The revision of this text provides up-to-date information on the science of multiple organ dysfunction syndrome (MODS). This edition brings not only new science but new nomenclature based on the recommendations of the American College of Chest Physicians and the Society of Critical Care Medicine Consensus Conference. The text gives the experienced critical care practitioner the pathophysiologic background and understanding of MODS necessary to develop an effective plan of care and anticipate events associated with this yndrome. The focus is on integration of clinical assessment with pathophysiological knowledge so the decision-making process is based on a scientific and research foundation.
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PRIMARY EVENTS AND MEDIATOR RELEASE * Multiple Organ Dysfunction Syndrome: Background, Etiology and Sequence of Events * The Inflammatory Immune Response: Implications for the Critically Ill * The Systemic Inflammatory Response Syndrome (SIRS): Role of Imflammatory Mediators in MODS * Coagulation and Disseminated Intravascular Coagulation * PATHOPHYSIOLOGIC CHANGES * Maldistribution of Circulating Volume * Imbalance of Oxygen Supply and Demand * Alterations in Metabolism * ORGAN INVOLVEMENT AND CLINICAL PRESENTATION * Adult Respiratory Distress Syndrome * Hepatic Dysfunction, Hypermetabolism, and MODS * Gastrointestinal System: Target Organ and Source of MODS * Acute Pancreatitis and MODS * Myocardial Dysfunction in Sepsis and MODS * The Kidney in MODS * Central Nervous System Dysfunction in MODS * MANAGEMENT AND SPECIAL CONSIDERATIONS * The Pediatric Patient with MODS * Evaluation and Management of Oxygen Delivery and Consumption of MODS * Multiple Organ Dysfunction Syndrome: Overview and Conclusions
Book by Secor RN MSN CCRN Virginia Huddleston
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