Pediatric Critical Care 4th Edition PDF Download

Pediatric Critical Care 4th Edition PDF Download
by Bradley P. Fuhrman (Author), Jerry J. Zimmerman (Author)

Provide the latest in superior quality care for critically ill children with the full-color, updated 4th Edition of Fuhrman and Zimmerman’s Pediatric Critical Care. In print, and now online, Drs. Bradley P. Fuhrman and Jerry J. Zimmerman use a comprehensive, organ-systems approach to help you manage a full range of disease entities. Get up-to-the-minute knowledge of topics such as acute lung injury, multiple organ dysfunction syndrome, and more. Implement new clinical techniques and diagnostic tests, weigh the varying perspectives of six associate editors with expertise in the field, reference 1,000+ illustrations to aid diagnosis, and keep sharp with online access to board-style review questions. This definitive title will ensure that you consistently deliver the very best intensive care to your pediatric patients.

Focus on the development, function, and treatment of a wide range of disease entities with the text’s clear, logical, organ-system approach. Keep all members of the pediatric ICU team up to date with coverage of topics particularly relevant to their responsibilities. Keep current with the latest developments in palliative care, mass casualty/epidemic disease, acute respiratory failure, non-invasive ventilation, neurocritical care, neuroimaging, hypoxic-ischemic encephalopathy, stroke and intracerebral hemorrhage, systemic inflammatory response syndrome, acute lung injury, multiple organ dysfunction syndrome, and much more.
Quickly find the information you need with sections newly reorganized for easier access. Gain the perspectives of six expert associate editors on all the new developments in the field. Understand complex concepts quickly and conclusively with a brand new full-color format and more than 1,000 illustrations.

On publishing this Fourth Edition of Pediatric Critical Care, we are struck by how much the milieu of pediatric critical care  medicine and the content of this textbook have changed over  the last 2 decades. The first edition of Pediatric Critical Care appeared in 1992, only 5 years after the first Pediatric Critical Care Medicine certification examination. In fact, the first  table  of  contents  for Pediatric  Critical  Care was  constructed  to encompass the American Board of Pediatrics’ original content  specifications  for  pediatric  critical  care  medicine.  Since  then, most of the authors and editors of Pediatric Critical Care have survived recertification and are now actively engaged in  “Maintenance of Certification.” However, the value of a comprehensive  textbook  such  as Pediatric  Critical  Care remains  constant; it continues to provide a comprehensive overview of  pediatric critical care medicine for those working in the field.
That noted, the content of Pediatric Critical Carehas certainly evolved through these four editions. Cardiopulmonary  physiology still represents comfort food for most intensivists. 
Those concepts remain as fundamental as ever. However, the  virtual explosion of molecular biology has fueled the expectation  of  personalized  medicine.  When  the  first  edition  of  Pediatric Critical Careappeared, the Human Genome Project  was just getting underway. Today, whole genome mapping is 
common in research, and, in the near future, it will probably become an element of the medical record.Reanimation was once a comic book fantasy. Today, extracorporeal life support has become an integral component of  cardiopulmonary  resuscitation  in  many  hospitals.  Since  the  first  systemic  pulmonary  shunt  was  performed  in  1943,  the  advances in pediatric cardiac surgery and postoperative care  have been nothing less than spectacular, including the growth of  pediatric  cardiac  intensive  care  as a  new  focused  subspecialty.  A  parallel  pattern  of  subspecialization  seems  to  be appearing in pediatric neurocritical care. Similarly, pediatric critical  care  medicine  has  clearly  played  a  role  in  improved survival of hematology/oncology and hematopoietic progenitor cell transplantation patients.
At  the  time  of  the  first  edition  of Pediatric  Critical  Care,family-centered care was merely an interesting and controversial  concept.  Now  parents  routinely  contribute  information during rounds to help inform the daily care plan. Pulmonary artery  catheters  were  once  in  common  use,  often  placed  by 
cut-down vascular access. Today, a pediatric critical care medicine  fellow  is  more  likely  to  encounter  a  pulmonary  artery catheter  in  a  simulation  laboratory,  yet  is  skilled  in  vascular  ultrasonography  and  echocardiography,  techniques  that facilitate placement of vascular catheters on the first pass and provide  three-dimensional  visualization  of  complex  cardiac anatomy.  Before  the  new  millennium,  pediatric  and  adult patients with hypoxemic respiratory failure were commonly supported  by  using  tidal  volumes of  10  to  15  mL/kg.  Chest tube insertion equipment and draining systems were typically ordered to the bedside on initiation of mechanical ventilation because pneumothorax was an anticipated and frequent complication.  Similarly,  catheter-associated  bloodstream  infections  were  a  troublesome  and  not unexpected  complication of central venous catheterization. Meanwhile, over the past 20 years, there has been a remarkable decline in deaths from sudden infant death syndrome, and infants of ever-greater prematurity have survived.Two publications, “To Err is Human: Building a Safer System”  and  “Crossing the  Quality  Chasm”  would  not  appear until the twenty-first century and have ushered in a new hospital paradigm of continuous quality improvement.
Although there have been huge advances in knowledge of the molecular pathophysiology of sepsis since the first edition of Pediatric Critical Care,basic critical care principles remain paramount:  early  detection;  early,  vigorous  hemodynamic resuscitation;  and  early  antibiotics—simple  concepts  that clearly save lives. Success in the field of pediatric critical care medicine has allowed a change in outcome focus of interventional clinical trials from death to long-term morbidity. Particularly over the last decade, pediatric critical care medicine has seen the emergence of clinical research networks that will continue to foster translation of important basic research into practice.
With  the  publication  of  the  Fourth  Edition  of Pediatric Critical  Care, the  editors  note  that  new  challenges  continue to emerge for practitioners, particularly in a field that is now overtly  international  in scope.  Worldwide,  roughly  25  children still die of sepsis every minute. Obesity now complicates the neurogenic-inflammatory-endocrine  stress  response  to critical illness. A growing population of children with acquired immunodeficiency increasingly find their way into the pediatric intensive care unit, as do an increasing number of children with chronic complex conditions.As in the past, although in debt to many, we remain particularity grateful to our families, friends, and colleagues who have been patiently supportive through three revisions of this textbook.  We  thank  our  new  section  editors  as  well  as  the hundreds of authors who have contributed to the success of this and former editions of the textbook. Lastly, we thank the 
members of the multidisciplinary teams who make pediatric critical care medicine work and the patients and families who allow us into their lives at a time when they are most vulnerable. Being a pediatric intensivist remains an amazing, challenging, rewarding, humbling, and privileged occupation.
We hope this Fourth Edition of Pediatric Critical Care will help nurture our evolving specialty

Pediatric Critical Care 4th Edition PDF Download

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Pediatric Critical Care 4th Edition Ebook

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