ICU Books

Discussion in 'Critical Care' started by Drnunia, Feb 18, 2007.

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  1. Drnunia

    Drnunia Member 7+ Year Member

    Sep 9, 2002
    Chicago, IL
    I am not got going to be able to do a ICU rotation during my 4th year and was wondering if any one has any recommendations for some ICU books that can give me a good background and can be used as a good referance book during my intern year rotation that I can begin to look at while i have some time off? Thanks for your help.:)
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  3. JayneCobb

    JayneCobb big damn hero.... Moderator Emeritus 5+ Year Member

    Oct 17, 2006
    The ICU book seems to be popular among interns. I'm not sure what the CC bible would be, Principles of CC, Irwin & Rippe's, or Textbook of CC, or it there is another one out there.
  4. proman

    proman Member Moderator Emeritus 10+ Year Member

    Mar 5, 2002
    Having read some of both second and third editions of The ICU Book, I think 3rd is a vast improvement. Easy to read, up to date on the evidence (as much as any text can be) and high yield. Anyone what to buy my 2nd ed?
  5. JayneCobb

    JayneCobb big damn hero.... Moderator Emeritus 5+ Year Member

    Oct 17, 2006
    Your sales pitch needs some work :laugh:
    royalmedicus likes this.
  6. Adcadet

    Adcadet Long way from Gate 27 10+ Year Member

    I think the critical care section (part 10) of Harrison's is pretty reasonable. I read it during my MICU month as an MS4 and thought it was pretty useful and not too long but hits the high points. If you want more than that, just read up on the references - the online updates proved very useful for more current info during my rotation.
  7. DrHans

    DrHans mentally challenged 5+ Year Member

    Sep 18, 2005
    A strange new world
    What are peoples opinions of these books? Which one would be better for a Medicine resident going into CC? Thanks :D
  8. epidural man

    epidural man ASA Member 10+ Year Member

    Jun 3, 2007
    San Diego

    Marino's book is great - especially the part where he says that trendelenburg decreases Cardiac Ouput. Despite the excellent reasons and evidence he sites, everyone still puts patients in trendelenburg for increasing BP. Increased BP does not equal increased CPP, as he so eloquently states. Nobody listens however. :)
  9. ChildNeuro

    ChildNeuro Junior Member 5+ Year Member

    Jun 22, 2005
    San Francisco
    Menino's book is great, alot of the stuff reads like a conspiracy story as he debunks one known "ICU truth" after another.
  10. augmel

    augmel Senior Member 10+ Year Member

    Oct 7, 2002
    At the same time, Marino preaches a bunch of stuff that is totally out of date. His discussion of TTP is way out of date, still says you have to have all five criteria even though hematologists have rejected that for a while. A lot of his arguments are based on scientific principles or animal data without any clinical evidence to back it up. I think it is overall a very readable introduction but still has the "cult of personality" feel of one dominant, strongly opinionated author.
  11. bulgethetwine

    bulgethetwine Banned Banned 10+ Year Member

    Jan 4, 2005
    Careful -- there is a big difference between being "without" clinical evidence and in "conflict" with clinical evidence. Marino doesn't generlaly preach anything in "conflict" with clinical evidence.

    I wish we had MORE support of arguments based on scientific principles or animal data when there isn't any clinical evidence available. Instead, it has become fashionable in this era of EBM to diminish clinical decision making founded on scientific principles and/or animal data without a study supporting it. Some things just can't be studies because to withhold treatment (as would be necessary in a double blinded study) would never get past a modern IRB.

    Don't get me wrong -- I wish there was a study for everything we do, too... I wish every therapy we had was evidence based, and I am a big supporter of the principles and general approach of basing one's practice on EBM. But don't become an EBM snob... it's akin to missing the forest for the trees :oops: And the ability to make a decision on sound scientific reasoning in the absence of data is one of the best parts about critical care -- you're in unchartred territory and you get to THINK instead of blindly following some stupid protocol :)
  12. DNASplicer

    DNASplicer Junior Member 5+ Year Member

    Nov 19, 2005
    totally agree with most of what's been said.

    Personally, I like Marino's The ICU Book, but beware, some attendings hate it! For surgery Surgical Critical Care by Abrams is good BUT 3x as expensive and way more dense... probably better though...

