BOOK
Rapid Response Systems/Fluid Resuscitation, An Issue of Critical Care Clinics, E-Book
(2018)
Additional Information
Book Details
Abstract
This issue of Critical Care Clinics focuses on Rapid Response Systems and Fluid Resuscitation, with topics including: RRS Now; Triggering Criteria: Big Data; Triggering Criteria: Continuous Monitoring; Measuring instability; Surgery/Trauma RRT; Obstetric RRT; Difficult airway rapid response teams; and Sepsis rapid response teams.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Rapid Response Systems& Fluid Resuscitation | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| I: Rapid Response Systems | vii | ||
| Preface: Why RRS? Where RRS? | vii | ||
| The Afferent Limb of Rapid Response Systems: Continuous Monitoring on General Care Units | vii | ||
| Trigger Criteria: Big Data | vii | ||
| Surgical Rescue in Medical Patients: The Role of Acute Care Surgeons as the Surgical Rapid Response Team | vii | ||
| Crisis Teams for Obstetric Patients | viii | ||
| A Decade of Difficult Airway Response Team: Lessons Learned from a Hospital-Wide Difficult Airway Response Team Program | viii | ||
| Sepsis Rapid Response Teams | viii | ||
| Intensivist Presence at Code Events Is Associated with High Survival and Increased Documentation Rates | viii | ||
| II: Fluid Resuscitation | ix | ||
| Preface: Fluid Therapy in the Critically Ill | ix | ||
| Applied Physiology of Fluid Resuscitation in Critical Illness | ix | ||
| Does Fluid Type and Amount Affect Kidney Function in Critical Illness? | ix | ||
| Blood Product Administration in the Critical Care and Perioperative Settings | ix | ||
| CRITICAL CARE CLINICS\r | x | ||
| FORTHCOMING ISSUES | x | ||
| July 2018 | x | ||
| October 2018 | x | ||
| January 2019 | x | ||
| RECENT ISSUES | x | ||
| January 2018 | x | ||
| October 2017 | x | ||
| July 2017 | x | ||
| Preface:\rWhy RRS? Where RRS? | xi | ||
| The Afferent Limb of Rapid Response Systems | 189 | ||
| Key points | 189 | ||
| INTRODUCTION | 189 | ||
| CONTINUOUS MONITORING | 190 | ||
| Desirable Properties of Sensors and the Continuous Monitoring System | 192 | ||
| Physiologic Variables in Continuous Monitoring | 192 | ||
| Sensors Used in Continuous Monitoring | 193 | ||
| Single-sensor monitoring | 193 | ||
| Telemetry and electrocardiogram monitoring | 193 | ||
| Pulse oximetry | 193 | ||
| Piezoelectric sensor | 194 | ||
| Sound-based respiratory rate monitoring | 194 | ||
| Multisensor monitoring | 194 | ||
| ALARM MANAGEMENT | 195 | ||
| DISCUSSION | 195 | ||
| REFERENCES | 196 | ||
| Trigger Criteria | 199 | ||
| Key points | 199 | ||
| INTRODUCTION | 199 | ||
| BIG DATA IN THE HOSPITAL WARDS | 200 | ||
| BIG DATA, EVENT PREDICTION, AND EVENT DETECTION | 202 | ||
| MEDICAL EMERGENCY TEAMS AND RISK STRATIFICATION OF HOSPITALIZED PATIENTS | 203 | ||
| SUMMARY | 206 | ||
| REFERENCES | 206 | ||
| Surgical Rescue in Medical Patients | 209 | ||
| Key points | 209 | ||
| INTRODUCTION | 209 | ||
| FAILURE TO RESCUE: PRINCIPLES AND APPLICATIONS TO THE MEDICAL POPULATION | 211 | ||
| SURGICAL RESCUE IN MEDICAL PATIENTS | 212 | ||
| SURGICAL PATHOLOGY IN MEDICAL PATIENTS | 213 | ||
| A PARTNERSHIP FOR RESCUE | 216 | ||
| REFERENCES | 217 | ||
| Crisis Teams for Obstetric Patients | 221 | ||
| Key points | 221 | ||
| BACKGROUND AND JUSTIFICATION | 222 | ||
| DESIGN AND INTRODUCTION | 223 | ||
| Staff Education | 226 | ||
| Response Team Training | 227 | ||
| Recent Developments in Multidisciplinary Simulation Team Training for Obstetric Crisis | 228 | ||
| Data Collection, Review, and Process Improvement | 229 | ||
| National Initiatives for Rapid Response Teams | 230 | ||
| USAGE OF CONDITION O AT MAGEE-WOMEN’S HOSPITAL AND DISCUSSION | 230 | ||
