Completely rewritten and updated for the Fourth Edition, this Spiral® Manual remains the leading quick-reference guide to both medical and surgical intensive care. The essential principles, protocols, and techniques from Irwin and Rippe's Intensive Care Medicine, Fifth Edition have been distilled into a portable, practical manual that is ideal for rapid bedside consultation. The user-friendly format features numerous tables, illustrations, and annotated references. This edition has completely revamped sections on cardiovascular problems and coronary care, surgical problems, shock and trauma, endocrine problems, and hematology, plus expanded coverage of gastroesophageal balloon tamponade, aspiration of joints, hepatic dysfunction, and noninvasive mechanical ventilation.