    I'd still spend the $50 on The ICU Book... it's been pretty good so far, or I just don't knwo the mistakes -- which is always scary!!!
  13. RB333

    RB333 Junior Member 5+ Year Member

    Oct 2, 2005
    Hey guys

    Just got Marino's ICU book (3rd edition), will be doing a month long rotation next month as an M4. Looks pretty dense (nearly 1000 pgs), although there are lots of references. Any tips of which chapters to focus on / which chapters you found yourself going back to during your rotation? (Or should I just plough through it and hope something stays in :)
  14. Enrico81

    Enrico81 Old member with few posts 5+ Year Member

    May 22, 2004

    I completely agree with you :)

    At any rate, I am under the impression that sometimes, it is Dr. Marino's personal opinions what you can read in his book. While this may often be a remarkable asset to his work, personally I feel that it should be more clearly stated.

    As for the original question, I think that Schmidt and Hall's "Principles of Critical Care" is an excellent book, very clear and comprehensive. I would definitely recommend it to anyone who has a real interest in crical care medicine.
  15. Hernandez

    Hernandez Paranoid and Crotchety... 10+ Year Member

    It seems good from what i've read of it on Access Medicine. Since I still have access to AM, I bought Textbook of CC. It should be coming in any day and I'll give my opinion as to how it compares to Principles before too long.
  16. coprolalia

    coprolalia Bored Certified 2+ Year Member

    Aug 5, 2007
    I agree. He basically shoots down the concept of auto-PEEP without really citing any sources. He often speaks from experience, but not evidence-base. His book is often a reads like an exercise in appeal to authority.

  17. ruggerdoc123

    ruggerdoc123 2+ Year Member

    Aug 4, 2007
    my understanding about trendelenburg is...per sabiston:

    Trendelenburg position increases intrathoracic pressure, central venous pressure, capillary wedge pressure, and mean arterial pressure, increasing cardiac work. (So CO may suffer)

    the point that i'm throwing a patient in trendelenburg is the point that somebody better be getting a pressor or the epi and atropine. i don't care much about the CPP at that point- that's not what's going to push them into a code. it's one of the first things you can do to help the BP, especially while you're waiting for drugs.

    what do you think?
  18. Adcadet

    Adcadet Long way from Gate 27 10+ Year Member

  19. ketafol

    ketafol ASA Member 2+ Year Member

    Oct 3, 2006
    Cool Thanks. Just deciding wether to by Marino or Marini? Marini is 10 bucks cheaper, but almost two years older.
  20. Cknight

    Cknight New Member 5+ Year Member

    Jul 4, 2006
    Does anyone have any opinion on House Officer Guide to ICU Care by Elefteriades? I purchased it and have liked it quite a bit. The thing is it's from 1994, and I'm afraid it might be outdated, despite the fact that many of the principles he explains are applicable regardless of any new advances.
  21. proclivity

    proclivity New Member 2+ Year Member

    May 3, 2006
    just started reading it a few days ago. excellent book. The way i am going, i will be done with it much sooner than i had anticipated.

    Thanks for the suggestion.
  22. VentdependenT

    VentdependenT You didnt build thaT Moderator Emeritus 10+ Year Member

    Oct 3, 2003
    Marino is a favorite of mine. Easily digestible. Makes sense. Its by no means comprehensive.

    I also like this Lange Book. Combined with Marino you've got all your bases covered.

    This book is the bomb. If you are completely new to ICU management then nab it. It covers all the basics.

    There is a new edition out but i havent looked at it yet.
  23. Geri_Gal

    Geri_Gal Loving Life 2+ Year Member

    Do any of the above books have descriptions of the procedures typically performed in the ICU? I've learned through "see one, do one", but reading helps solidify my memory. If not, can anyone recommend anything?
  24. Hernandez

    Hernandez Paranoid and Crotchety... 10+ Year Member

    They all have some degree of technique stuff in them. But if you want a dedicated procedure book, Roberts & Hedges is a great one for procedures. .
  25. hoyden

    hoyden 10+ Year Member

    Oct 6, 2004
    I love Marino's book but if you want a bible for CCM, this is what it is :

    Critical Care Medicine: Perioperative Management by Murray
  26. JayneCobb

    JayneCobb big damn hero.... Moderator Emeritus 5+ Year Member

    Oct 17, 2006
    Alright, after a few months. I have read decent amounts of Marino, a little of Marini, I purchased Murray and Textbook of critical care as well has have online access to Jesse Hall's Principles of Critical Care. So I'll give my opinion on these.

