Principles of Adult Surgical Critical Care

This text provides a high level, comprehensive but concise review of adult surgical critical care.  It can be used to review complex topics of critical illness in surgical patients, as a reference tool, or as preparation for a board examination.  It is focused on the surgical patient including high yield facts, evidence-based guidelines, and critical care principles.  To remain succinct, it concentrates on surgically relevant care.  Further, the text is written with an expectation that reader already possesses a basic understanding of critical care pathophysiology and clinical practices such as those acquired during residency. Organized by organ system, each section contains several chapters addressing relevant disorders, monitoring and treatment modalities, and outcomes.      

Pain, Agitation, Delirium and Immobility in the ICU.- Bedside Neurologic Monitoring.- Status Epilepticus.- Traumatic Brain Injury.- Care of the Spinal Cord Injured Patient.- Non-traumatic Neurological Conditions.- Hemodynamic Monitoring and Resuscitation.- Hemodynamic Monitoring in Surgical Critical Care.- Cardiovascular Emergencies.- Extracorporeal Membrane Oxygenation (ECMO)/Extracorporeal Carbon Dioxide Removal (ECCO2R).- Acute Respiratory Distress Syndrome and Lung Protective Ventilation.- Noninvasive Ventilation in the Peri-operative Period.- Care of the Surgical ICU Patient with Chronic Obstructive Pulmonary Disease and Pulmonary Hypertension.- Diagnosis and Management of Acute Kidney Injury.- Renal Replacement Therapy in the Critically Ill Surgical Patient.- Gastrointestinal Hemorrhage.- Critical Care Management of Severe Acute Pancreatitis.- Hepatic Failure.- Abdominal Compartment Hypertension and Abdominal Compartment Syndrome.- Nutrition in the Surgical ICU Patient.- Antibiotic Strategy and Stewardship.- Sepsis, Severe Sepsis, and Septic Shock.- Source Control and Supporting Therapeutics: Integrating bacterial invasion, host defense, and clinical interventions with source control procedures.- Soft Tissue Infections.- Anemia in the Surgical ICU.- Coagulopathies and Anticoagulation.- Thrombocytopenia in the Surgical Intensive Care Unit.- Venous Thromboembolism in the Intensive Care Unit.- Glycemic Control, Insulin Resistance.- Critical Illness-Related Corticosteroid Insufficiency in the Intensive Care Patient.- Thyroid Disorders.- Hyperadrenergic Crisis.- Trauma.- Immunocompromised Patients.- Transplantation.- Intensive Care in Obstetrics.- The Pediatric Patient Cared for in the Adult ICU.- Organ Donor Management.- Biostatistics for the Intensivist: A Clinically-Oriented Guide to Research Analysis and Interpretation.- Administration.- Practical Pharmacokinetics and Pharmacodynamics.- Ethics and the ICU.- Disaster Management and Preparedness.- Post-operative complications following surgery abroad.- Post-Intensive Care Syndrome (PICS).- Operative Procedures in the Intensive Care Unit.- Anesthesia-Related Issues in the ICU.- Incorporating Advanced Practice Practitioners in the ICU.- Contemporary ICU Design.- Telemedicine for the Intensive Care Unit.

Dr. Martin is an Assistant Professor of Surgery within the Division of Traumatology, Surgical Critical Care, & Emergency Surgery and is Co-Medical Director of the Surgical Intensive Care Unit. He received his undergraduate degree from Rutgers University and his Medical Doctor degree in May 2000 from the University of Medicine and Dentistry of New Jersey – Robert Wood Johnson Medical School. He completed a 6-year General Surgery Residency at Thomas Jefferson University Hospital, which also included a one-year Vascular Tissue Engineering Research Fellowship and also completed a 2-year fellowship in Traumatology and Surgical Critical Care at the Hospital of the University of Pennsylvania. Dr. Martin has specific clinical interests in management of the open abdomen, laparoscopic ventral hernia repair, anterior thoraco-lumbar spine fusion exposure, advanced modes of ventilation and nutritional support.