دانلود کتاب IAP – کتاب درسی پروتکل های ICU اطفال

It gives us immense pleasure to present this new edition of IAP Textbook of Pediatric ICU Protocols to you. The book will be officially released during PEDICON 2019 at Mumbai. It was almost six years ago that the 2nd edition of this book was published. From A-B-C to C-A-B in advanced life support and resuscitation, from dopamine to adrenalin as first choice of inotropes in septic shock management, from aminophylline to magnesium sulfate as second line drug in status asthmaticus and from 60 mL rapid bolus to repeated 20 mL slow boluses in graded manner for fluid resuscitation of shock, pediatric critical care has seen substantial changes in the management protocols in recent years. So, we have decided to bring out this 3rd edition with updated knowledge, under the auspices of Indian Academy of Pediatrics (IAP). This protocol book will update your knowledge with respect to published national and international guidelines published for different category of diseases in the pediatric intensive care unit (PICU). Most of the protocols are based upon recent published data or best practice strategies of reputed institutes. The aim of the book is to make the management of the sick child with uniformity, across the hospitals in India. This uniformity will not only improve the standard of quality practice in various hospitals but also will give an edge in facing medicolegal issues when conflict develops, as these protocols will set a standard of care for Indian context. In this edition you will find system-based protocols divided in almost 20 sub-sections. Each section has been written by esteemed faculty with substantial authority on that subject, many are either fellows of pediatric subspecialty or having vast experience in that field and edited by renowned Pediatric Intensivists. All the aspects of basic and advanced life support as per recent Pediatric Advanced Life Support (PALS) guidelines are incorporated. In basic mechanical ventilation, protocols on trouble shooting, ventilation, weaning, extubation, prone positioning, recruitment maneuvers and tracheotomy are added. Shock has been revised and new American College of Critical Care Medicine (ACCM) guidelines for septic shock are included. Many centers in India are now using inhaled nitric oxide and extracorporeal membrane oxygenation (ECMO); hence protocols on these advanced therapies are added. Tropical infections are still a major contributor for admissions in our ICUs and healthcare-associated infections are increasing in India too, hence protocols on these infections are added with chapters on antibiotics and antifungals in PICU. Special chapter on fluids in different situations in PICU has been added. Chapters on DIC, transfusion of blood and blood products, transfusion reactions and oncological emergencies are added in hematology section. Gastroenterology section is added with protocols on acute pancreatitis and surgical abdomen. Protocols on renal replacement therapy are also newly added. There is a new addition on common respiratory problems like severe pneumonia, bronchiolitis, acute croup, empyema, acute respiratory distress syndrome (ARDS) and air leak syndrome. In environmental injuries section we have included management issues about heat stroke, burns, electrical injury, poly trauma and drowning. New sections on quality care in PICU and medicolegal issues in PICU are specially incorporated to address the special needs of the present era. We sincerely thank our associate editors Dr Kundan Mittal, Dr Mahesh Mohite, Dr Arun Bansal and Dr Rakshay Shetty for critically evaluating all the protocols and editing those to best possible way. We are also thankful to all section editors and authors for completing the work in stipulated time, despite their busy schedule. We hope this book will help the postgraduates, fellows, consultants and pediatric intensivists for better management of critically ill children and improving their outcome and should be a standard book available always in any PICU.