Principles of Critical Care Hall by Jesse Hall, Gregory Schmidt, Lawrence Wood

By Jesse Hall, Gregory Schmidt, Lawrence Wood

The vintage textual content in serious care medicine!
A Doody's middle Title!
4 superstar DOODY'S REVIEW!
"This is among the best textbooks within the field."--Doody's assessment Service
The third variation of this vintage textual content is streamlined and inquisitive about the wishes of the operating serious care surgeon and contours vital new remedy suggestions. equipped by way of organ platforms, this article, the single severe care resource that incorporates evidence-based studying, courses physicians from preliminary sufferer evaluate and differential prognosis via healing plan.
(20070201)

Show description

By Jesse Hall, Gregory Schmidt, Lawrence Wood

The vintage textual content in serious care medicine!
A Doody's middle Title!
4 superstar DOODY'S REVIEW!
"This is among the best textbooks within the field."--Doody's assessment Service
The third variation of this vintage textual content is streamlined and inquisitive about the wishes of the operating serious care surgeon and contours vital new remedy suggestions. equipped by way of organ platforms, this article, the single severe care resource that incorporates evidence-based studying, courses physicians from preliminary sufferer evaluate and differential prognosis via healing plan.
(20070201)

Show description

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Furthermore, the managers of ICUs should build on experience. 3 Managing Death and Dying in the Intensive Care Unit Perhaps no critical care issue is more emotionally charged and time-consuming than the decision to withhold and/or withdraw life-sustaining therapy (see Chap. 17). Practition- CHANGE THE GOAL OF THERAPY FROM CURE TO COMFORT In our view, this decision is best aided by a clear, brief explanation of the patient’s condition and why the physician believes the patient is dying. When the patient or significant other has had the opportunity to challenge or clarify that explanation, the physician needs to make a clear recommendation that continued treatment for cure is most unlikely to be successful, so therapeutic goals should be shifted to treatment for comfort for this dying patient.

There are essentially four types of cost analyses: cost minimization, cost benefit, cost effectiveness, and cost utility. The fourth, cost utility, is best viewed as a special case of cost effectiveness. In addition, there are situations in which a Copyright © 2005, 1998, 1992 by The McGraw-Hill Companies, Inc. Click here for terms of use. 12 PART I AN OVERVIEW OF THE APPROACH TO AND ORGANIZATION OF CRITICAL CARE cost-effectiveness analysis can produce a cost-minimization statement. COST-MINIMIZATION ANALYSIS The cost studies that are most familiar to clinicians are cost minimization studies, and these consider only how much a drug costs to stock in the pharmacy.

We can consider that worth represents some trade-off of cost and benefit (or effect). ’’ This is principally a social policy issue and requires considering the worth of new therapies not only within a given disease, but also in comparison to other therapies in other diseases. For example, although drotrecogin alfa (activated) might be deemed worthwhile in the treatment of sepsis, a state Medicaid agency might be forced to compare its value to that of a hepatitis B vaccination program for newborns, or to influenza vaccinations for the elderly.

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