Reseña del libro "Critical Care Medicine 2027 (en Inglés)"
Know When to Escalate Organ Support, and When to Step It DownStarting organ support in the ICU is usually obvious. The harder decisions come later: when to add a second vasopressor, when to prone or cannulate, and when a ventilator, dialysis circuit, or infusion has outlived its purpose. This 26-chapter reference is built around those decisions. It begins with applied physiology and hemodynamic monitoring and moves through shock, ventilation, ARDS, liberation, right ventricular failure, sepsis, neurocritical care, kidney and liver failure, transfusion, trauma, toxicology, special populations, sedation, and end-of-life care. It is written for critical care fellows, residents rotating in the ICU, and the advanced practice providers and intensivists who lead rounds beside them.Each chapter explains the mechanism behind each intervention, so its limits are as clear as its indications.What you will be able to do on rounds and overnightOrgan Support Titration Map, 78 decision maps - apply explicit escalation thresholds and stop criteria for every major support, from norepinephrine to CRRT to VV-ECMOApplied oxygen delivery, heart-lung interactions, and critical care ultrasound - interpret the monitor instead of reacting to itVasopressor, inotrope, and fluid deresuscitation strategy - titrate to perfusion using CLASSIC, CLOVERS, ANDROMEDA-SHOCK, and DanGer Shock evidencePEEP selection, prone positioning, VV-ECMO, and diaphragm-protective liberation - move a patient from refractory hypoxemia to extubationSepsis, AKI, liver failure, and coagulopathy - time antimicrobial de-escalation, RRT initiation and liberation, and transfusion thresholdsNeurocritical, cardiac arrest, toxicology, obstetric, oncologic, and transplant care - manage the populations that change the rulesOrgan Support Titration Master Map - look up any map by organ system, support modality, escalation threshold, or liberation criterionBring it to rounds, and use it for every decision about how far to push support and when to take it away.
