Surgical Intensive Care | Treaty of Critical Medicine and Surgery

Surgery · Clinical Specialties

How it begins

Tratado integral de fisiología adaptativa y soporte vital en el postoperatorio de alta complejidad. Aborda desde la respuesta neuroendocrino-metabólica y el monitoreo hemodinámico por termodilución transpulmonar, hasta la terapia dirigida por viscoelasticidad, la sepsis abdominal con abdomen abierto, la insuficiencia renal por CRRT y la neurocomputación intensiva.

What it covers

1. Surgical Intensive Care
2. Endocrine-Metabolic Response to Surgical Trauma
3. · 1.1 · Afferent Pathways and Neuroendocrine Signaling
4. · 1.2 · Dynamics of Counterregulatory Hormones
5. · 1.3 · Adaptive Phases: From the "Ebb" Phase to the "Flow" Phase
6. Advanced Hemodynamic Monitoring in the Critical Postoperative
7. · 2.1 · Static Parameters vs. Dynamic Preload
8. · 2.2 · Monitoring by Transpulmonary Thermodilution (PiCCO) and Pulmonary Artery Catheter
9. · 2.3 · Perioperative Critical Echocardiography (FATE/POCUS)
10. Shock in the Surgical Patient and Vasoactive Support
11. · 3.1 · Pathophysiological Classification in the Surgical Environment
12. · 3.2 · Rational Fluid Therapy: Crystalloids vs. Colloids
13. · 3.3 · Vasoactive and Inotropic Support Pharmacotherapy
14. Damage Control Resuscitation
15. · 4.1 · The Lethal Triad and Trauma-Induced Coagulopathy (TIC)
16. · 4.2 · Mass Transfusion Protocol (MTP): The 1:1:1 Concept
17. · 4.3 · Diagnosis and Therapy Directed by Viscoelasticity (ROTEM / TEG)
18. Acute Respiratory Failure and Mechanical Ventilation
19. · 5.1 · Pathobiology of Acute Alveolar Damage
20. · 5.2 · Protective Mechanical Ventilation: The Standard of Care
21. · 5.3 · PEEP Qualification and Recruitment Maneuvers
22. Intra-abdominal Sepsis and Open Abdomen
23. · 6.1 · Microbiology and Control of the Focus of Abdominal Sepsis
24. · 6.2 · Management of Open Abdomen: Indications and Criteria
25. · 6.3 · Temporary Abdominal Wall Closure Systems (TAC)
26. Multiorgan Dysfunction (MODS) in the Surgical Critical
27. · 7.1 · Pathophysiology of Endothelial Damage and Glycocalyx Degradation
28. · 7.2 · Crossroads Theory (Organ Crosstalk)
29. · 7.3 · Stratification Using Clinical Scales (SOFA)
30. Metabolic and Nutritional Support in the UCIQ
31. · 8.1 · Physiology of Stress Fasting vs. Simple Fasting
32. · 8.2 · Determination of Energy Requirements
33. · 8.3 · Immunonutrition and the Refeeding Syndrome
34. Acute Kidney Injury (AKI) and Renal Replacement Therapy
35. · 9.1 · Pathophysiology of AKI in the Postoperative Period of Major Surgery
36. · 9.2 · Early Biomarkers of Structural Damage
37. · 9.3 · Continuous Renal Replacement Therapy (CRRT) in the UCIQ
38. Coagulation Disorders and Venous Thromboembolism
39. · 10.1 · Heparin-Induced Thrombocytopenia (HIT) Type II
40. · 10.2 · Emergency Reversal of Direct Anticoagulants (DOACs) and Warfarin
41. · 10.3 · Pharmacological and Mechanical Prophylaxis of Venous Thromboembolism
42. Neurointensive Support in the Surgical Patient
43. · 11.1 · Pathophysiology of Cerebral Perfusion Pressure (CPP)
44. · 11.2 · Multimodal Monitoring of Intracranial Pressure
45. · 11.3 · Intracranial Hypertension Treatment Algorithm (ICP 22 mmHg)
46. Nosocomial Infections and Antimicrobial Administration
47. · 12.1 · PK/PD Optimization of Beta-lactams in the UCIQ
48. · 12.2 · Prevention and Bundles of Nosocomial Infections
49. Intra-abdominal Hypertension (IAH) and Compartment Syndrome
50. · 13.1 · Standardized Measurement of Intra-abdominal Pressure
51. · 13.2 · Multiorgan Pathophysiology of IAH and SCA
52. · 13.3 · Medical and Surgical Management Algorithm
53. Postoperative of Complex Cardiovascular and Thoracic Surgery
54. · 14.1 · Vasoplegic Syndrome Post-Cardiopulmonary Bypass
55. · 14.2 · Right Ventricular Dysfunction and Pulmonary Hypertension
56. · 14.3 · Differential Diagnosis of Postoperative Cardiac Tamponade
57. Postoperative Solid Organ Transplant Surgery
58. · 15.1 · Liver Transplant Postoperative
59. · 15.2 · Postoperative Kidney Transplant: Management of Delayed Function
60. · 15.3 · Postoperative Heart Transplantation: Physiology of the Denervated Heart
61. · 15.4 · Immunosuppression and Infectious Prophylaxis Schemes
62. Ethical Aspects, Delirium and Humanization in the UCIQ
63. · 16.1 · Diagnosis and Monitoring of Delirium
64. · 16.2 · The ABCDEF Measurement Package (Bundle)
65. · 16.3 · Perioperative Ethical Dilemmas and Limitation of Therapeutic Effort (LET)
66. · 16.4 · Key Principles in Surgical Intensive Care Practice