Critical Metabolic, Endocrine and Gastroenterological Medicine — Specialization Treaty in Intensive Care Medicine

Intensive Medicine · Clinical Specialties

How it begins

Un estudio exhaustivo de las alteraciones homeostáticas más complejas del paciente en estado crítico. Este compendio analiza el enfoque de Stewart para el estado ácido-base, el manejo molecular de las crisis endocrinas, las catástrofes hepatogastrointestinales y el soporte nutricional metabólico basado en evidencia científica contemporánea.

What it covers

1. Stewart's Physicochemical Approach to the Acid-Base State
2. Pathophysiology of Complex Dynatremias in the Critically Critical Patient
3. · Hyponatremia in the ICU
4. · Management and Correction of Severe Symptomatic Hyponatremia
5. · Hypernatremia in the ICU
6. Severe Dyskalemia, Membrane Dynamics and Cardiotoxicity
7. · Hyperkalemia ($K^+ > 5.5 \text{ mEq/L}$)
8. · Sequential Emergency Treatment for Cardiotoxic Hyperkalemia
9. Critical Physiology of Divalent Ions: Phosphorus, Magnesium and Calcium
10. · Phosphorus: Severe Hypophosphatemia in the ICU
11. · Magnesium: The Cellular Electrical Stabilizer
12. · Ionized Calcium in the Critical Patient
13. Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State (HHS)
14. · Dynamic Treatment Protocol and Insulin Transition
15. Thyroid Storm and Myxedematous Coma: Extreme Endocrine Pathophysiology
16. · Thyroid Storm
17. · Myxedematous Coma
18. Critical Illness Related Adrenal Insufficiency (CIRCI)
19. · Molecular Physiopathology of the CIRCI
20. · Corticosteroid Treatment Protocol in Septic Shock
21. Strict Glycemic Control, Hypoglycemia and Glycemic Variability
22. · Pathophysiology of Stress Hyperglycemia
23. · The Legacy of the NICE-SUGAR Clinical Trial
24. Severe Acute Pancreatitis: Pathophysiology, Resuscitation Phases and Infected Necrosis
25. · Cellular Pathophysiology of Pancreatic Injury
26. · Modified Atlanta Classification (2012)
27. · Goal Guided Fluid Therapy in the Acute Phase
28. Acute Liver Failure (ALF) and Acute on Chronic Liver Failure (ACLF)
29. · Pathophysiology of Cerebral Edema in FHA
30. · Management and Control of Encephalopathy and Intracranial Hypertension
31. High and Low Catastrophic Digestive Bleeding in Critical Care
32. · Digestive Bleeding of Variceal Origin
33. Acute Mesenteric Ischemia: Occlusive and Non-Occlusive Catastrophe
34. · Physiopathological and Etiological Classification
35. · Therapeutic Strategy and Intestinal Preservation
36. Intra-abdominal Hypertension (IAH) and Abdominal Compartment Syndrome (ACS)
37. · Consensus Definitions according to the WSACS (World Society of the Abdominal Compartment Syndrome)
38. · Multisystemic Effects of Elevated IAP
39. · Stepped Management of Intra-abdominal Hypertension
40. Enteral and Parenteral Nutrition in the Critically Ill Patient
41. · Enteral Nutrition (EN): The Gold Standard
42. · Absolute Contraindications for Enteral Nutrition
43. · Parenteral Nutrition (PN): Indication and Rescue
44. Molecular Physiopathology of Refeeding Syndrome
45. · The Molecular Physiopathological Cascade
46. Determination of Energy Expenditure: Indirect Calorimetry vs. Predictive Equations
47. · Physiological Principles of Indirect Calorimetry (IC)
48. · Clinical Consequences of Nutritional Error
49. Comprehensive Decision Making Algorithm in Gastroenterological and Metabolic Emergencies