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Contributors; 1 Challenging IV Access in the Patient with Septic Shock; Types of Intravenous Access; Peripheral Intravenous Access; Peripherally Inserted Central Catheter (PICC); Central Intravenous Access; Femoral; Internal Jugular; Subclavian; Intraosseous Access; Proximal Tibia Insertion; Humeral Head Insertion; Venous Cutdown; Special Considerations in Difficult Clinical Settings; Coagulopathy; Deep Venous Thrombosis/Venous Occlusion; Chronic Kidney Disease/Hemodialysis Patients; Morbidly Obese Patients; Burn Patients; Unobtainable Intravenous Access; References.

2 Fluids in Septic Shock: Crystalloid, Colloids, or Blood?Crystalloids; Albumin; Albumin Versus Crystalloids in Sepsis; Starches; Blood; Fluids and Protocol-Based Care; Individualized Approach to Resuscitation in Septic Shock; References; 3 Resuscitation of the Patient in Septic Shock; Introduction; Definitions; Epidemiology; Pathogenesis; Diagnosis; Management; Fluid Selection; Fluid Resuscitation Strategy and Goals; Other Aspects of Management; Conclusion; References; 4 Intra-peritoneal Resuscitation in Trauma and Sepsis: Management Options for the Open Abdomen; References.

5 How to Feed the Open AbdomenIntroduction; Admission; Day 0; Day 1; Day 2-5; Day 5 and Beyond; Conclusion; Example of Nutrition Protocol Guidelines; References; 6 Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Acute Care Surgery; Definitions; Pathophysiology; Prevention of IAH/ACS; Management of IAH/ACS; Sedation and Analgesia; Nasogastric/Colonic Decompression, Prokinetic Motility Agents; Fluid Resuscitation; Diuretics and Continuous Venovenous Hemofiltration/Ultrafiltration; Neuromuscular Blockade (NMB); Percutaneous Decompression; Abdominal Decompression.

Definitive Abdominal ClosureReferences; 7 Empyema in the Acute Care Surgical Patient; Introduction; Physiology of Pleural Space Fluid Shifts; Evolution of Pleural Space Infection to Empyema; Risk Factors and Bacteriology of Pleural Space Infection; Diagnosis of Pleural Space Infection; Early Management of Pleural Space Infection (Fig.ß7.1); Fibrinolysis Therapy for Treating Pleural Space Infections; Surgical Decortication; Conclusion; References; 8 Perforated peptic ulcer and the dislodged PEG; The Dislodged PEG; Perforated Peptic Ulcers; Incarcerated Paraesophageal Hernia.

Diagnostics EvaluationIndications for Operative Intervention; Laparoscopic Approach; Not a Candidate for Repair; Laparotomy; Reconstruction; Complications; Outcomes; References; 9 The Complicated Cholecystectomy and Management of Perforation Post-ERCP; The Complicated Cholecystectomy; Predicting the Difficult Cholecystectomy; Cholecystectomy: Performing It Safely; Pitfalls Leading to Bile Duct Injury; Operative Techniques for the Difficult Gallbladder; Viewing the Gallbladder from Within; Partial or Subtotal Cholecystectomy; Adjuncts for Identification of Biliary Anatomy.

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