Geriatric trauma and critical care / Fred A. Luchette, Jay A. Yelon, editors

Includes bibliographical references and index

Contributors; 1: Changing Demographics of the American Population; Introduction; The Aging Population; The Cost of Caring for the Elderly; Effects of Aging on Organ Function; Trauma in the Elderly; Early Inpatient Rehabilitation; End-of-Life Issues; References; 2: Effect of Aging on Cardiac Function Plus Monitoring and Support; Introduction; Effect of Aging on the Right Ventricle; Effect of Aging on the Left Ventricle; Effect of Aging on Vascular Structures; Effect of Aging on Cardiac Output; Effect of Aging on the Beta-Adrenergic Response

Effect of Aging on the Baroreflex Response Effect of Surgery on the Geriatric Cardiovascular System; Effect of Comorbidities on Cardiovascular Function: Atrial Fibrillation; Effect of Comorbidities on Cardiovascular Function: Ischemic Heart Disease; Effect of Comorbidities on Cardiovascular Function: Heart Failure with Preserved Ejection Fraction; Monitoring the Aging Cardiovascular System; Support of the Aging Cardiovascular System; Summary; References; 3: Pulmonary Anatomy; Introduction; Anatomy; Lung Anatomy; Chest Wall; Diaphragm; Pulmonary Physiology; Effects of Aging

Epidemiology of Acute Kidney Injury and Acute Renal Failure Etiology of Acute Kidney Injury and Acute Renal Failure; Molecular Underpinnings of AKI; Strong Ions, Acute Kidney Injury, and Acute Renal Failure; References; 5: The Gastrointestinal Tract; Introduction; Age-Related Changes in Gastrointestinal Physiology; Gastrointestinal Motility; Enteric Nervous System; Gut Mucosa; Enteral Absorption; Mucosal Immunity; Gastrointestinal Injury; Gastrointestinal Ileus; Ogilvie Syndrome; Summary; References; 6: Skin, Soft Tissue, and Wound Healing in the Elderly; Introduction

Pulmonary Function Testing Chest Wall; Rib Fracture; Airway Diseases; COPD; Alveoli; Bronchioles; Asthma; Restrictive Lung Disease; Pulmonary Embolism; Infections; Aspiration Pneumonitis; Cancer; Sleep Disorders; Summary; References; 4: Renal Function in the Elderly; Introduction; Renal Biomass and Aging; Evaluation of Renal Function; Urinalysis; BUN, Scr, and BUN/Scr Ratio; Urine Electrolytes; Fractional Excretion of Sodium (FENa) or Urea Nitrogen (FEUN); 24-Hour Creatinine Clearance (CrCl24); eGFR; Urinary Biomarkers; Limitations in Renal Function Assessment

Skin Changes with Aging Diseases of the Elderly Affecting Wound Healing; Malnutrition; Diabetes Mellitus; Therapies That Alter Wound Healing; Neurologic Diseases; Problem Wounds of the Elderly; Pressure Ulcers; Arterial Insufficiency Ulcers; Venous Stasis Disease; Principles of Wound Healing of Chronic Wounds; Burns in the Elderly Population; Prevention; Outcomes for Wounds in the Elderly; Summary; References; 7: Immunologic; Introduction; Aging of the Innate Immune System; Neutrophils; Macrophages; Natural Killer Cells; Dendritic Cells

Available to OhioLINK libraries

With the expertise of an author panel of leading clinicians in the field of surgery, trauma, critical care and geriatrics the new edition of this text addresses the explosion in knowledge on the impact aging has on injury, acute illness and critical care management. The text covers the physiologic changes associated with aging, as well as the clinical assessment, stratification, and management of acute illness and injury. Furthermore, the new edition discusses the full spectrum of critical care management of the elderly. Part I explores the impact of aging on health and the healthcare system. There will be detailed discussion on the physiologic effects of aging and the impact on clinical management. The management of common surgical emergencies in the elderly is addressed in Part II. Part III addresses the evaluation and management of trauma and injury. Finally, Part IV explores the specific challenges of critical care management, including end-of-life and ethics, in the geriatric population. Updated information, reflective of the expansive literature, is addressed in all sections. New to the second edition are chapters on prehospital care, burns, nursing concerns, and abdominal solid organ injury. Appropriate chapters will include case vignettes and clinical algorithms. All chapters include a bullet-point summary. Geriatric Trauma and Critical Care, 2nd Edition will be of great value to trauma surgeons, acute care surgeons, critical care specialists, emergency medicine physicians, geriatricians, general surgeons, and trainees in surgery, critical care, and emergency medicine. Advanced practice nurses, critical care nurses, and physician assistants will also find this a useful and practical resource