Critical care is an ever evolving field with diverse and complex challenges. These challenges include identifying pathophysiology in the individual patient, integrating care providers from multiple disciplines, mastering various therapeutic procedures and techniques, keeping update with the developments, to name but a few. As a result of this complexity, care in the intensive care unit must be guided by a thoughtful and organized approach.

Written as a teaching aid, this revised edition meets the unique demands of trainees in internal medicine, pulmonary medicine, surgery, or anaesthesiology, when they first get involved with the management of the critically ill patients. It is also of help to critical care nurses and other allied health professionals working in intensive care unit. The text includes major diagnostic features, relevant pathophysiology, concise description of disease processes, and the practical management strategies for the broad range of conditions encountered in a multidisciplinary intensive care unit.

Helps you successfully manage the critically ill, and
* Includes fourteen new chapters on fluid and electrolyte disorders, metabolic abnormalities, common poisonings, and infections in the intensive care unit.
* Continues with simple, user-friendly, step-by-step approach.
* Provides the best current recommendations on critical care supportive measures, including nutrition, bleeding prevention, and mechanical ventilation.
* Covers key topics in critical care basics, medical critical care, and essentials of surgical critical care.

About the Author
Dr. P. K. Verma, Consultant, Anaesthesiology and Critical Care, Safdarjung Hospital, New Delhi, has a rich and vast clinical experience of nearly three decades. Being incharge of the ICU, he has been involved as a full time intensivist for the last several years. Dr. Verma has published a highly acclaimed book and several book chapters, on a

Table of Contents
Preface to Second Edition
Preface to First Edition
1. Tracheal Suctioning
2. Care of Tracheal Tube Cuff
3. Tracheotomy/Tracheostomy Tube Care
4. Applying Air-entrainment Mask
5. Incentive Spirometry
6. Closed Chest Drainage System
7. Analgesia and Sedation in Critically ill Patients
8. Neuromuscular Blocking Agents in the Intensive Care Unit
9. Arterial Puncture and Cannulation
10. Central Venous Pressure
11. Fluid Challenge
12. Defibrillation
13. Cardioversion
14. Automated External Defibrillation
15. Rhabdomyolysis
16. Effective Use of Blood and Blood Components
17. Administration of Blood and Blood Components
18. Management of a Patient with Massive Transfusion
19. Management of Acute Hyperkalaemia
20. Management of Acute Hypokalaemia
21. Management of Hyponatraemia
22. Management of Hypernatraemia
23. Acute Renal Failure
24. Stress Ulcer Prophylaxis
25. An Approach to Acid-base Disorders
26. Venous Oximetry
27. Metabolic Alkalosis
28. Metabolic Acidosis
29. Chest Radiography in ICU
30. Determination of Brain Death
31. Airway Management in Emergency Department /Ward: Basic Approach
32. Airway Management: Predicting the Difficult Airway
33. Airway Management in Emergency Department/Ward: Clinical Situations
34. Noninvasive Positive Pressure Ventilation
35. Initiation of Mechanical Ventilation: Assessment of the Patient
36. Initiation of Mechanical Ventilation: Basic Rules
37. Initiation of Mechanical Ventilation: Setting the Ventilator
38. Synchronized Intermittent Mandatory Ventilation
39. Pressure Support Ventilation
40. Pressure-controlled Ventilation
41. Monitoring Ventilator Function
42. Monitoring the Patient
43. Clues the Ventilator Offers
44. Application and Weaning of Positive End-expiratory Pressure (PEEP)
45. Recruitment Manoeuvres
46. Dynamic Hyperinflation and Auto-PEEP
47. Weaning from Mechanical Ventilation
48. Maximal Static Respiratory Pressure Measurement in ICU
49. Methods of Weaning
50. Extubation
51. Performing Extubation and Decannulation
52. Nutrition: Why, When, and How?
53. Macronutrients in Parenteral Formulas
54. Total Parenteral Nutrition
55. Initiation of Parenteral Nutrition
56. Classification of Enteral Formulas
57. Selection of Formula for Enteral Nutrition
58. Planning an Enteral Feed
59. Initiation of Enteral Feeding
60. Modification of the Formulation in Different Clinical Situations
61. Methods to Decrease Risk of Aspiration
62. Management of Hyperglycaemia in Critically ill Patients-General Principles
63. Prevention of Catheter-related Bloodstream Infections in Critical Care Patients
64. Prevention of Catheter-associated Urinary Tract Infections
65. Severe Pre-eclampsia and Eclampsia
66. An Approach to the Febrile ICU Patient
67. Sepsis, Severe Sepsis, and Septic Shock
68. Severe Community-acquired Pneumonia
69. Management of Ventilator-associated Pneumonia
70. Management of Intra-abdominal Sepsis
71. Acute Respiratory Distress Syndrome
72. Flail Chest and Pulmonary Contusion
73. Acute Respiratory Failure due to Chronic Obstructive Pulmonary Disease
74. Acute Severe Asthma in Adults
75. Diabetic Ketoacidosis
76. Guillain-Barre Syndrome
77. Head Injury
78. Status Epilepticus
79. Poisoning by Cholinergic Compounds
80. Snake Envenomation in ICU
Appendices I-XV
I. Acute Respiratory Failure (ARF)
II. Conversion Factors for Important Minerals
III. Mineral Content in Various Compounds and Solutions
IV. Intravenous Electrolyte Solutions
V. Suggested Guidelines for Administration of Electrolyte Solutions
VI. Electrolyte Content of Gastrointestinal Secretions
VII. Normal Ranges for Blood Gas Analysis
VIII. Glasgow Coma Scale
IX. Lung Injury Score
X. CURB-65 criteria
XI. Pneumonia severity of index scores and score risk class stratification
XII. Checklist of the Criteria for Diagnosis of Brain-stem Death
XIII. Ventilation Monitoring Chart
XIV. Investigations Chart
XV. Daily Progress Chart
Index