    Overview Books

    Marino's "The ICU Book". Very well done, concise and gets to the important point and I enjoy the fact that he provides references for pretty much everything he writes and I do like that for the most part he delineates his opinions from the text. The example I think best highlights this is the chapter on Swan's. He goes through the whole bit and then admits that there is data which shows no improvement in survival with their use, but offers his opinion that this is a test and should by itself not impact mortality in anyway. (Personally, if a test doesn't have any impact on the outcome despite using it to guide your clinical course, I'm not sure of the true utility of the test in question, but that's just me. And I'm no authority to really question Marino..) There is a lot of math and physiology references in here which at times makes for a clunky read, but ultimately, most of this is needed information to make his points.

    Marini's Critical Care Medicine: The Essentials. Akin to Marino's, another well done book. Lots of relevant information which is cut down to the more clinically relevant to the ICU. I prefer Marino a bit, but that's just a personal preference. Had I started reading Marini's first, I'd probably prefer it more.

    Critical Care Handbook of the Massachusetts General Hospital; Think Washington Manual for Critical care. It's a small pocket book sized and is outline formated for most of the book. It's extremely high yield, but lacks the explanations or physiology behind most of what it discusses. Personally would not be the book I'd recommend to a student to read through first, I'd use it solely as a review book.


    Textbook of critical care: This is a textbook (obviously) so it's large, clunky and not practice to carry around. It is chock full of information and done so in nice bite-size chapter bits. It reads, IMHO, much like Harrison's, it has more attention to the bio-chemical details than many other books but is presented in a way which helps integrate the material. Out of the 3 textbooks I've perused, my personal favorite.

    Critical Care Medicine: Perioperative Management. Again, another textbook, I found a copy on Amazon for $25, so I couldn't pass it up based on the above recommendation. Coming from a medicine-centric perspective, it leaves out many details and really didn't seem to offer much in the way of actual management of the conditions which it described. I had high hopes at least for the aspect of fluid management and sedation aspects of owning a book by Anesthesiologists, but the information is so chopped up and inter-dispersed in the other chapters that it isn't worth my time to really read. My personal least favorite text book of critical care.

    Jesse Hall's Principles of Critical Care; Yet another textbook, and like Textbook of Critical care, much more medicine-centric. I'd call the differences between this book and Textbook of CC as being very similar to the differences between Harrison's and Cecil's. Principles of CC is a little more concise and has a less physiology to it. It starts out each chapter with a Key Points section which sums up the chapter you're about to read. It's easy to read for the most part and my second favorite of the textbooks.​
  27. Bonobo

    Bonobo Senior Member 5+ Year Member

    May 27, 2004
    The Washington Manual of Critical Care has recently been published. I am using it now in my ICU rotation and I like it quite a bit.

    Like the Washington Manual of Medical Therapeutics, it is dense and complete invoking both physiology and clinical trials. Two features that I particularly like are the algorithmic approach, making it a LOT easier to decide what to do with patients in the middle of the night, and also the references at the end of each chapter which, for the most part, seem to be high yield.

    Haven't used it enough yet to know how much I like it compared to the other handbooks, but so far, along with the Marino textbook to read during time off, I think it might be the best book to have in your pocket in the ICU. Of course, I am somewhat biased being at WashU... :D

  28. SexPanther

    SexPanther This could be a problem 10+ Year Member

    Feb 5, 2006
    Quick plug for this book. I felt that it was well written; basic enough to get through in a month but detailed enough to understand the concepts. As an intern, you need something that gives you the info. in a way that is digestible and readable. Dr. Wheeler was one of my attendings during my 1.5 mos. of MICU this year, and he is unbelievable. He told me a new version will be coming out soon that he believes will be even better, I plan on getting it when it is released.

    I also really enjoyed Marino (I've got a month of neuro ICU and a month of SICU on top of my MICU this year) and thought it was a little easier to read than CCM: The Essentials.

    Haven't seen the Wash Manual of CC, will have to check it out.
  29. soleluna

    soleluna 2+ Year Member

    Jul 18, 2007
  30. emergiQ

    emergiQ Killer Whale Trainer 5+ Year Member

    Jun 22, 2008
    The Hockey Hall of Fame
    I picked up the Parrillo and Dellinger "Critical Care Medicine - Principles of Diagnosis and Management in the Adult" 2008 edition a while back. I'm real pleased with it.

