Editors Vineet Nayyar MD DNB MPH FRACP FJFICM
Senior Staff Specialist Intensive Care Unit Westmead Hospital
Westmead, Sydney NSW 2145 (Australia)
John V Peter MD DNB MAMS FRACP FJFICM
Reader, Department of Medicine Consultant, Medical Intensive Care Unit Christian Medical College and Hospital
Vellore, Tamil Nadu (India)
Roop Kishen MBBS DA MD FRCA
Consultant in Anaesthesia and Intensive Care Lecturer, Victoria University of Manchester Intensive Care Unit, Hope Hospital Salford Royal NHS Foundation Trust
Salford, Manchester M6 8HD (UK)
S Srinivas MD FNB MRCP EDIC
Consultant and Head Department of Critical Care Care Hospital, Banjara Hills
Hyderabad, Andhra Pradesh (India)
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Critical Care Update 2009
© 2010, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 2010
9788184489729
Typeset at JPBMP typesetting unit
Printed at
5Contributors
- Sumesh Arora md, edic, fjficm
- Staff Specialist ICU, Prince of Wales Hospital
- Randwick, Sydney (Australia)
- Shoma Baidya md, frcpa
- Transfusion Medicine Specialist
- Australian Red Cross Service, 44 Musk Avenue
- Kelvin Grove, Brisbane (Australia)
- Angela M Berry rn, icc, phd
- Clinical Nurse Consultant
- Intensive Care Unit, Westmead Hospital
- Westmead, Sydney (Australia)
- Jose Chacko md, edic
- Consultant and Head
- Department of Critical Care, Manipal Hospital
- Old Airport Road, Bengaluru (India)
- Sunil A David mbbs, phd
- Associate Professor
- Department of Medicinal Chemistry
- University of Kansas
- 2030 Becker Drive, Lawrence (USA)
- JV Divatia md
- Professor and Head of Critical Care
- Dept of Anaesthesia, Critical Care and Pain
- Tata Memorial Hospital, Parel
- Mumbai, Maharashtra (India)
- Linda Hutchison rn, mnurs, madultedu
- Clinical Nurse Consultant
- Plastic Surgery and Wound Care
- Westmead Hospital, Westmead, Sydney (Australia)
- Roop Kishen mbbs, da, md, frca
- Consultant in ICU and Anaesthesia
- Lecturer, Victoria University of Manchester
- Intensive Care Unit, Hope Hospital
- Salford Royal NHS Foundation Trust
- Salford, Manchester (United Kingdom)
- Marta Kot
- Fellow in Critical Care Echocardiography
- Dept of Intensive Care Medicine
- Nepean Hospital, Nepean, Sydney (Australia)
- Atul P Kulkarni md
- Additional Professor
- Department of Anaesthesia
- Critical Care and Pain, Tata Memorial Hospital
- Parel, Mumbai, Maharashtra (India)
- Jeffrey Lipman
- Professor, University of Queensland
- Burns, Trauma, Critical Care Research Centre
- Head, Dept of Intensive Care Medicine
- Royal Brisbane and Women's Hospital
- Herston, Brisbane (Australia)
- Dilip Mathai md, phd, fcams, ficp, fidsa
- Professor and Head
- Dept of Internal Medicine
- Head, Infectious Disease Training and Research
- Christian Medical College and Hospital
- Vellore, Tamil Nadu (India)
- Anand Manoharan msc, phd, mph
- Scientist, Infectious Diseases
- Infectious Diseases Training and Research Centre
- Department of Internal Medicine
- Christian Medical College and Hospital
- Vellore, Tamil Nadu (India)
- John L Moran md, fracp, ffaracs, fjficm
- Associate Professor, University of Adelaide
- Department of Intensive Care Medicine
- The Queen Elizabath Hospital
- Woodville, Adelaide (Australia)
- Yugan M Mudaliar fsa, fracp, ffaracs, fjficm
- Senior Lecturer, University of Sydney
- Senior Staff Specialist, ICU, Westmead Hospital
- Westmead, Sydney (Australia)
- Vineet Nayyar md, dnb, mph, fracp, fjficm
- Senior Staff Specialist
- Intensive Care Unit, Westmead Hospital
- Westmead, Sydney (Australia)
- John JV Peter md, dnb, mams, fracp, fjficm
- Reader, Department of Medicine
- Consultant, Medical Intensive Care Unit
- Christian Medical College and Hospital
- Vellore, Tamil Nadu (India)
- Vijaya Patil md
- Additional Professor
- Department of Anaesthesia
- Critical Care and Pain, Tata Memorial Hospital
- Parel, Mumbai, Maharashtra (India)
- Jason A Roberts phd
- University of Queensland
- Burns, Trauma, Critical Care Research Centre
- Department of Pharmacy
- Royal Brisbane and Women's Hospital
- Herston, Brisbane (Australia)
- Ian Seppelt fanzca, fjficm
- Lecturer, University of Sydney
- Senior Staff Specialist ICU, Nepean Hospital
