and "Therapeutic Considerations") and 43 chapters. It is a useful compilation of information about diverse problems concerning infectious diseases in the intensive care unit. Certain reviews, such as those on infections after neurosurgery, nosocomial pneumonia, infective endocarditis, febrile neutropenia, and resistance to antibiotics, are well written and designed to promote evidence-based practice. The chapter on the mechanisms of antibiotic-induced release of endotoxins is articulate and provocative. The four chapters on noninfectious mimics of infectious syndromes in the intensive care unit are helpful reminders that there may be alternative diagnoses. Many pearls, derived from the editor's extensive experience in infectious-disease consultation and presented in the first overview chapter, will benefit the reader. The judicious use of tables to summarize concepts will be particularly helpful on teaching rounds.
Certain contributions, such as those on nosocomial diarrhea and sepsis associated with infections of the urinary tract, are too brief and mainly cite review articles rather than primary data. Despite an excellent review of the physical examination, the chapter describing objective diagnostic signs in critically ill patients strays a bit from the focus on infectious disease. There is also a tendency to use unexplained abbreviations, such as BOOP (bronchiolitis obliterans organizing pneumonia) and SRMD (stress-related mucosal damage), which makes certain sections less accessible to the nonspecialist. A surprising number of typographic errors have survived the editing process. Perhaps of more concern are the occasional sweeping generalizations that are insufficiently supported by evidence and may be misleading.
In the setting of an aging population of patients with a growing number of coexisting illnesses and with the increased ability of medical personnel to provide cardiopulmonary supportive care, the importance of infectious diseases in the intensive care unit will increase. Infectious Diseases in Critical Care Medicine, by filling a gap in the literature and compiling selected critical reviews, is appropriate for the bookshelves of all physicians with the privilege of caring for critically ill patients.
Reviewed by Brian W. Christman, M.D.
Copyright © 1999 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
--This text refers to an out of print or unavailable edition of this title.
Look at This:
Tags (search words) :
Infectious Diseases in Critical Care Medicine, Second Edition (Infectious Disease and Therapy) download pdf epub djvu
Infectious Diseases in Critical Care Medicine, Second Edition (Infectious Disease and Therapy) download pdf rapidshare mediafire fileserve, 4shared torrent
Infectious Diseases in Critical Care Medicine, Second Edition (Infectious Disease and Therapy) free ebook
Infectious Diseases in Critical Care Medicine, Second Edition (Infectious Disease and Therapy) pdf download
download Infectious Diseases in Critical Care Medicine, Second Edition (Infectious Disease and Therapy) ebook textbook
download ebook read
download ebook reader
ebook downloads for children
Infectious Diseases in Critical Care Medicine, Second Edition (Infectious Disease and Therapy) ebook for tablets
free Infectious Diseases in Critical Care Medicine, Second Edition (Infectious Disease and Therapy) book
More Book for download in PDF and audio Quality:
Download Modern Architecture in Historic Cities: Policy, Planning and Building in Contemporary France Book Pages
Evolution: A Scientific American Reader (Scientific American Readers) Ebook To IPAD Nook Kindle
Prosody in Conversation: Interactional Studies (Studies in Interactional Sociolinguistics) Ebook Download Pdf
The Avengers of Carrig Book Download Online
The Alpha Hunter: Profiting from Option LEAPS Ebook To IPAD Nook Kindle