    I'm a fellow now, and it will probably serve as my "bible" along with the accompanying self-review and assessment. As a resident, I got a lot of mileage out of The ICU Book (and still keep it handy).
  31. soleluna

    soleluna 2+ Year Member

    Jul 18, 2007
    Thanks for the info!
  32. fakin' the funk

    fakin' the funk ASA Member 10+ Year Member

    Aug 23, 2004
    Aha! Your bias is revealed.

    Seriously though, I have this book and I'm not all that happy with it. I think it's a little too basic, and some parts, particularly the Vent Modes section, are really poorly written - like trying to do too much with words and not enough diagrams.
  33. SexPanther

    SexPanther This could be a problem 10+ Year Member

    Feb 5, 2006

    True dat, Marino is a better book all around for sure. The Lange Critical Care book looked decent upon a perusal the other day. Find one you like and go with it, supplement with journal articles...your attendings can point you in the right direction for these.

    As for my bias, Wheeler is definitely the man. If you are a medicine type and considering CCM, then I urge you to consider Vanderbilt. Top notch (I'm not in the medicine program so this is relatively unbiased).
  34. thatuvicguy

    thatuvicguy Member 7+ Year Member

    Mar 18, 2004
  35. truckibear

    truckibear Senior Member 10+ Year Member

    Sep 9, 2004
    been wondering the same thing... anyone?
  36. CambieMD

    CambieMD cambiemd 10+ Year Member

    Oct 4, 2003

    The Little ICU Book is a great book. I find it helpful. I really like the fluid section.

  37. Adcadet

    Adcadet Long way from Gate 27 10+ Year Member

  38. nocdoc


    Oct 2, 2007
    The Washington Manual of Critical Care ....I found this very useful.
  39. dina80

    dina80 Banned

    May 20, 2009
    oxford handbok of acute medicine my number one book.
  40. soleluna

    soleluna 2+ Year Member

    Jul 18, 2007
    I like it too
  41. ajiandi


    Aug 21, 2009
    both :thumbup::thumbup::thumbup::thumbup::thumbup:
  42. Intensivist

    Intensivist 5+ Year Member

    Aug 5, 2009
    Does anyone have this book
    l bought it last yr not having ant refference for it, :hungover:ummy: and have compared it with Marino's book, and this one is worse, espacially the mechanical vent part. It does contain a protocols at the end of it, which are good, atleast most of them. Just wanted to see other people opinions
    Can someone recommmend a ICU book for anesthesia/CC directed ones, meaning good medical and surgical parts...
  43. JackBauERfan

    JackBauERfan CTU Field Agent 10+ Year Member

    Dec 24, 2002

    This one just came out last year.
    It is skewed towards SICU/surgical disease more, but also has a all the medicine topics covered.
  44. Curious Biff

    Curious Biff Captain Jaywalk

    Jan 20, 2010
    Agreed. Excellent book. Probably the best source and a large amount of the first part of the text covering how an ICU actually runs. It is very expensive though. Get someone to buy it for you. It is the definitive source on SICU management, and has a long history from one of the true giants and champions of the field, Civetta, at University of Miami.

  45. kemper6036

    kemper6036 7+ Year Member

    Mar 2, 2010
  46. PMPMD

    PMPMD 4G MD 10+ Year Member

    Oct 15, 2001
    I like Evidence Based Practice of Critical Care. It has great concise reviews of frequently discussed topics, such as ARDS, sepsis, etc.

    I also like Marini and Civetta. I would only buy the latter if you're sure you want to do a fellowship, and you have some department book funds.
  47. PMPMD

    PMPMD 4G MD 10+ Year Member

    Oct 15, 2001
    Also, Multiprofessional Critical Care Review, published by SCCM.

    The ASCCA has a PDF guidebook for residents that's a nice review.
  48. Shriken

    Shriken 5+ Year Member

    Apr 3, 2008
    Would you guys recomend the icu book 3rd edition or the little icu book?
  49. VentdependenT

    VentdependenT You didnt build thaT Moderator Emeritus 10+ Year Member

    Oct 3, 2003
    Right now Im reading Vincent. It is theeeeeee shnizzle!
  50. tartesos

    tartesos Medalaganario Gold Donor 5+ Year Member

    Found in the "jungle" for 180ish.
    Will give it a shot.

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