- Nepean, Sydney (Australia)
- Madhavi Shetmahajan md
- Assistant Professor
- Dept of Anaesthesia, Critical Care and Pain
- Tata Memorial Hospital
- Parel, Mumbai, Maharashtra (India)
- Thomas Solano fracp, fjficm
- Consultant Intensivist
- Infectious Diseases Specialist
- Westmead Hospital
- Westmead, Sydney (Australia)
- S Srinivas md, fnb (crit care), mrcp, edic
- Consultant and Head
- Department of Critical Care, Care Hospital
- Banjara Hills, Hyderabad, Andhra Pradesh (India)
- Edward R Stachowski fanzca, fjficm
- Senior Staff Specialist and Director
- Intensive Care Unit
- Westmead Hospital
- Westmead, Sydney (Australia)
- Martin Sterba edic, fjficm
- Staff Specialist
- Intensive Care Unit
- Wollongong Hospital
- Wollongong (Australia)
- Gareth L Thomas bmedsci, mrcp, frca, edic
- Consultant in Intensive Care Medicine
- Intensive Care Unit, Hope Hospital
- Salford Royal NHS Foundation Trust
- Salford, Manchester (United Kingdom)
- Barbara Trytko fanzca, fjficm, dip dhm
- Senior Staff Specialist
- Dept of Diving and Hyperbaric Medicine
- Prince of Wales Hospital
- Randwick, Sydney (Australia)
- Marta Ulldemolins md
- University of Queensland
- Burns, Trauma, Critical Care Research Centre
- Critical Care Department,
- Joan XXIII University Hospital
- Institut d'Investigació Sanitària Pere Virgili
- Tarragona (Spain)
- Julie M Varghese
- University of Queensland
- Burns, Trauma, Critical Care Research Centre
- Department of Pharmacy
- Royal Brisbane and Women's Hospital
- Herston, Brisbane (Australia)
- A George Vasanthan msc, phd
- Scientist, Infectious Diseases
- Infectious Diseases Training and Research Centre
- Department of Internal Medicine
- Christian Medical College and Hospital
- Vellore, Tamil Nadu (India)
As always, this year's Update contains articles on a range of topics relevant to Critical Care. I hope, readers of this book will come away with refreshed ideas about aspects of their work and will change practice to improve the quality of patient care. If, as a result of this, loss of a single human life is prevented or if a complication is avoided, then the goal of this exercise would be achieved.
It has become something of a tradition to include in the Update, topics that relate directly to patient management and also those that indirectly impact on patient care. This year's theme on Manpower is the reason for inclusion of four ‘off-beat’ but fascinating chapters at the beginning of the book. Issues like teamwork, burn out and shift-work are particularly relevant to the specialty of Intensive Care. Therefore, I recommend these chapters to all the readers of the book.
The most important part of any book is the content, and for this, I am grateful to all the authors who have contributed willingly to this year's effort. Working on tight schedules while juggling with other competing deadlines is never easy. I would, therefore, like to thank all the authors for providing excellent chapters for inclusion in the book within the time lines set by the publishers. As previously, these chapters have been subjected to minimal peer review and their content, therefore, remains the responsibility of individual authors.
Members of the editorial team have worked tirelessly behind the scenes, not only to encourage the creativity of authors, but also in the difficult task of serving reminders. I would like to thank all the co-editors for their contributions. As senior editor of the publication, I wish to place on record my gratitude for the continued support of the publishers M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi. The Update has been released in time for the ISCCM conference at various locations in India with a remarkable consistency over the past few years. The team at Jaypee Brothers has been largely responsible for the timely production and delivery of the book and they have done an outstanding job for nine consecutive years.
There are, in addition, a few people whose efforts have allowed me to undertake the task of editing the Update year after year. As always, I am thankful for their support.
Sydney, Australia
31 December 2009
Vineet Nayyar