This book is dedicated to the fellows, residents, medical students, nurses, and respiratory therapists whom I have had the privilege to teach over the years. Medicine is neither art nor science, but rather a craft. It requires a commitment to excellence from a craftsman. Paying it forward is part of the deal. This work is my attempt to share what I've learned about critical care medicine with the next generation.

Writing a book is not an easy task, and neither is being a physician. I could not do it without the love and support of Lorien, my wife and fellow adventurer.