Advanced Practice in Critical Care -- Contents -- Preface -- Contributors and acknowledgements -- 1 Challenges in contemporary critical care -- Introduction -- Critical care without walls -- Advanced practice -- Interprofessional roles within critical care -- Conclusion -- References -- 2 The physiological basis of critical illness -- Introduction -- Patient scenario -- Mechanisms of cellular damage -- Impact of reduced perfusion on energy production -- Evaluation of ischaemia: reperfusion injury -- The inflammatory response and the role of mediators -- Mechanisms for haemostasis in relation to critical illness -- Conclusion -- References -- 3 The patient with haemodynamic compromise leading to renal dysfunction -- Introduction -- Patient scenario -- Underlying physiology and pathophysiology -- Assessment and diagnosis -- Evidence-based care -- Ongoing patient scenario -- Progressing pathophysiology -- Ongoing assessment -- Evidence-based care -- Conclusion -- References -- 4 The septic patient -- Introduction -- Patient scenario -- Underlying physiology and pathophysiology -- Assessment and diagnosis -- Evidence-based care -- Ongoing patient scenario -- Progressing pathophysiology -- Ongoing assessment -- Evidence-based care -- Conclusion -- References -- 5 The patient with acute respiratory failure -- Introduction -- Patient scenario -- Underlying physiology and pathophysiology -- Assessment and diagnosis -- Arterial blood gas analysis -- Evidence-based care -- Ongoing patient scenario -- Progressing pathophysiology -- Ongoing assessment -- Evidence-based care -- Conclusion -- References -- 6 The patient with chronic respiratory failure -- Introduction -- Patient scenario -- Underlying physiology and pathophysiology -- Assessment and diagnosis -- Evidence-based care -- Ongoing patient scenario -- Weaning from ventilatory support -- Ongoing care.

Conclusion -- References -- 7 The patient with an intracranial insult -- Introduction -- Patient scenario -- Underlying physiology and pathophysiology -- Assessment and diagnosis -- Evidence-based care -- Ongoing patient scenario -- Progressing pathophysiology -- Ongoing assessment -- Evidence-based care -- Conclusion -- References -- 8 The patient with a traumatic injury -- Introduction -- Patient scenario -- Mechanisms of injury -- Assessment and diagnosis -- Primary and secondary surveys -- Underlying physiology and pathophysiology -- Evidence-based care -- Continuing patient scenario -- Evidence-based care -- Ongoing patient scenario -- Progressing pathophysiology -- Ongoing assessment -- Evidence-based care -- Management of his pelvic injury -- Conclusion -- References -- 9 The patient with a diabetic emergency -- Introduction -- Patient scenario -- Underlying physiology and pathophysiology -- Underlying pathophysiology -- Assessment and diagnosis -- Evidence-based care -- Ongoing care -- Conclusion -- References -- 10 The long-term patient in intensive care unit -- Introduction -- Patient scenario -- Impact of being in the critical care environment -- Psychological effects -- Underlying physiology and physiological effects -- Quality of life -- Rehabilitation process -- Conclusion -- References -- 11 Ethical considerations in critical care -- Introduction -- Patient scenario -- Admission to critical care -- What are ethics? -- Biomedical ethical model -- The role of outreach -- Ongoing patient scenario -- Futile situations -- Withdrawal/withholding of treatment or euthanasia? -- Patient autonomy -- The process of withdrawing or withholding treatment -- Role of the nurse -- Collaborative decision-making -- Conclusion -- References -- Index.