Advertisement

Surgical Critical Care

  • John T. Malcynski

Summary

The critically ill surgical patient often has multiple organ system dysfunction, which requires the surgical intensivist to use a methodical approach in treating such patients. A thorough history and a thorough physical examination are essential initial steps in the management scheme. Frequently, invasive monitoring techniques are required to supply additional information about the patient’s status and to help guide therapeutic maneuvers. It is important to realize that, despite using the systems approach for the management of the critically ill, treatment of one system has an effect on the others, resulting in both positive and negative repercussions.

Keywords

Mean Arterial Pressure Acute Respiratory Distress Syndrome Superior Vena Cava Acute Tubular Necrosis Right Atrium 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected Readings

  1. Bernard GR, Artigas A, Brigham KL, et al. Report of the American-European consensus conference on ARDS: definitions, mechanisms, relevant outcomes and clinical trial coordination. The Consensus Committee. Intensive Care Med 1994;20:225–232.PubMedCrossRefGoogle Scholar
  2. Bone RC, Balk RA, Cerra FB, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/ Society of Critical Care Medicine. Chest 1992;101:1644–1655.PubMedGoogle Scholar
  3. Cobb JP. Critical care: a system-oriented approach. In: Norton JA, Bollinger RR, Chang AE, et al., eds. Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001:277–290.Google Scholar
  4. Fink MP. Monitoring techniques and complications in critical care. In: Norton JA, Bollinger RR, Chang AE, et al., eds. Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001:291–303.Google Scholar
  5. Kollef MH, Schuster DP. The acute respiratory distress syndrome. N Engl J Med 1995;332:27–37.PubMedCrossRefGoogle Scholar
  6. Marshall JC. Risk prediction and outcome description in critical surgical illness. In: Norton JA, Bollinger RR, Chang AE, et al., eds. Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001:305–320.Google Scholar
  7. Moore FA, Moore EE. Evolving concepts in the pathogenesis of postinjury multiple organ failure. Surg Clin North Am 1995;75:257–277.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • John T. Malcynski
    • 1
  1. 1.Department of Surgery, Section of Trauma Surgery and Surgical Critical CareUniversity of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical SchoolNew BrunswickUSA

Personalised recommendations