SKU: 42784616862

Critical Care Medicine: Principles of Diagnosis and Management in the Adult 5th Edition by Joseph E. Parrillo MD FCCM

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Critical Care Medicine: Principles of Diagnosis and Management in the Adult 5th Edition by Joseph E. Parrillo MD FCCMNow completely revised to bring you up to date with the latest advances in the field, Critical Care Medicine: Principles of Diagnosis and Management in the Adult, 5th Edition, delivers expert, practical guidance on virtually any clinical scenario you may encounter in the ICU. Designed for intensivists, critical care and pulmonology residents, fellows, practicing physicians, and nurse practitioners, this highly regarded text is clinically focused and

Now completely revised to bring you up to date with the latest advances in the field, Critical Care Medicine: Principles of Diagnosis and Management in the Adult, 5th Edition, delivers expert, practical guidance on virtually any clinical scenario you may encounter in the ICU. Designed for intensivists, critical care and pulmonology residents, fellows, practicing physicians, and nurse practitioners, this highly regarded text is clinically focused and easy to reference. Led by Drs. Joseph Parrillo and Phillip Dellinger, the 5th Edition introduces numerous new authors who lend a fresh perspective and contribute their expertise to that of hundreds of top authorities in the field.

  • Includes new chapters on current applications of bedside ultrasound in the ICU, both diagnostic and procedural; mechanical assist devices; and extra-corporeal membrane oxygenation (ECMO).
  • Contains new administrative chapters that provide important information on performance improvement and quality, length of stay, operations, working with the Joint Commission, and more.
  • Features new videos and images that provide visual guidance and clarify complex topics.
  • Keeps you up to date with expanded chapters on echocardiography in the ICU and valvular heart disease, including TAVR.
  • Includes separate chapters on mechanical ventilation of obstructive airway disease and acute respiratory distress syndrome (ARDS) – including the many recent changes in approach to positive end expiratory pressure setting in ARDS.
  • Covers key topics such as patient-ventilator synchrony and non-invasive ventilation for treating chronic obstructive pulmonary disease patients with acute respiratory failure.
  • Reflects the recent literature and guidance on amount of fluids, type of fluid, vasopressor selection, mean arterial pressure target, and decision on steroid use in septic shock.
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SKU: 42784616862

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4.7 ★★★★★
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Elaina rice
Massapequa, US
★★★★★ 5
Dog loves it! For tough chewers for sure
Size: Medium/Large, Color: Dog Ness Monster - Large, Size: Medium/Large, Color: Dog Ness Monster - Large
Dog absolutely loves it, he’s super rough on all of his toys they usually last about 10 minutes bore they are torn to shreds. It’s lasting through his chewing so I’m happy. It’s also super cute.
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Reviewed in the United States on April 9, 2026
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miriana
Lake Worth, US
★★★★★ 5
Loch Yes
Size: Medium/Large, Color: Dog Ness Monster - Large, Size: Medium/Large, Color: Dog Ness Monster - Large
Cute toy, dog really likes it. I had my doubts when I pulled it out, and honestly so did she, but the soft part bounces, so that got her going. We've had it for about a week. My dog is ~70 lbs and a moderate chewer, and this monster still gets regular play and is holding up well.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on April 18, 2026
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zee
Dallas, US
★★★★★ 5
Great toys for aggressive chewers
Size: Medium/Large, Color: Turkey Day Drumstick - Large
These are great toys they last a while they are destroyed after a while but both dogs are aggressive chewers but they last about a year and a half. And they are go to toys they have one that is a shark mouth and they love it I have bought 4. (two of them the pups lost ).
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on December 20, 2025
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Anjelica
Draper, US
★★★★★ 4
Durable and Fun, Just Gets a Bit Rough
Size: Medium/Large, Color: Chopper - Large
This is a really good toy overall, especially if you have dogs that love to chew. My dogs were immediately into it—they play with it nonstop, toss it around, and stay entertained for a while, which I love. It definitely holds up better than most toys we’ve tried. The only reason I’m giving it 4 stars instead of 5 is because over time it does start to fray a bit and gets a little rough, especially with heavy chewing. It’s not completely indestructible, but it still lasts longer than a lot of other toys. Overall, still a great buy and I would recommend it if your dogs need something tough but fun!
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Reviewed in the United States on April 4, 2026
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Lina
Phoenix, US
★★★★★ 5
Worthwhile!
Size: Medium/Large, Color: Turkey Day Drumstick - Large
I have a small dog with a really strong bite! Usually have to buy toys that are meant for bigger dogs. This has lasted us for what feels like forever. It does sound very heavy when dropped! My dog loves it though! Would definitely recommend!
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Reviewed in the United States on May 2, 2026

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