| Continuous Quality Improvement and Evaluation of Obstetric Rapid Response Systems | 233 | ||
| Area of concern 1: definition of the optimal response team and the training of the team members | 233 | ||
| Area of concern 2: determination of the leadership of the Condition O response and the delineation of the roles of the vari ... | 233 | ||
| Area of concern 3: further evaluation of the triggers for a Condition O call and elimination of barriers for the calling of ... | 233 | ||
| Area of concern 4: establishment of an optimal debriefing process for Condition O responses and a schedule of Condition O g ... | 234 | ||
| Area of concern 5: establishment of robust mechanisms for patient education prior to the occurrence of a Condition O | 234 | ||
| Efficacy and Sustainability of Obstetric Multidisciplinary Rapid Response Systems | 234 | ||
| SUMMARY | 235 | ||
| REFERENCES | 236 | ||
| A Decade of Difficult Airway Response Team | 239 | ||
| Key points | 239 | ||
| INTRODUCTION | 240 | ||
| DIFFICULT AIRWAY RESPONSE TEAM PROGRAM: GOALS AND DESIGN | 240 | ||
| DIFFICULT AIRWAY RESPONSE TEAM PROGRAM: RESULTS | 242 | ||
| LESSONS LEARNED | 243 | ||
| DISCUSSION | 249 | ||
| REFERENCES | 250 | ||
| Sepsis Rapid Response Teams | 253 | ||
| Key points | 253 | ||
| BACKGROUND | 253 | ||
| SEPSIS RAPID RESPONSE TEAMS: WHAT ARE THEY? HOW ARE THEY DIFFERENT FROM OTHER RAPID RESPONSE TEAMS? | 254 | ||
| OUTCOMES AFTER IMPLEMENTATION OF SEPSIS RAPID RESPONSE TEAM/MEDICAL EMERGENCY TEAM | 254 | ||
| THE USE OF CLINICAL ASSESSMENT TOOLS | 256 | ||
| BARRIERS IN HEALTH CARE | 256 | ||
| REFERENCES | 257 | ||
| Intensivist Presence at Code Events Is Associated with High Survival and Increased Documentation Rates | 259 | ||
| Key points | 259 | ||
| INTRODUCTION | 259 | ||
| PROCESS | 260 | ||
| RESULTS | 261 | ||
| DISCUSSION | 262 | ||
| SUMMARY | 265 | ||
| REFERENCES | 265 | ||
| Fluid Therapy in the Critically Ill | xiii | ||
| AMOUNT OF FLUID | xiii | ||
| TYPE OF FLUID: COLLOID | xiii | ||
| TYPE OF FLUID: CRYSTALLOID | xiv | ||
| SUMMARY | xiv | ||
| Applied Physiology of Fluid Resuscitation in Critical Illness | 267 | ||
| Key points | 267 | ||
| INTRODUCTION | 267 | ||
| CARDIOVASCULAR PHYSIOLOGY 101 | 268 | ||
| Why Give Fluids? | 268 | ||
| Effective Circulating Blood Volume | 268 | ||
| Acute Cardiogenic Shock | 269 | ||
| Obstructive Shock | 270 | ||
| Hemorrhagic Shock | 271 | ||
| Distributive Shock | 271 | ||
| FLUIDS | 272 | ||
| CRYSTALLOIDS | 273 | ||
| COLLOIDS | 275 | ||
| SUMMARY | 275 | ||
| REFERENCES | 276 | ||
| Does Fluid Type and Amount Affect Kidney Function in Critical Illness? | 279 | ||
| Key points | 279 | ||
| INTRODUCTION | 279 | ||
| MEASURING RENAL DYSFUNCTION IN CRITICAL ILLNESS | 280 | ||
| HOW USEFUL IS URINE OUTPUT? | 280 | ||
| ARE FLUIDS A REQUIRED COMPONENT OF RENAL RESUSCITATION? | 282 | ||
| MECHANISMS OF RENAL INJURY RELATED TO TYPE OF FLUID | 284 | ||
| SODIUM, CHLORIDE, AND BALANCED SOLUTIONS | 284 | ||
| ALBUMIN SOLUTIONS | 288 | ||
| HYDROXYETHYL STARCH | 290 | ||
| GELATIN SOLUTIONS | 290 | ||
| SUMMARY | 291 | ||
| REFERENCES | 292 | ||
| Blood Product Administration in the Critical Care and Perioperative Settings | 299 | ||
| Key points | 299 | ||
| INTRODUCTION | 299 | ||
| OVERVIEW OF THE CRITICAL CARE SETTING | 301 | ||
| OVERVIEW OF THE PERIOPERATIVE SETTING | 302 | ||
| MANAGEMENT IN CRITICAL ILLNESS | 302 | ||
| Anemia | 303 | ||
| Red Blood Cell Administration | 303 | ||
| The Use of Plasma and Platelets | 304 | ||
| PERIOPERATIVE MANAGEMENT | 304 | ||
| Preoperative Optimization | 304 | ||
| Anemia | 304 | ||
| Risk of bleeding | 305 | ||
| Intraoperative Management | 306 | ||
| Bleeding during surgery | 306 | ||
| Postoperative Management | 306 | ||
| PERSPECTIVE | 307 | ||
| REFERENCES | 307 |