Book Metadata
- Full Title: Marino's The ICU Book, Fifth Edition.
- Author: Paul L. Marino, MD, PhD, FCCM.
- Illustrator: Patricia Gast.
- Editorial Staff: Keith Donnellan (Acquisitions Editor), Ashley Fischer (Senior Development Editor), and Bridgett Dougherty (Production Project Manager).
- Year of Publication: 2025.
- Total Number of Pages: 947 pages.
Copyright Summary
Published by Wolters Kluwer, this fifth edition (ISBN: 978-1-975176-71-6) is a reference tool for healthcare professionals that disclaims all warranties regarding the accuracy, comprehensiveness, or currency of its content. The publisher emphasizes that the work is not a substitute for individual patient assessment and does not provide formal medical advice or guidance.
Legal notices specify that independent professional verification of diagnoses and drug dosages is required, and no responsibility is assumed for any injury to persons or property resulting from the use of this work.
Preface Analysis
The author’s primary intent is to provide a fundamental sourcebook for the care of critically ill adults, focusing on universal concepts and practices applicable in any ICU, regardless of the unit's specialty designation. Now in its 33rd year, the book aims to fill the clinical gap by providing a single-authored text that distills the "essence" of global medical literature into a clear, concise, and up-to-date format without excessive bulk.
The text has been completely reorganized and rewritten to include updated references and clinical practice guidelines. The intended primary audience is described as "newcomers and old-timers alike," serving both residents entering the field and seasoned specialists seeking a succinct, comprehensive review of critical care fundamentals.
Chapter List
SECTION I: VASCULAR ACCESS
- Chapter 1: Vascular Access Primer
- Chapter 2: Central Venous Access
- Chapter 3: The Indwelling Vascular Catheter
SECTION II: COMMON PRACTICES
- Chapter 4: Alimentary Prophylaxis
- Chapter 5: Venous Thromboprophylaxis
- Chapter 6: Analgesia and Sedation in the ICU
SECTION III: PHYSIOLOGICAL MONITORING
- Chapter 7: Oximetry and Capnography
- Chapter 8: The Pulmonary Artery Catheter
- Chapter 9: Systemic Oxygenation
SECTION IV: INTRAVENOUS FLUID THERAPY
- Chapter 10: Intravenous Fluids
- Chapter 11: Fluid Management
SECTION V: BLOOD COMPONENTS
- Chapter 12: Anemia and Red Blood Cell Transfusions
- Chapter 13: Platelets and Plasma
SECTION VI: SHOCK SYNDROMES
- Chapter 14: Approaches to Clinical Shock
- Chapter 15: Hemorrhagic Shock
- Chapter 16: Cardiogenic Shock
- Chapter 17: Inflammatory Shock Syndromes
SECTION VII: CARDIAC DISORDERS
- Chapter 18: Acute Heart Failure(s)
- Chapter 19: Tachyarrhythmias
- Chapter 20: Acute Coronary Syndromes
- Chapter 21: Cardiac Arrest
SECTION VIII: RESPIRATORY DISORDERS
- Chapter 22: Acute Pulmonary Embolism
- Chapter 23: Asthma and COPD in the ICU
- Chapter 24: Acute Respiratory Distress Syndrome
SECTION IX: RESPIRATORY MANAGEMENT
- Chapter 25: Oxygen Inhalation
- Chapter 26: Noninvasive Ventilation
- Chapter 27: Conventional Mechanical Ventilation
- Chapter 28: The Ventilator-Dependent Patient
- Chapter 29: Ventilator-Associated Pneumonia
- Chapter 30: Discontinuing Mechanical Ventilation
SECTION X: ACID-BASE DISORDERS
- Chapter 31: Acid-Base Analysis
- Chapter 32: Lactic Acidosis and Ketoacidosis
- Chapter 33: Metabolic Alkalosis
SECTION XI: RENAL & ELECTROLYTE DISORDERS
- Chapter 34: Acute Kidney Injury
- Chapter 35: Sodium
- Chapter 36: Potassium
- Chapter 37: Magnesium
- Chapter 38: Calcium and Phosphorus
SECTION XII: THE ABDOMEN & PELVIS
- Chapter 39: Liver Failure
- Chapter 40: Acute Pancreatitis
- Chapter 41: Abdominal Infections in the ICU
- Chapter 42: Urinary Tract Infections in the ICU
SECTION XIII: ALTERED BODY TEMPERATURE
- Chapter 43: Thermoregulatory Disorders
- Chapter 44: Fever in the ICU
SECTION XIV: NERVOUS SYSTEM DISORDERS
- Chapter 45: Disorders of Consciousness
- Chapter 46: Disorders of Movement
- Chapter 47: Acute Stroke in the ICU
SECTION XV: NUTRITION & METABOLISM
- Chapter 48: Nutritional Requirements
- Chapter 49: Enteral Nutrition
- Chapter 50: Parenteral Nutrition
- Chapter 51: Adrenal and Thyroid Dysfunction
SECTION XVI: OVERDOSES & POISONS
- Chapter 52: Pharmaceutical Drug Overdoses
- Chapter 53: Nonpharmaceutical Poisons
SECTION XVII: APPENDICES
- Appendix 1: Units and Conversions
- Appendix 2: Selected Reference Ranges
- Appendix 3: The Body Fantastic
Clinical Value Prop: Why Read This?
For the practicing clinician, The ICU Book offers a rare, unified perspective on critical care, drawing on Dr. Marino's 44 years of specialist experience. Its value lies in:
- Concise Complexity: The text distills complex pathophysiology into easy-to-understand presentations supplemented by 238 original illustrations and 207 tables.
- Critical Insights: Every chapter concludes with "A Final Word," a unique section in which the author offers clinical pearls, challenges traditional dogmas, or highlights essential take-home points.
- Updated Evidence: This edition features five new chapters—covering fluid management, clinical shock, cardiogenic shock, acute pulmonary embolism, and noninvasive ventilation—ensuring the resource remains relevant to modern ICU challenges.
