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|The ICU Book, 2nd Edition||
|The ICU Book is a classic!
This terrific book is designed for Medical Intensive Care MICU, but is definitely great for Cardiac ICU and even Pediatric ICU. The focus on this book is a little less focused toward direct diseases and problems, and tends to be heavier on physiology and pathophysiology. In addition, it does a good job reminding clinicians about the basic science aspects behind physiology that tends to be forgotten in clinical medicine.
The latest version is the 1998 2nd edition, and Marino has the basic layout broken down into: Basic Science Review, Standard Practices (catheters, prophylaxis), Hemodynamics, Circulatory flow, Myocardial Injury, Acute Respiratory Failure, Mechanical ventilation, Infections, Acid-Base, Fluid and Electrolytes, Blood Therapy, Nutrition and Metabolism, Neurologic disorders, and Phamaceutical considerations.
The best part about this text is that it is exceedingly easy to read. The text is large print and laid out well, and the diagrams are excellent. Virtually every chapter is packed with different tables and charts which dramatically help the reader’s ability to understand the topics. The respiratory gas, mechanical ventilation, and blood component chapters are especially well done.
The ICU Book helps to explain clearly some of the most difficult topics in ICU medicine. Besides the basics of circulatory flow, respirations, and infections, the ICU Book also does a good job at giving the physiologic effects of many medications. The antibiotics chapters and the chapters on analgesia and sedation quickly and succinctly describe the characteristics of each medication along with it’s associated side effects and indications.
Each chapter is well organized, starting with the basics, then progresses toward the complex. For Example, the Chapter on the Febrile Patient begins with explanations of normal body temperature, definitions of fever, febrile response, then delves into the other causes of fever.
The book is very complete, and well done overall.
Perhaps it’s only weaknesses are that the current edition may be beginning to become slightly outdated, written about 6 years from this review time, not addressing some of the latest studies. However, the physiology and pathophysiology will no doubt continue to be relevant. Also, the book would be strengthened by a few more photographs (XR), EKGs, etc.
This book is a must for anyone who is spending time in an intensive care setting!
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