Chapter 29. Critical Care

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer3,4,
  2. Bryan A. Cotton MD, MPH Associate Professor5,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer4,6 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor7
  1. Andrew McDonald Johnston Specialist Registrar1,2

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch29

Emergency Surgery

Emergency Surgery

How to Cite

Johnston, A. M. (2010) Critical Care, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch29

Editor Information

  1. 3

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 4

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 5

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 6

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 7

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. 1

    Department of Military Medicine, Birmingham Research Park, Edgbaston, Birmingham, UK

  2. 2

    Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • critical care;
  • effective management of critically ill emergency surgical patients - close collaboration between critical care specialists and emergency surgeons;
  • critical care team, notified that the patient is likely to require their input;
  • high dependency unit (HDU) or intensive therapy unit (ITU);
  • assessing critically ill patient;
  • vasopressor and inotropic drugs;
  • patients admitted to ITU develop renal failure;
  • Continuous positive airway pressure (CPAP) - involving use of tight fitting face mask;
  • tracheostomy, artificial airway inserted through trachea - between first and second tracheal rings;
  • invasive ventilation, associated with ventilator-associated pneumonia (VAP)


This chapter contains sections titled:

  • Clinical assessment

  • Assessing critically ill patients

  • Admission to critical care

  • Postoperative problems

  • Monitoring

  • Vasopressor and inotropic drugs

  • Sedation and paralysis

  • Organ failure

  • Renal support

  • Sepsis

  • Daily review

  • Ventilation

  • Tracheostomy

  • Weaning

  • Transfer for diagnostic tests

  • Critical illness myopathy and neuropathy

  • Care bundles

  • Nutrition

  • Communication

  • Discharge from critical care

  • Further reading